National Director, Clinical Pharmacy

August 18, 2024
Apply Now

Job Description

About the Role

Title: National Director, Clinical Pharmacy- Remote

The National Director, Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing, and improving clinical pharmacy programs for the Primary Care Organization (PCO) that transform outcomes for seniors in medication-related care, integrate pharmacy care with primary care, and to effectively support our rapidly growing clinical pharmacy workforce.

This clinical leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader within our growing Complex Care function under the PCO’s Chief Medical Officer. This role reports to the National Director, High Risk Patient Management.

Responsibilities will include:

Lead comprehensive clinical pharmacy service development,execution, and operations in support of primary care patients and care teams served by the Primary Care Organization, to include but not limited to: building pharmacy team-based care integration & programs across medication reconciliation, disease management(including medication therapy management), medication adherence, polypharmacy, and other crucial areas; as well as development of other pharmacy-related clinical initiatives to improve medication quality, cost, and appropriate use based on evidence-based practices for a large, national primary care group focused on seniors

Evaluate current programs and drive roadmap and execution progress for continuous improvement, improving patient outcomesand achieving business goals

Collaborate with national clinical & operational leadership, shared services, collaborating business units such as CenterWellPharmacy, to ensure integrated pharmacy programs are well-designed, well-executed, and deliver impact on business and clinical goals.

Act capably and competently as the national pharmacy subject matter expert (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex Care clinical strategy team, Clinical Excellence/Quality, and other areas), practice operations, training, process, and analytics to optimize our pharmacy approach.

Co-Chair the PCO’s Pharmacy & Therapeutics Committee, guiding pharmacy-related clinical policy development and recommendations

Lead continuous improvement and feedback loops to identify best practices, unwarranted variation in care or operations, and drive improvement opportunities for current program, working with team members, patients, and other stakeholders

Serve as an internal and external champion for the program areas under purview

Support pharmacy performance improvement activities and alignpharmacy services with improvement quality metrics and Medicare part D performance.

Collaborate with stakeholders to improve pharmacy–directed HEDIS measures (Med Adherence) and programs to improve medication optimization and promote age-friendly care

Maintain current knowledge of pharmacy/medical trends within ambulatory/primary care and Medicare

Use your skills to make an impact

Required Qualifications

Doctor of Pharmacy (PharmD) with active Pharmacist license with the Board of Pharmacy in the appropriate state and willingness and ability to be licensed in additional states. Prior residency and experience in community/ambulatory pharmacy practice/primary care practice.

5-7+ years of progressive clinical pharmacy program leadership experience as a manager, director, or higher overseeing clinical pharmacy services and programs

Proven ability to drive comprehensive pharmacy program effectiveness and oversight across multiple sites and geographies, with concrete impact on clinical and business outcomes

Experienced team leader with success leading large, collaborative efforts and teams, including direct-reports and matrixed functions

Preferred Qualifications

Additional post-graduate training and certification beyond PharmD, such as MBA, MHA

Reside in proximity to a Conviva/CenterWell market location(s)

Experience working in a value-based care, senior care, and/or Medicare managed care

Workstyle

This is a remote position with travel to Conviva/Centerwell clinic locations across the US as needed

Additional Information

Work at Home Statement:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

Satellite, cellular and microwave connection can be used only if approved by leadership

Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$164,700 – $226,600 per year