Clinical Pharmacy Quality & Affordability Programs Lead
Jobtailor
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Job summary
Jobtailor in Idaho seeks a Pharmacy Quality Leader to develop and optimize clinical and affordability programs within a managed care framework. You will lead cross‑functional initiatives, manage external partnerships, and ensure CMS compliance while driving outcomes and cost efficiencies.
The role requires strong clinical pharmacy expertise, strategic thinking, and demonstrated leadership in a matrix environment.
Qualifications
- Licensed pharmacist in state of practice.
- Minimum 3 years in patient care and managed health care setting or equivalent.
- Strong clinical pharmacy background with therapy skills.
- Business acumen and knowledge of health care economics.
- Experience managing external vendors/consultants and governance.
Responsibilities
- Develops, prioritizes, implements, and optimizes quality and clinical programs (e.g., Medicare Stars, HEDIS).
- Identifies opportunities to improve program performance and outcomes.
- Leads cross-functional initiatives across Pharmacy, Quality, Analytics, Product, and Operations.
- Ensures service levels, compliance, and contractual obligations with clients and CMS.
- Provides reporting and analysis of clinical program activities.
- Mentors staff and manages workload across teams.
Skills
Education
Job description
Jobtailor in Idaho seeks a Pharmacy Quality Leader to develop and optimize clinical and affordability programs within a managed care framework. You will lead cross‑functional initiatives, manage external partnerships, and ensure CMS compliance while driving outcomes and cost efficiencies.
The role requires strong clinical pharmacy expertise, strategic thinking, and demonstrated leadership in a matrix environment.
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