Pharmacy Practice Supervisor - Central Prior Authorization Department

Highmark Health; Zelienople (Butler County); On-site; USD 120,000 - 180,000; Full time

Job summary

Highmark Health seeks a Pharmacy Leader to support the Allegheny Health Network by directing pharmacy services and supervising daily operations. The role includes ensuring regulatory compliance, coordinating with multidisciplinary teams, and improving clinical and operational performance.

The position requires a PharmD or Bachelor’s in Pharmacy, active PA/NY licensure or eligibility, and relevant pharmacy leadership experience.

Qualifications

• Bachelor’s or PharmD required; PA/NY licensure within 120 days of hire.
• 3 years pharmacy experience required or completion of a 2-year administrative pharmacy residency.

Responsibilities

• Supervises day-to-day pharmacy services including drug distribution, education, clinical activities and inventory management.
• Coordinates patient care services with nurses and physicians to resolve clinical or drug distribution issues.
• Assists with policy development, enforcement and compliance; participates in performance improvement and regulatory activities.
• Prepares staff work schedules and staffing adjustments to meet workload demands and provides feedback to staff.
• Monitors controlled substances and audits per state and federal regulations; supports budgetary targets and cost effectiveness.

Skills

Leadership

Regulatory compliance

Staff supervision

Education

Bachelor’s degree in Pharmacy or PharmD

Licensed or eligible as a Registered Pharmacist (PA/NY)

Pharmacy residency or higher degree (preferred)

Job description

Company : Allegheny Health Network Job Description :

GENERAL OVERVIEW:

Assists the Pharmacy Manager and/or Director of Pharmacy by providing leadership and direction of pharmacy services, activities and functions. Performs pharmacist duties as well.

ESSENTIAL RESPONSIBILITIES:

Supervises day to day services/activities/functions including drug distribution, drug education, pharmacist clinical activities, retail business expansion, inventory management, performance measurements, regulatory compliance, employee development and multi-disciplinary team development. Coordinates pharmacy patient care services with other healthcare providers (i.e., nurses, physicians) to resolve issues related to clinical or drug distribution services. Assists with the development, implementation, administration and enforcement of hospital and departmental policies and procedures. Participates in performance improvement and regulatory compliance. Assists with personnel activities including interviewing, orientation, staffing, corrective action, competencies and performance appraisals. Prepares department staff's work schedules and assignments and makes staffing and scheduling adjustments to meet volume/workload demands. Provides regular communication, supervision and feedback to the staff. Supervises departmental personnel and operational practices to ensure regulatory compliance. Monitors the disposition of Controlled Drugs as required by state and federal regulations and conducts audits on a regular basis. Assists with the responsibility to monitor financial parameters and to operate within budgetary targets. Participates in designing, implementing and evaluating systems, processes and methods designed to enhance quality, improve service and enhance cost effectiveness. Works closely with supervision to implement, monitor and report on relevant activities. Performs the duties of a staff pharmacist as necessary and all other duties as assigned or required.

QUALIFICATIONS:

Minimum Bachelor’s degree in Pharmacy or Doctor of Pharmacy degree (Pharm D) Licensed or eligible for licensure as a Registered Pharmacist in the State of PA and/or NY at hire or sit for boards and obtain licensure within 120 days 3 years pharmacy experience required or completion of a 2-year administrative pharmacy residency program Preferred Pharmacy Residency Master's degree in Pharmacy, Business or Healthcare Management

DISCLAIMER:

The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

COMPLIANCE REQUIREMENT:

This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.