Outpatient Clinical Pharmacy Manager; HSO Specialty Pharmacy; Full Time; Days

JOB DESCRIPTION

The Outpatient Pharmacy Clinical Manager is responsible for performing and excelling in leadership, clinical and administrative duties. As a clinician, he/she ensures optimal patient outcomes related to specialty disease state management by preventing or resolving medication related issues and optimizing drug therapy and closely working with the medical clinical leadership to identify, develop and implement continuous improvements in pharmacy clinical services and manage change. Additionally, this individual assists with strategies for growth and present with organization skills, innovation, independence, creativity and flexibility for decision making and problem solving, developing high performing people and teams, leading through change and demonstrating effective decision making.

RESPONSIBILITIES

1. Leadership Role:

● Strategically plan for Specialty Pharmacy services growth for all affiliates and members of the Health System and the patients it serves.

● Collaborate with all customers, patients and health care professionals that receive service from the Specialty Pharmacy and maintain a high level satisfaction, including excellence in customer service.

● Identify service gaps and implement mitigation strategies to improve service.

● Work with staff routinely to improve performance, guiding and coaching in solving problems which arise day to day.

● Create processes that improve communications, builds teamwork and optimizes job functions to maximize efficiency.

● Develop and maintain a positive and healthy culture within all areas of oversight.

● Maintain effective communication with patients and working relationships with clients at all levels of the organization as well as business contacts.

● Ensure Specialty Pharmacy meets or exceeds accreditation standards and all state and federal laws and regulations pertaining to the pharmacy are complied.

● Provide direction and leadership to pharmacists, pharmacy technicians, medication access specialists and healthcare professions.

● Assist in the development and revision of policies, procedures and quality improvement projects.

● Attend and participate in department staff development conferences.

● Train pharmacy technicians, navigators and pharmacists.

● Maintain relationship with drug manufacturer vendors and identify opportunities to negotiate for medication access for limited distribution agents.

● Negotiate with employers, payers and prescription benefit managers for inclusion of Mount Sinai Specialty Pharmacy in preferred payer networks.

2. Clinical Role:

● Assume the responsibility and accountability for managing patients’ medication therapy independently or in collaboration with other healthcare team members.

● Apply evidence based guidelines, evolving sciences and relevant legal, ethical, social, cultural, economic and professional principles to achieve optimal patient outcomes.

● Provide drug and clinical information to the healthcare professionals in response to specific questions relating to the care of patients.

● Attend rounds in the clinic areas with the healthcare teams.

● Act a resource of communication between outpatient pharmacies and clinical staff.

● Participate in medication related research, projects, clinical studies and publishing.

● Provide in-service education to physicians, nurses, nurse practitioners, physician assistants, social workers and other healthcare professional.

● Report adverse drug reactions to manufacturers.

● Participate in Research Board Committee meetings.

● Develop appeal letters for off label medication prescribing by submitting appropriate literature to support its utilization and ensuring approvals.

● Conduct peer to peers with insurance providers as a process of approvals.

● Educate and counsel patients and caregivers on disease state, medication indication, appropriate administration, treatment expectations and strategies for minimizing and managing potential side effects.

● Evaluate patient response to medication therapy through direct patient care and monthly clinical outreach calls to ensure, promote and monitor patient compliance to the prescribed medication regimen and perform clinical assessment of pertinent subjective and objective findings.

● Investigate and address identified and expected barrier to adherence and implement appropriate adherence promotion strategies.

● Manage patient discontinuation of treatment.

3. Administrative Role:

● Conduct benefits investigation and validation of insurance coverage for requested specialty medications

● Determine payer coverage and whether medical or pharmacy claims are required for medications.

● Initiate and conduct prior authorization processes.

● Manage insurance denials and rejections.

● Assist clinic staff with resolving third party barriers.

● Act as patients financial advocate; leverage charitable foundations, state programs, patient assistance programs and/or manufacturer programs to ensure maximal patient access.

● Facilitate completion of required paperwork for financial assistance on behalf of the patient.

● Maintain effective communication with all specialty pharmacies and or third parties to coordinate deliveries and receive timely updates on processing prescriptions.

● Resolve situations in which the integrity of medication shipment has been compromised or the shipment was not received from specialty pharmacies.

● Assist with management of medication and medication-related problems in clinics.

4. Other duties as assigned.

QUALIFICATIONS

• Graduation from an accredited College of Pharmacy with PharmD. (Doctor of Pharmacy degree) required

• Active NYS Pharmacist license required

• Advanced certifications required (CDE, BCPS, BCGP, CSP, BC-ADM, etc.)

• Advanced degree preferred (MPH, MBA)

• ASHP accredited residency preferred

• 2 or more years of Specialty Pharmacy Practice experience required

• 6 or more years of hospital clinical experience

• NYS Pharmacist licensure

Non-Bargaining Unit, 601 - HSO Specialty Pharmacy - MSH, Mount Sinai Hospital

ABOUT US

Strength Through Diversity

The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:

• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.

• Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.

• Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.

At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.

Explore more about this opportunity and how you can help us write a new chapter in our history

“About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism.”

EOE Minorities/Women/Disabled/Veterans

Requisition ID : 3016331