Population Health Manager Pharmacy

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. The Population Health Pharmacy Manager provides strategic and operational leadership for pharmacy-driven population health initiatives. This role focuses on improving medication-related outcomes, optimizing total cost of care, and supporting value-based care goals through data-driven medication management, interdisciplinary collaboration, and evidence-based pharmacy programs. The manager works closely with population health, care management, quality, and provider teams to improve clinical outcomes, adherence, and patient experience across defined populations.

MINIMUM QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR

LICENSURE

1. Must possess one or more of the following current licensure(s) as required by state board where services will be provided:

MD:

Licensed Pharmacist through

Maryland Board of Pharmacy OH:

Licensed Pharmacist through

Ohio Board of Pharmacy PA:

Licensed Pharmacist through

Pennsylvania Board of Pharmacy WV:

Licensed Pharmacist through

West Virginia Board of Pharmacy Remote Workers:

Must additionally hold current Pharmacist license issued by state of residence.

EXPERIENCE

1. Five (5) years of pharmacist experience. 2. Three (3) years of practice as a clinical pharmacist. 3. Two (2) years of administrative or leadership experience OR Two (2) years of experience with population health or managed care from a pharmacy perspective.

PREFERRED QUALIFICATIONS

EDUCATION, CERTIFICATION, AND/OR

LICENSURE

1. Doctorate of Pharmacy, PharmD. 2. Master of Business Administration, Master's of Health Administration, Master of Science in Health-System Pharmacy Administration, or Master in Public Health. 3. Pharmacy Specialty Certification through the Board of Pharmacy Specialties (BPS), Board Certified Geriatric Pharmacist (BCGP) through the Board of Pharmacy Specialties, or Board Certified Pharmacotherapy Specialist (BCPS) through Board of Pharmacy Specialties. 4. Three (3) years experience working with value-based care models, quality metrics, or risk-based contracts. 5. Three (3) years experience working with

HEDIS, STAR

ratings, and CMS quality programs. 6. Completion of a health-system pharmacy administration residency program OR Completion of a non-health-system pharmacy administration residency program.

CORE DUTIES AND RESPONSIBILITIES

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Lead the design, implementation, and evaluation of pharmacy-led population health programs (e.g., medication therapy management, adherence initiatives, high-risk medication reviews). 2. Align pharmacy strategies with organizational population health, quality, and value-based care objectives. 3. Partner with the WVU Medicine Pharmacy Services and Peak Pharmacy Services to drive cost saving strategies through sound policy and workflow management. 4. Support performance improvement in value-based contracts, including Medicare Advantage, ACOs, and other risk-based arrangements by pharmacy management through payer relationships. 5. Develop and oversee clinical pharmacy interventions targeting chronic disease management (e.g., diabetes, hypertension, COPD, heart failure). 6. Identify and reduce medication-related gaps in care, adverse drug events, and polypharmacy risks. 7. Support quality measure performance (e.g., HEDIS, STAR ratings, CMS quality measures). 8. Utilize pharmacy, claims, and clinical data to identify high-risk patients and medication utilization trends. 9. Develop KPIs and Monitor program outcomes, medication adherence, utilization, and cost metrics. 10. Prepare reports and dashboards to demonstrate pharmacy impact on population health and value-based performance. 11. Collaborate with physicians, advanced practice providers, care managers, nurses, and social workers to integrate pharmacy services into care models. 12. Serve as a pharmacy subject matter expert for population health committees, quality teams, and leadership. 13. Support provider education related to evidence-based prescribing and formulary optimization. 14. Manage and mentor pharmacy team members supporting population health initiatives. 15. Ensure compliance with regulatory, accreditation, and payer requirements. 16. Develops and implements processes, within assigned teams, through orientation, training, and education to ensure that the competence of all staff members is assessed, maintained, improved, and demonstrated throughout their employment. 17. Directs the activities of staff, within assigned teams, and monitors performance, clarifies work expectations and promotes cooperation among individuals and groups. 18. Directly supervises staff practicing in areas of primary responsibility. 19. Performs personnel functions such as interviewing, hiring and performance management of direct-report employees. 20. Assures the development of policies, procedures and other orientation and training materials to support clinical and operational services. 21. Assures adequate and timely submission of data and reports for performance improvement activities. 22. Establishes systems to encourage effective communication and working relationships between pharmacy employees and other healthcare professionals 23. Takes a proactive and innovative approach to problem identification and resolution. 24. Maintains professional knowledge and skills by active participation in continuing education activities.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this position, the employee is required to walk and/or stand for long periods of time.

WORKING ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Typical office setting

SKILLS AND ABILITIES

1. Time management skills. 2. Verbal and non-verbal communication skills. 3. Teamwork skills. 4. Strategic thinking and program development 5. Interdisciplinary collaboration 6. Data-driven decision-making 7. Strong communication and leadership skills 8. Strong analytical skills with experience using clinical and claims data

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Company:

SYSTEM West Virginia University Health System Cost Center:

415

POPH Population Health Management Address:

1085 Van Voorhis Rd Morgantown West Virginia Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment. Thank you for your interest in working for WVUM. Please explore our open opportunities in the list below and apply for any positions in which you would like to be considered. You'll be able to keep track of your progress on our site. The West Virginia University Health System is West Virginia's largest health system and the state's largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues. The Health System is comprised of 25 hospitals - including J.W. Ruby Memorial Hospital, an 880-bed academic medical center, and the 150-bed WVU Medicine Children's Hospital in Morgantown, West Virginia - and five institutes. To learn more, visit WVUMedicine.org.