Pharmacy Director

Integrated Resources Inc.; Washington (District of Columbia); On-site; USD 100,000 - 130,000; Full time

Benefits offered by this job

Referral bonus of $500

Job summary

A leading healthcare staffing firm is seeking a qualified clinical pharmacist to enhance community healthcare delivery. This role entails managing pharmacy programs, ensuring compliance with regulations, and working closely with healthcare providers to improve outcomes. Ideal candidates will possess a PharmD or RPh license and have extensive experience in a managed care environment.

Qualifications

• 3-5 years of clinical pharmacy experience in a managed care setting.
• PharmD or RPh license appropriate for DC is required.

Responsibilities

• Build relationships with key figures to provide best-in-class healthcare.
• Review PBM policies for compliance and monitor pharmacy trends.
• Support CLIENT medical management goals with pharmacy-related initiatives.

Skills

Clinical pharmacy experience

Pharmacy management

Regulatory compliance

Education

PharmD or RPh license

Job description

Integrated Resources, Inc. is a premier staffing firm recognized as one of the tri-state area's most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing.

Job Description

· Work in the community to build and maintain strong relationships with key figures to provide best-in-class healthcare to members.

- Focus on DTM areas, tracking results, program enhancements.

- Improve pharmacy queue management.

- Address care gaps.

- Review PBM policies and procedures for compliance with applicable state requirements.

• Review clinical and financial recommendations provided by clinical pharmacists to determine feasibility and appropriateness for the client, ensuring flawless implementation. Monitor each initiative to measure results.

• Monitor CLIENT pharmacy trends; recommend process, product, and program improvements; plan, implement, and monitor changes.

• Support CLIENT medical management goals by implementing pharmacy-related clinical program initiatives.

• Attend and support all pharmacy-related meetings and committees sponsored by health plans, representing CLIENT and participating on the plan’s P&T Committee.

• Stay updated on industry trends and regulatory changes in the pharmacy sector and evaluate their impact on contracts and services.

• Provide on-site education and training for CLIENT providers on relevant processes and procedures.

• Develop strategies with PBM partners to improve HEDIS ratings and other quality measures.

• Participate in onsite visits to hospital systems, physician groups, and pharmacies.

• Act as the main contact for physicians and plan staff regarding pharmacy program issues.

• Support Fraud and Abuse program oversight, communicate suspected fraud, and recommend actions for providers outside guidelines.

• Provide on-site consultation and education to nurses, case managers, and physicians.

• Coordinate with CLIENT Compliance team on operational and medication management issues identified through oversight.

• Build relationships with behavioral health providers, Perform Care staff, and clients to improve healthcare delivery.

• Foster an environment of teamwork, cooperation, respect, and diversity.

Qualifications

• PharmD or RPh license appropriate for DC, required.

• 3 to 5 years of clinical pharmacy experience in a managed care setting.

Additional Information

We offer a referral bonus of $500 per candidate if you refer friends or colleagues seeking similar opportunities.