Director - Pharmacy Benefits

3 weeks ago


Sioux Falls, United States Avera Full time

Join the Leadership team at Avera Award Winning Health Care: Avera has been named among the nation's 15 Top Health Systems, Forbes list of America's Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.You Belong at Avera: Advance Avera to the next level through innovation, side by side with a leadership team proven to help shape the future of health care.Avera is currently seeking a highly motivated Director - Pharmacy Benefits with experience leading and managing multiple simultaneous projects and prioritizing functionsPosition Highlights:More than a career Avera is a mission-driven organization focused on people and our communities. As a Pharmacy Director, develop operating policies and procedures for pharmacy programs in coordination with intradepartmental units of Avera Health Plans and Avera Health.Positive and productive team environment.Job SummaryThe Director of Pharmacy Services is responsible for strategic development, execution and operational oversight of pharmacy services for Avera Health Plans. This position is responsible for leadership and support of formulary management (reviewing preauthorization requirements, reviewing drug/provider utilization patterns, and pharmacy cost management), clinical pharmacy services (medication therapy management, therapeutic drug monitoring, drug regimen review, patient education, provider education), as well as establishing and measuring performance metrics with regard to patient outcomes, medication safety, medication use policies, and analytical reporting. This position will oversee various projects and approach each in a critical, problem-solving manner, while organizing, leading, and developing teams to execute solutions. The position requires interaction with health system stakeholders, key opinion leaders, vendors, delegated entities, healthcare providers, policy makers, and accreditation and government organizations.Education and/or ExperienceDoctorate of Pharmacy (PharmD) or Bachelor's degree in Pharmacy with equivalent experience.Minimum seven years of experience in healthcare industry, managed care organization, pharmacy benefit manager (PBM) or equivalent experience.Five or more years of management experience.Master's degree in Business Administration, Healthcare Administration, Healthcare Management or equivalent preferred.Experience leading/managing multiple simultaneous projects and prioritizing functions.Licensure/Certification/RegistrationCurrent, unrestricted license registered health care profession in the state of South Dakota and other states as required.What Makes Avera Special?



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