Clinical Pharmacy Manager

MassHealth; Quincy (MA); On-site; USD 90,000 - 130,000; Full time

Job summary

MassHealth is seeking a qualified Clinical Pharmacy Manager to oversee the specialty pharmacy program, analyze cost data, and ensure the implementation of clinical drug use criteria.

The ideal candidate will have at least six years of experience in clinical pharmacy and a current Massachusetts pharmacist license. This role offers the opportunity to lead pharmacy initiatives and liaise with various stakeholders.

Qualifications

• At least six years of professional experience in clinical pharmacy.
• Two years in a supervisory or managerial capacity.
• Experience with Managed Care and data analysis.

Responsibilities

• Manage aspects of the specialty pharmacy program.
• Analyze cost data and make formulary recommendations.
• Lead pharmacy strategy workgroups to ensure program implementation.

Skills

Management of specialty pharmacy program

Data analysis

Clinical recommendations

Education

Current pharmacist license in Massachusetts

Experience with Medicaid

Job description

MassHealth is seeking qualified applicants for the position of Clinical Pharmacy Manager.

Under the general direction of the Deputy Director of Clinical Pharmacy, the Clinical Pharmacy Manager functions as a team member of the MassHealth Pharmacy Program. The Clinical Pharmacy Manager will assist in the development and management of the MassHealth Drug List, clinical initiatives, Accountable Care Organization pharmacy oversight, and other pharmacy programs. This position will serve as a liaison to EOHHS sister agencies, the Drug Utilization Review Program, pharmacy providers, and the pharmaceutical industry, as necessary.

Duties and Responsibilities

• Manage select aspects of the specialty pharmacy program.
• Recommend appropriate therapeutic interchanges based on clinical information, economic evaluations, and strategic initiatives.
• Identify market trends related to specialty pharmacy and proactively recommend adjustments.
• Analyze cost data and make formulary recommendations.
• Analyze data and clinical appropriateness for supplemental rebates and present findings to senior management for action.
• Monitor the clinical program, analyze results, and plan new program initiatives.
• Serve as liaison to the MassHealth Quality Office.
• Participate in the development of clinical drug use criteria for the Pharmacy Program.
• Lead pharmacy strategy workgroups to ensure that deliverables are met, and that program or initiative implementation is optimized.
• Evaluate appropriate therapeutic classes for procurement based on utilization and clinical information.
• Evaluate, interpret, and present data in formal written format for review.
• Lead and participate in quality improvement and quality assurance initiatives.
• Refer suspected abuse and fraudulent members to the program manager or designee for case review.
• In the absence of the Clinical Pharmacy Director, make clinical recommendations to sister agencies and other stakeholders.

Preferred Qualifications

• Ensure programs and projects are fiscally responsible.
• Implement policy, including developing policy, obtaining support from necessary parties, and disseminating information.
• Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts.
• Previous medical and medication review experience.
• Experience with Medicaid.
• Experience with Managed Care.
• Experience in data analysis and the evaluation and interpretation of economic models.

Minimum Entrance Requirements

• Applicants must have at least six years of full-time or equivalent part-time professional, administrative, supervisory, or managerial experience in a relevant specialty and possess a current pharmacist license in the Commonwealth of Massachusetts.
• At least two years must have been in a project management, supervisory or managerial capacity.

ADA Reasonable Accommodation

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests.

Equal Opportunity / Affidavit Statement

An Equal Opportunity / Affidative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate based on race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.