Clinical Pharmacy Services Leader — Programs & Strategy

Cambia Health Solutions; Renton (WA); Hybrid; USD 149,000 - 201,000; Full time

Benefits offered by this job

Medical/Dental/Vision

401(k) with company match

Paid time off

HSA contributions

Parental leave

Wellness programs

Job summary

Cambia Health Solutions is seeking a Pharmacy Services leader to manage clinical pharmacy programs across lines of business. You will oversee Stars, HEDIS, affordability initiatives, and safety programs to promote value-based medications.

You will lead a team, collaborate with multiple stakeholders, ensure service levels and regulatory compliance, and drive cost-effective prescribing while supporting strategic objectives.

Qualifications

• Bachelor's degree in Pharmacy or Pharm.D; Residency certificate or advanced degree in health care administration, economics, public health, pharmacy administration, finance, or equivalent field preferred
• Three years of experience in patient care setting as well as management or professional business experience in a managed health care system, medical group, hospital, or related business in health care delivery industry or an equivalent combination of education and experience.
• Licensed pharmacist in state of practice.

Responsibilities

• Prioritizes and manages the implementation, and maintenance of clinical pharmacy programs, including Stars, HEDIS, eValu8, and other clinical safety, quality, and affordability programs which encourages the use of the best value medications, discourage use of unsafe medications or those with limited clinical value.
• Leads, and collaborate with, departmental and cross-organizational teams and committees with external vendors.
• Assures service levels and activities meet client service level agreements, as well as contractual obligations and compliance, such as state, federal, and CMS regulations or specific member contracts, with service guarantees.
• Provides routine and/or intermittent reporting and analysis as appropriate of clinical program activities that fall under their oversight. Ensure continuous quality assurance inclusive of documented policies, procedures, and workflows for all programs.
• Provides leadership and mentorship to direct reports, including clinical and non-clinical staff, through development and tracking of performance goals and objectives, as well as through quarterly performance conversations.

Skills

Clinical pharmacy

Business acumen

Leadership

Communication

Data analysis

Staff management

Medicare/CMS regs

AI tools

Education

Pharmacy degree (Pharm.D)

Residency or advanced degree

Job description

Cambia Health Solutions is seeking a Pharmacy Services leader to manage clinical pharmacy programs across lines of business. You will oversee Stars, HEDIS, affordability initiatives, and safety programs to promote value-based medications.

You will lead a team, collaborate with multiple stakeholders, ensure service levels and regulatory compliance, and drive cost-effective prescribing while supporting strategic objectives.