Senior Clinical Pharmacy Strategist

1 month ago

Boise, United States PacificSource Full time
Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

The Senior Clinical Pharmacy Programs Strategist is responsible for helping improve, develop, and implement initiatives necessary to execute on PacificSource Clinical Pharmacy strategies and management priorities. This role supports the Vice President of Pharmacy Services in executing enterprise cost of care strategies, strategic roadmaps, and quality initiatives. Additional duties include analyzing and reporting on performance and operational capabilities and streamlining processes and systems within pharmacy services. Key responsibilities encompass strategic planning, program management, data analysis, and stakeholder engagement to drive the success of clinical initiatives.

Essential Responsibilities:
  • Develop and implement clinical program strategies aligned with organizational goals.
  • Conduct market and competitive analysis to identify opportunities for new clinical programs.
  • Create strategic plans that outline program goals, objectives, and success metrics.
  • Design, implement, and manage clinical programs that address patient care needs and improve clinical outcomes.
  • Ensure programs comply with regulatory requirements and quality standards.
  • Monitor and evaluate program performance, making data-driven adjustments as needed.
  • Collaborate with healthcare providers, payers, regulatory bodies, and other key stakeholders.
  • Facilitate workgroups and committees to gather input and drive program development.
  • Present program plans and outcomes to senior leadership and other stakeholders for endorsement and support.
  • Utilize data analytics to inform clinical program development and assess performance.
  • Develop and maintain dashboards and reports to track program metrics and outcomes.
  • Conduct outcome analyses to evaluate the effectiveness of clinical programs.
  • Provide structured project management for clinical initiatives, ensuring timely and within-scope completion.
  • Develop and manage project timelines, budgets, and resources.
  • Coordinate cross-functional teams to achieve program objectives.
  • Lead quality improvement initiatives to enhance patient care and safety.
  • Implement evidence-based practices and protocols within clinical programs.
  • Track and analyze quality metrics to identify and address areas for improvement.
Supporting Responsibilities:
  • Work with Clinical Pharmacy leadership to improve processes, systems, reporting, and services provided by the department.
  • Assist clinical pharmacy with data for DUR reports including FWA data, data for formulary evaluation and data necessary to monitor clinical team performance metrics and audit process understanding.
  • Assist with P&T manual tasks, including UM/formatting.
  • Represent Pharmacy Services Department, both internally and externally, as requested.
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.
SUCCESS PROFILE

Work Experience: Minimum of five years of clinical program management experience or similar role within a managed care organization, including prior success in healthcare integration, process development and program implementation. Additional experience managing complex work processes is highly preferred.

Education, Certificates, Licenses: Bachelor's degree required. Preferred degree in public health, mathematics, statistics, data or computer science, or similar research related field. Preference for post-graduate degree in any preferred field

Knowledge: Demonstrated leadership skills and ability to multitask. Critical thinker and problem solverAbility to adapt and prioritize within a fast-paced environment. High attention to detail. Knowledge of healthcare regulations, clinical and managed care performance metrics and quality improvement methodologies. Ability to assess pharmaceutical technologies and new approaches to delivering pharmacy services. Strong communication skills, ability to work independently and within groups with minimal supervision.

Competencies
  • Adaptability
  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Building Trust
  • Continuous Improvement
  • Contributing to Team Success
  • Planning and Organizing
  • Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel less than 5%.

Skills:

Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for customer service.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internally and externally.
  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
  • We encourage creativity, innovation, and the pursuit of excellence.


Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

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