Manager, Clinical Pharmacy
Job Summary:
Reporting to the Senior Director of Clinical Pharmacy, the Manager, Clinical Pharmacy will be managing clinical programs, providing patient care, and collaborating cross-functionally in a virtual environment to optimize the pharmaceutical care for our members. The Clinical Pharmacy Manager will be responsible for delivering virtual direct patient care for various initiatives around STARS pharmacy measures, overseeing the Central Pharmacy Refill Service, and assisting with other clinical initiatives as needed. The individual will interface with various internal teams. An ideal candidate will have a deep understanding of Medicare Advantage prescription benefits, possess strong clinical knowledge, and be driven by a passion for improving medication access for seniors.
Duties/Responsibilities:
Complete virtual/telephonic outreach with members regarding STARS Statin measures and other clinical initiatives
Monitor CMS STARS Medication Adherence measures/Statin measures over several health plans
Oversee and optimize Central Pharmacy Refill Service workflow as needed
Complete virtually direct patient care with MTM services
Participate in hiring and providing oversight of Pharmacy Technicians, including maintaining training and periodic competency evaluation
Develop relationships with various internal teams throughout program execution
Develop provider education on pharmacy topics as needed
Assist with other pharmacy departmental initiatives as they become available
Additional duties, as assigned
Required Skills/Abilities:
Medicare Advantage experience in CMR STARs pharmacy measures
Experience with Electronic Medical Records
Advanced knowledge of ICD-10, CPT, and HCPCS codes
Proficient with Microsoft Office Suite products including Word, Outlook, PowerPoint, and Excel
Experience in developing and maintaining policies and Standard Operating Procedures
Ability to work effectively and respectfully with various seniorities and diverse populations including members, staff, providers, and family members
High degree of emotional intelligence and integrity, resilient and focused work ethic, with adaptability to handle frequent changes with a positive attitude
Self-starter with the ability to think creatively and work effectively
Ability to travel to various markets on occasion for company meetings and/or provide clinical education
Minimum Qualifications:
Bachelor’s Degree from an accredited college of Pharmacy required, PharmD preferred
A valid, active pharmacy license in state of employment, required
A minimum of 1 year of experience in clinical pharmacy (managed care or clinic setting)
PGY-1 residency, especially in managed care, preferred
Experience with medication protocols, preferred
Embodies and serves as a role model of ArchWell Health’s Values:
Be compassionate
Strive for excellence
Earn trust
Show respect
Stay resilient
Always do the right thing
About ArchWell Health:
At ArchWell Health, we’re creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.
Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We’re passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.