Team Leader Pharmacy - Clinical Programs

Qualifications :

Required Qualifications:

• Bachelors degree in Pharmacy OR PharmD.
• Licensure:  An active and unrestricted Pharmacy license in Iowa or South Dakota (individual must be licensed in the state in which they reside) is required within 6 months from date of hire.
• 5 years of managed care pharmacy or pharmacy residency program experience including demonstrated coaching/mentoring experience and broad understanding of the health care delivery system managed care and pharmacy benefit management systems plan design and overall operations. Advanced knowledge of medical literature retrieval and evaluation.
• Leadership experience gained through a combination of project or informal leadership.
• Ability to measure evaluate and/or improve work processes programs and services; ensures alignment with strategic goals.
• Selfstarter able to produce quality results based off strong decisionmaking skills.
• Excellent analytical problem solving and critical thinking skills. Ability to independently make effective evidencebased decisions and coach/guide others.
• Outstanding written and verbal communication skills. Ability to effectively articulate complex information across all levels of an organization including senior leadership and nonclinical/technical audiences. Strong presentation skills.
• Strong organization and prioritization skills. Ability to manage multiple projects simultaneously and consistently meet deadlines.
• Selfstarter able to produce quality results based off strong decisionmaking skills.
• Effective time management and organizational skills with the ability to prioritize initiatives align appropriate resources clearly articulate expectations to others and motivate teams in order to achieve success.
• Adaptable and flexible with change and also have the ability to effectively lead teams through change.
• Understanding of applicable rules regulations and guidelines. Must be aware of implications to department.

Preferred Qualifications:

• MBA.
• Prior experience with pharmacy claims software.
• Success with endtoend management of complex programs from inception through execution and ongoing optimization.
• Knowledge of accreditation standards PBM contracts Part D rules and regulations.
• Strategic planning experience.

Additional Information :

What you will do as a Team Leader of Pharmacy Clinical Programs:

a. Provide daytoday leadership of financial and human resources primarily focusing on employee and leader coaching development performance improvement coordination and budgeting for multiple staff and departments specific functions/services.

b. Lead ongoing implementation and maintenance of clinically appropriate and costeffective programs to help control the escalating costs of pharmaceuticals and utilization across all lines of business including but not limited to formulary and utilization management strategies benefit coding website updates member and provider communications and internal training.

c. Develop and coordinate appropriate drug therapy interventions that demonstrate quality improvement reduction in the cost of care and improved outcomes. Actively identify and make recommendations regarding ideas to improve the quality effectiveness and efficiency of pharmacy services offered by the health plan.

d. Work collaboratively with pharmacists pharmacy technicians and physicians to meet the goals and objectives of the pharmacy program. Direct and support internal ad hoc pharmacy management projects as well as projects with the contracted pharmacy benefit manager as needed.

e. Facilitate Wellmarks P&T committee review and new to market medication evaluation processes. Conduct research on drug therapies and pharmacogenomics and develops evidencebased criteria for use and coverage under medical and pharmacy benefits.

f. Perform clinical surveillance of FDA decisions and analyze data to determine overall program effectiveness and identify opportunities for improvement.

g. Coach and mentor other Clinical Pharmacists on business navigation and pharmaceutical trends.

h. Maintain all departmental policies and procedures related to drug management processes.

i. Comply with regulatory standards accreditation standards and internal guidelines remain current and consistent with the standard pertinent to pharmaceuticals.

j. Oversight of QHP submission maintenance of formulary and ensuring compliance with Essential Health Benefit (EHB) requirements.

k. Other duties as assigned.

This job requires a noncompete agreement.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit hire train and promote individuals in all job classifications without regard to race color religion sex national origin age veteran status disability sexual orientation gender identity or any other characteristic protected by law.

Remote Work :

No

Employment Type :

Fulltime