Manager, Pharmacist

2 weeks ago


Long Beach CA United States Blue Shield of California Full time

Your Role
The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based clinical decisions are implemented operationally to support safe, efficacious, and cost-effective prescribing of medications . Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. s the right way, and fostering continuous learning.
Your Work
In this role, you will:

* Provide oversight for the management of program area operations and employees
* Be responsible for promotion and execution of overall vision, goals, objectives of the business unit
* Provide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory and compliance requirements are met
* Provide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectiveness
* Demonstrate leadership principles daily and ensure team actions are in place to make Blue Shield a great place to work
* Regularly monitor program data and metrics to evaluate program effectiveness and outcomes; reports to appropriate committees, managers, and other internal or external stakeholders
* Support other teams within and outside of the Pharmacy Services department with subject matter expertise
* Precept Pharmacy Practice Residents and students, as assigned. Maintain required residency program documentation and meet standards for preceptorship.

Your Knowledge and Experience

* Requires a Doctor of Pharmacy (PharmD) degree
* Requires at least 5 years of experience in a managed care setting, including at least 3-5 years of management experience or equivalent
* Requires an active and unrestricted California Registered Pharmacist (RPh) license
* Demonstrates thorough knowledge regarding therapeutic use of drugs
* Understands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegation
* Experience in leading and managing the execution of processes, projects, and tactics
* Demonstrates critical thinking and effective decision-making
* Advanced skills analyzing data to make business decisions

Pay Range:
The pay range for this role is: $ 118800.00 to $ 178200.00 for California.
Note:
Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.


  • Manager, Pharmacist

    2 weeks ago


    Long Beach, CA, United States Blue Shield of California Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based...

  • Manager, Pharmacist

    2 days ago


    Long Beach, United States Blue Shield of CA Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based...

  • Manager, Pharmacist

    2 weeks ago


    Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that...

  • Manager, Pharmacist

    2 weeks ago


    Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that...

  • Manager, Pharmacist

    2 weeks ago


    Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that...

  • Manager, Pharmacist

    2 weeks ago


    Long Beach, United States Blue Shield of California Full time

    Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you will support the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that...


  • Los Angeles, CA, United States Blue Shield of CA Full time

    Your Role The Formulary Strategy and Management team leads the development and maintenance of multiple formularies to support competitive health plan products, manage cost-of-healthcare, and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group, Individual/Family plan, and Medicare. The Sr. Manager,...


  • Long Beach, California, United States Blue Shield of California Full time

    About the RoleThe Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage at Blue Shield of California. As a Pharmacist Manager, you will support the Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based clinical decisions are implemented operationally to support safe, efficacious, and...


  • San Diego, CA, United States Blue Shield of CA Full time

    Your Role The Formulary Strategy and Management team leads the development and maintenance of multiple formularies to support competitive health plan products, manage cost-of-healthcare, and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group, Individual/Family plan, and Medicare. The Sr. Manager,...


  • United States, CA, Rancho Cordova Blue Shield of California Full time

    Your Role The Formulary Strategy and Management team leads the development and maintenance of multiple formularies to support competitive health plan products, manage cost-of-healthcare, and meet regulatory requirements for all lines of business including Commercial Large Group, Commercial Small Group, Individual/Family plan, and Medicare. The Sr. Manager,...

  • Pharmacist in Charge

    2 weeks ago


    Avalon, CA, United States AVALON MEDICAL DEVELOPMENT CORPORATION Full time

    We are seeking a dedicated and experienced Pharmacist in Charge to join our team at Leo's Drug Store. As the Pharmacist in Charge, you will be responsible for overseeing all pharmacy operations, ensuring compliance with all regulatory requirements, providing exceptional patient care, and managing a pharmacy staff. Must be willing to relocate to Avalon for...


  • Duarte, CA, United States City of Hope, Inc. Full time

    Clinical Pharmacist I-Per Diem Join the transformative team at City of Hope , where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new...


  • Walker, MN, United States Jackson PharmacyPros Full time

    Setting: Retail Pharmacy Jackson Pharmacy Professionals is hiring an experienced Pharmacist for a direct hire position at reputable area facility experiencing tremendous growth. As one of the nation's leading pharmacy-specific staffing and placement companies, our ideal candidate is reliable and patient forward. Pharmacy Manager Position Details: *...

  • Pharmacist

    2 weeks ago


    Crookston, MN, United States Jackson PharmacyPros Full time

    Setting: Retail PharmacyJackson Pharmacy Professionals is hiring an experienced Pharmacist for a direct hire position at reputable area facility experiencing tremendous growth. As one of the nation's leading pharmacy-specific staffing and placement companies, our ideal candidate is reliable and patient forward.Pharmacist Requirements:Active license in...


  • Alhambra, CA, United States University of Southern California Full time

    Clinical Staff Pharmacist - Virtual Pharmacist Care Center (VPCC) Apply Alfred E. Mann School of Pharmacy and Pharmaceutical Sciences Alhambra, California The University of Southern California (USC), founded in 1880, is located in the heart of downtown L.A. and is the largest private employer in the City of Los Angeles. As an employee of USC, you will be a...


  • Maywood, CA, United States CEDARS-SINAI Full time

    Job DescriptionWhen the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it’s just one of the many reasons we’ve achieved our six-consecutive Magnet designation for nursing excellence. From working...


  • Rancho Cordova, CA, United States Blue Shield of California Full time

    Your Role The Prior Authorization (PA) team utilizes clinical knowledge to review authorization requests for coverage under the outpatient pharmacy benefit. The Pharmacist, Consultant will work as part of the pharmacy benefit Prior Authorization (PA) team to support the Blue Shield of California (BSC) Pharmacy and Therapeutics Committee (P&T) by ensuring...

  • Clinical Pharmacist

    2 days ago


    Rancho Cucamonga, CA, United States HealthCare Talent Full time

    Clinical Pharmacist Position Summary Under the direction of the Manager, Clinical Pharmacist, the Clinical Pharmacist is responsible for the daily operation of clinical programs and prior authorization activities. The Clinical Pharmacist should demonstrate the ability to participate in multidisciplinary teams to provide comprehensive care to Members through...

  • Pharmacist

    2 weeks ago


    Osage, IA, United States Rhino Medical Services Full time

    Osage, Iowa Part-Time Pharmacist (PharmD) Locum TenensRhino Medical is leading the charge seeking a high-caliber Iowa-licensed Pharmacist for an ongoing part-time locum tenens role, designed to enhance and oversee the quality of pharmaceutical care services across all departments.Start Date: ASAP - OngoingLocation: Osage, IowaSchedule: Flexible 10-15...


  • Glendale, CA, United States CEDARS-SINAI Full time

    Job Description Make a Difference in Pharmacy When the work you do every single day has a crucial impact on the lives of others, every effort, every detail, and every second matters. This shared culture of passion and dedication pulses through Cedars-Sinai, and it's just one of the many reasons we've achieved our fifth-consecutive Magnet designation for...