Hybrid Leader, Pharmacy Quality & Affordability Programs

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

Benefits offered by this job

Medical/Dental/Vision

401(k) match

Paid time off

Parental leave

Job summary

Cambia Health seeks a Manager Clinical Pharmacy Quality and Affordability Programs to lead the strategy, development, and optimization of pharmacy quality and affordability programs. You will guide cross-functional initiatives across Pharmacy, Quality, Analytics, Product, and Care Management to improve outcomes and member experience.

You’ll supervise up to 10 staff, manage budgets, and ensure compliance with CMS and regulatory requirements. A Pharm.D.

Qualifications

• Bachelor’s degree in Pharmacy or Pharm.D is required.
• Residency certificate or advanced degree is preferred.
• Experience in managed health care settings or health care delivery systems is needed.

Responsibilities

• Lead strategy and development of pharmacy quality, affordability, and medication management programs.
• Oversee cross-functional initiatives with Pharmacy, Quality, Analytics, Product and Operations.
• Monitor vendor performance and governance across programs.
• Ensure compliance with state, federal, and CMS regulations and contracts.
• Provide leadership and mentorship to direct reports and manage resources.
• Analyze medication claim data to identify opportunities to improve outcomes and reduce costs.
• Drive continuous quality improvement and support Medicare Stars performance.

Education

Bachelor's degree in Pharmacy

Residency or advanced degree preferred

Job description

Cambia Health seeks a Manager Clinical Pharmacy Quality and Affordability Programs to lead the strategy, development, and optimization of pharmacy quality and affordability programs. You will guide cross-functional initiatives across Pharmacy, Quality, Analytics, Product, and Care Management to improve outcomes and member experience.

You’ll supervise up to 10 staff, manage budgets, and ensure compliance with CMS and regulatory requirements. A Pharm.D.