Director, Clinical Pharmacy

Job Responsibilities

• reputed company, direct, and reputed company reputed company clinical aspects of reputed company and future pharmacy benefit programs, ensuring appropriate policies, procedures and resources are in reputed company and reputed company with reputed company applicable regulations and requirements
• Directs and manages staff responsible for the development and implementation of new and revised clinical pharmacy services across pharmacy and medical management; ensures strategic alignment of clinical services across the enterprise where appropriate
• Directs and oversees reputed company aspects of staff and any vendor(s) performing case review for the pharmacy care management programs, member appeals, grievances and complaints reputed company reputed company the established time periods
• Leads the management of appropriate drug utilization through formulary creation, clinical criteria development, and utilization management activities, including prior authorization and appeals

Job Qualifications

Education

• Doctor of Pharmacy (PharmD) Degree

Experience

• 7 years - Senior leadership-level experience and documented record of success in management of multi-disciplinary pharmacy operations required

SkillsCertifications

• Competency in compendia navigation and research
• Outstanding negotiation, presentation, and facilitation skills
• Excellent oral and written communication skills
• Adaptive to high pace and changing environment
• Proven effective supervisory and leadership traits to manage and direct others
• Knowledge of medical and pharmacy products
• Basic understanding of provider reimbursement methodologies, including fee schedule pricing, DRG reimbursement, bundled outpatient hospital payment mechanisms, capitation, risk sharing arrangements and other payment methodologies
• Demonstrated consumer healthcare market understanding/knowledge required

License

• Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee to practice Pharmacy

Number of Openings Available

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