Pharmacy Quality Improvement Director
1 day ago
Centene Pharmacy Services is seeking a highly skilled and experienced Director, Pharmacy Quality Improvement to lead our pharmacy quality initiatives and drive improvement in pharmacy quality measures.
Key Responsibilities:- Develop and implement strategic plans to improve pharmacy quality measures, including Part D Patient Safety Measures, HEDIS, and PQA.
- Oversee the operation of initiatives and programs focused on pharmacy quality improvement, including drug utilization review.
- Collaborate with cross-functional teams to develop and implement clinical initiatives, including project management and execution of launch plans.
- Develop and oversee communication and contracts with preferred vendor representatives to execute contract provisions for effective clinical programs.
- Develop financial and operational metrics to track business performance and identify operational improvement opportunities.
- Ensure pharmacy department meets all regulatory compliance requirements, including submission of CMS reports and state regulatory reports.
- Conduct market research and propose business growth initiatives through strategic planning.
- Manage and develop direct reports, setting direction, allocating, and re-allocating resources as required.
- 7+ years of experience in a licensed pharmacist role, or completion of PGY-1 residency program + 5 additional years licensed pharmacist upon completion.
- 4+ years of experience in Managed Care/Pharmacy Star Ratings/Quality Metrics.
- 3 years managing/leading others.
- Registered Pharmacist (RPh) license in one of the following states.
Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules.
Centene is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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