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Senior Clinical Pharmacy Strategist

2 months ago

Boise, Idaho, United States PacificSource Full time
About PacificSource

PacificSource is a leading health plan provider dedicated to delivering high-quality, affordable healthcare to our members. We are committed to creating a diverse and inclusive work environment that fosters individual growth and development.

Job Summary

The Senior Clinical Pharmacy Programs Strategist will be responsible for developing and implementing clinical program strategies aligned with organizational goals. This role will require strong leadership skills, critical thinking, and the ability to multitask in a fast-paced environment.

Key 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.
Requirements
  • Minimum of five years of clinical program management experience or similar role within a managed care organization.
  • Additional experience managing complex work processes is highly preferred.
  • 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.
Competencies
  • Adaptability
  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Building Trust
  • Continuous Improvement
  • Contributing to Team Success
  • Planning and Organizing
  • Work Standards
Work Environment

This role will be based in a general office setting with ergonomically configured equipment. Travel will be less than 5%.

Our Values
  • 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

This role requires the ability to stoop and bend, sit and/or stand for extended periods of time, and perform repetitive motions to include typing, sorting, and filing. Light lifting and carrying of files and business materials is also required.