Job Summary:

In addition to the responsibilities listed below, this position is responsible partnering with leading physicians to develop, maintain, and implement advanced clinical practice standing orders, drug therapy management protocols and guidelines (e.g., collaborative protocols with providers), that drive growth and success of Pharmacy Services; identifying, developing, and optimizing complex direct patient care, drug utilization, and educational programs related to ambulatory care across multiple multidisciplinary teams to positively impact patient adherence and outcomes and provider prescribing practices by coordinating multiple teams; removing roadblocks, connecting with senior leadership to develop, and planning for long-term strategic priorities for medication selection, dosage titration, drug monitoring, patient engagement, medication adherence counseling, side effect management, medication discontinuation in alignment with strategic priorities and mission work; driving development and maintenance of senior level relationships with providers to align drug conversion, drug tapering, and discontinuation initiatives and determine opportunities; leading initiative development and championing actionable measurement follow up and minimization of gaps to drive implementation of processes and workflow enterprise-wide; championing enterprise-wide initiatives and resolution of drug utilization management issues, resolving high-impact formulary concerns with industry leading knowledge, owning development of relationships with physician chief partnerships, and influencing formulary adherence enterprise-wide; championing innovative initiatives and clinical services, gaining senior leadership physician engagement to reduce practice variation, and leading alignment throughout implementation of initiatives; encouraging and enabling innovative advancements in new/existing services for a disease state or care grouping/specialty (e.g., MTM) and developing advanced strategies based on patient results after changes are applied.

Essential Responsibilities:

Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact. Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives. Advises on implementation and development of drug therapy by: developing, communicating, and overseeing the implementation of strategies, programs and processes to influence market and/or program-wide pharmaceutical and drug use utilization; developing improvements to high-impact content and training sessions about utilization of medicine to senior leaders; closely collaborating with senior health care providers to gather relevant sources on potential changes within the market and upcoming new drugs and analyzes trends to forecast the impacts of new drugs on the teams drug use management; tracking, assessing, and forecasting the impact of drug products and other pharmaceutical developments upon the program and across other functions; tracking and assessing various drug use management metrics and dashboards and following up to hold others accountable; creating standards for application strategies to ensure achievement of member financial and therapeutic objectives; and evaluating holistic sets of member data and devising strategic action plans on how to affect change. Oversees drug education and training efforts by: identifying, developing wide-impact, and optimizing educational needs for patients and providers to positively impact patient compliance and provider prescribing practices. Provides pharmaceutical patient care and drug therapy by: maintaining productive relationships with care providers and members; collaborating with regional multi-disciplinary committees to develop and update the drug formulary and develop clinical guidelines pertinent to best outcomes and communicating improvements to teams for dissemination; leading design efforts for therapeutic regimens and/or programs applicable across patients in multiple services while integrating patient-specific disease and drug information, current practice standards, ethical issues, and quality-of-life issues, and pharmacoeconomic principles; directing development, implementation, and coordination of regional, hospital, hospital-based, or ambulatory drug initiatives, other formulary management activities, and/or KP-related drug trials; overseeing the process to ensure the utilization of targeted medications and medication classes are safe, rational and cost-effective prescribing; directing processes to understand clinicians or department-level decisions, support, and feedback to strategize long-term support for the drug use process; and directing comprehensive pharmaceutical care and optimal utilization of resource strategies to and from hospital, acute, and ambulatory patient-care settings for a wide array of patients. Leads team to monitor services in compliance with state and federal laws, all regulatory bodies, established quality standards and organizational service standards by: assuring that appropriate processes and systems are in place to enable services provided to meet service and operational regulatory and all compliance requirements; guiding the implementation of policies and procedures and performing in accordance with applicable regulatory requirements and accreditation standards as they relate to the assigned department; directing investigation of, responses to, and resolution of highly complex escalated member inquiries and concerns from teams with innovation and ingenuity; and directing teams in collaboration with physicians, other medical professionals, and health plan personnel to assess, resolve, and assure consistent state-of-the-art quality and process outcome measures.

Qualifications:

Minimum Qualifications:

Doctorate of Pharmacy or equivalent degree (e.g., Bachelors of Pharmacy from a School of Pharmacy) AND completion of a Post-Graduate Year 1 (PGY1) residency at time of hire AND minimum four (4) years of experience as a Pharmacist and/or Pharmacist Intern in pharmacy or a directly related field OR Doctorate of Pharmacy or equivalent degree (e.g., Bachelors of Pharmacy from a School of Pharmacy) AND minimum six (6) years of experience as a Pharmacist and/or Pharmacist Intern in pharmacy or a directly related field. Minimum three (3) years of experience managing operational or project budgets. Minimum five (5) years of experience in a leadership role with direct reports. Pharmacist License (California) required at hire National Provider Identifier within 6 months of hire

Additional Requirements:

Knowledge, Skills, and Abilities (KSAs): Crisis Management; Cost Optimization; Commercial Customer Quality; Confidentiality; Stakeholder Management; Service Focus;

External Health Care Compliance Preferred Qualifications:

Two (2) years of clinical pharmacy experience. 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Director, Pharmacy Care Delivery, Clinical Pharmacy