Manager, Pharmacy Quality & Affordability Programs (Hybrid)

Cambia Health; Renton (WA); Hybrid; USD 140,000 - 228,000; Full time

Job summary

Cambia Health is seeking a Manager Clinical Pharmacy Quality and Affordability Programs to lead and optimize clinical pharmacy initiatives across lines of business. The role oversees a portfolio of programs, ensuring high-quality, affordable medication use and patient outcomes.

The candidate will manage cross-functional teams, vendor partnerships, and regulatory compliance while driving Medicare Stars and other performance metrics.

Qualifications

• Bachelor's degree in Pharmacy or Pharm.D. degree required.
• Licensed pharmacist in state of practice.
• Minimum 3 years of patient care experience with management or professional business experience.

Responsibilities

• Develop and optimize pharmacy quality, affordability, and medication management programs including Medicare Stars and HEDIS.
• Lead cross-functional initiatives with Pharmacy, Quality, Analytics, Product, Care Management, and external vendors.
• Ensure compliance with state, federal, and CMS regulations and contract obligations.
• Provide routine reporting and analysis of clinical program activities.
• Mentor and develop direct reports, including clinical and non-clinical staff.
• Oversee vendor relationships, governance, and performance improvements.
• Identify regulatory changes and innovation opportunities to improve outcomes and cost efficiency.
• Manage staff hiring, coaching, and performance conversations.

Skills

Clinical pharmacy

Business acumen

Strategic initiatives

Vendor management

Stakeholder influence

Communication

Data analysis

Staff leadership

Medicare/CMS regulations

AI tools experience

Education

Bachelor's degree in Pharmacy or Pharm.D

Residency or advanced degree in health care administration, economics, public health, pharmacy administration, finance

Job description

Cambia Health is seeking a Manager Clinical Pharmacy Quality and Affordability Programs to lead and optimize clinical pharmacy initiatives across lines of business. The role oversees a portfolio of programs, ensuring high-quality, affordable medication use and patient outcomes.

The candidate will manage cross-functional teams, vendor partnerships, and regulatory compliance while driving Medicare Stars and other performance metrics.