VP, Clinical Programs & Quality - Managed Care Pharmacy

U.S. Anesthesia Partners; San Juan (PR); On-site; USD 135,000 - 165,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

JobRx, Inc. seeks a visionary Vice President in managed care pharmacy to lead the Pharmacy Department for a health insurance client. This role oversees clinical programs to ensure regulatory compliance and achieves population health goals.

The ideal candidate holds a PharmD and has extensive experience in pharmacy program development. Competitive salary starts at $150,000+, complemented by a comprehensive benefits package.

Qualifications

• 9 years of progressive leadership experience in managed care pharmacy.
• 4 years of direct supervisory experience required.
• Proven success applying quality and performance metrics.

Responsibilities

• Develop and lead work plans for Clinical Services and Pharmacy Utilization.
• Oversee delegated provider functions related to clinical programs.
• Ensure compliance with CMS, NCQA, HEDIS, and STARS regulations.

Skills

Leadership in Managed Care Pharmacy

Clinical Program Development

Pharmacy Quality Management

Pharmacy Benefit Systems

Clinical Data Analytics

Education

Doctor of Pharmacy (PharmD)

Job description

JobRx, Inc. seeks a visionary Vice President in managed care pharmacy to lead the Pharmacy Department for a health insurance client. This role oversees clinical programs to ensure regulatory compliance and achieves population health goals.

The ideal candidate holds a PharmD and has extensive experience in pharmacy program development. Competitive salary starts at $150,000+, complemented by a comprehensive benefits package.