Current jobs related to Pharmacy Manager - Orange, California - Prospect Medical Holdings

  • Pharmacy Technician Position

    3 weeks ago

    Orange, California, United States V L V ORANGE PHARMACY INC Full time

    Job Summary:V L V ORANGE PHARMACY INC is seeking a detail-oriented and highly motivated Pharmacy Technician to join our dynamic team.The ideal candidate will assist the pharmacist in the preparation and dispensing of medications, provide exceptional customer service, and ensure compliance with all relevant laws and regulations.Key Responsibilities:Medication...

  • Pharmacy Manager

    4 weeks ago

    Orange, California, United States Alta Hospitals Full time

    Pharmacy Manager Job DescriptionThe Pharmacy Manager is responsible for leading the pharmacy referral team to ensure compliance with federal, state, and health plan guidelines. This includes providing support and engaging in initiatives and processes implemented to manage specialty pharmacy costs, implementing and monitoring value-based contracts to meet...

  • Pharmacy Manager

    1 month ago

    Orange, California, United States Prospect Medical Holdings Full time

    Pharmacy Manager Job DescriptionAt Prospect Medical Holdings, we are seeking a highly skilled and experienced Pharmacy Manager to lead our pharmacy referral team. The successful candidate will be responsible for ensuring compliance with federal, state, and health plan guidelines, as well as implementing and monitoring value-based contracts to meet pharmacy...

  • Pharmacy Manager

    3 weeks ago

    Orange, California, United States CVS Health Full time

    Pharmacy Manager Job DescriptionAt CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a Pharmacy Manager, you will play a critical role in achieving this goal by leading and directing your Pharmacy Staff, comprised of both staff Pharmacists and Pharmacy Technicians, in the management, oversight, and...

  • Pharmacy Operations Manager

    4 weeks ago

    Orange, California, United States University of California Full time

    Job SummaryThe University of California, Irvine seeks a highly skilled and experienced Pharmacy Manager II to lead the pharmacy operations in a dynamic and fast-paced environment. As a key member of the healthcare team, the successful candidate will be responsible for the overall management of pharmacy operations, supervision of staff, and implementation of...

  • Pharmacy Manager II

    2 weeks ago

    Orange, California, United States University Of California Irvine Full time

    OverviewThe Pharmacy Manager II is a key leadership role at the University of California, Irvine, responsible for the overall management of all pharmacy operations in their designated area. This includes supervision of daily activities, operational activities, and processes designed to provide evidence-based and cost-effective medication dispensing,...

  • Pharmacy Operations Manager

    3 weeks ago

    Orange, California, United States University Of California Irvine Full time

    About the Role:The University of California, Irvine is seeking a highly skilled Pharmacy Manager II to lead our pharmacy operations team. As a key member of our health system, you will be responsible for the overall management of all pharmacy operations, supervision of staff, and ensuring evidence-based and cost-effective medication dispensing, monitoring,...

  • Pharmacy Operations Manager

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job Summary:The Pharmacy Manager II will oversee the daily operations of the pharmacy, ensuring efficient and effective medication dispensing, monitoring, and distribution. This role requires strong leadership and strategic planning skills to drive departmental growth and improve patient care.The ideal candidate will possess a strong background in pharmacy...

  • Clinical Pharmacist

    3 weeks ago

    Orange, California, United States CA_CalOptima_Pharmacy Management Full time

    Job SummaryCA CalOptima Pharmacy Management is seeking a highly motivated and experienced Clinical Pharmacist to join our team.The Clinical Pharmacist will be an integral part of our pharmacy management team and will work to drive pharmacy initiatives and clinical programs within the Medi-Cal, Medi-Cal Whole-Child Model, Medicare, and Program for...

  • Clinical Pharmacist

    4 weeks ago

    Orange, California, United States CA_CalOptima_Pharmacy Management Full time

    Job SummaryCalOptima Health is seeking a highly motivated and experienced Clinical Pharmacist to join our Pharmacy Management team.Key Responsibilities:Develop and implement drug utilization management strategies to promote clinically appropriate prescribing practices.Research and update drug utilization criteria to ensure alignment with CalOptima Health's...

  • Clinical Pharmacist

    3 weeks ago

    Orange, California, United States CA_CalOptima_Pharmacy Management Full time

    Job SummaryCalOptima Health is seeking a highly motivated and experienced Clinical Pharmacist to join our pharmacy management team.The Clinical Pharmacist will play a crucial role in driving pharmacy initiatives and clinical programs within the Medi-Cal, Medi-Cal Whole-Child Model, Medicare, and Program for All-Inclusive Care for the Elderly (PACE) lines of...

  • Pharmacy Technician

    4 weeks ago

    Orange, California, United States Alignment Healthcare USA, LLC Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Pharmacy Technician to join our team at Alignment Healthcare USA, LLC. As a Pharmacy Technician, you will play a critical role in supporting the day-to-day operations of our pharmacy department, ensuring the efficient and accurate processing of prescriptions and other pharmacy-related tasks.Key...

  • Pharmacy Assistant

    3 weeks ago

    Orange, California, United States Walgreens Full time

    Job Description:In this role, you will assist pharmacists in the practice of pharmacy, ensuring compliance with state and federal regulations. You will be responsible for using pharmacy systems to obtain patient and drug information, processing prescriptions, and maintaining accurate records. Key Responsibilities:• Assist pharmacists in the performance of...

  • Pharmacy Professional

    4 weeks ago

    Orange, California, United States CVS Health Full time

    Join Our Team as a Pharmacy Intern at CVS HealthWe are committed to increasing access, lowering costs, and improving quality of care. As a pharmacy intern, you will play a critical role in ensuring a safe and effective retail pharmacy work environment that delivers exceptional care to each patient.Key Responsibilities:Patient Safety: Ensure the safe handling...

  • Pharmacy Technician

    1 month ago

    Orange, California, United States CHOC - Children's Health Orange County Full time

    Job SummaryThe Pharmacy Technician plays a vital role in the healthcare team at CHOC, working under the direct supervision of staff pharmacists to prepare medications, perform sterile and non-sterile compounding, and assist with inventory management. This position requires strong communication skills, attention to detail, and the ability to work in a...

  • Outpatient Pharmacy Lead

    3 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryThe University of California, Irvine seeks a highly skilled and experienced Lead Pharmacist to lead and direct the Outpatient Specialty Pharmacy operations. This role is responsible for ensuring the safe and effective management of outpatient pharmacy medication therapies.Key ResponsibilitiesLead and direct the Outpatient Specialty Pharmacy...

  • Pharmacy Technician

    1 month ago

    Orange, California, United States KPC Health Full time

    Pharmacy Technician Job DescriptionThe Pharmacy Technician plays a vital role in the healthcare team at KPC Health, working under the direct supervision of a pharmacist to prepare and dispense medications, manage inventory, and perform clerical and billing duties.Responsibilities:Assist pharmacists in the preparation and dispensing of medications to...

  • Pharmacy Assistant

    4 weeks ago

    Orange, California, United States Walgreens Full time

    Job Description:In accordance with state and federal regulations, assists the pharmacist in the practice of pharmacy, under direct supervision. Performs various tasks to support the Pharmacy Department, including assisting with the operation of pharmacy systems, processing prescriptions, and providing excellent customer service.Key Responsibilities:Assists...

  • Outpatient Pharmacy Lead

    4 weeks ago

    Orange, California, United States University Of California Irvine Full time

    Job SummaryThe University of California, Irvine seeks a highly skilled and experienced Outpatient Lead Pharmacist to lead and direct the Outpatient Specialty Pharmacy operations. This role is responsible for ensuring the safe and effective management of outpatient pharmacy medication therapies, coordinating labor to support area service lines, and providing...

  • Pharmacy Technician

    3 weeks ago

    Orange, California, United States Providence Health & Service Full time

    Job Summary:The Pharmacy Technician II performs critical duties in the filling and dispensing of medications to patients in a timely and accurate manner. This role requires a strong understanding of pharmacy practices and procedures, as well as excellent communication skills to interact with healthcare teams.Responsibilities:Fills and dispenses medications...

Pharmacy Manager

2 months ago

Orange, California, United States Prospect Medical Holdings Full time
Pharmacy Manager Job Description

The Pharmacy Manager is a key leadership position responsible for overseeing the pharmacy referral team and ensuring compliance with federal, state, and health plan guidelines. This role requires strong leadership and management skills, as well as expertise in clinical and administrative updates.

Key Responsibilities:
  • Lead the pharmacy referral team to ensure compliance with federal, state, and health plan guidelines.
  • Implement and monitor value-based contracts to meet pharmacy cost targets.
  • Oversee pharmaceutical rebate submission and monitoring processes, health plan cap deductions, and duplicate claims.
  • Manage the pharmacy referral team to ensure compliance with federal/state/health plan/IPA guidelines, educate staff on clinical and administrative updates, and implement utilization management strategies.
  • Conduct monthly assessments of pharmacy data by region and for value-based contracts to identify targeted drugs and prescribers to promote evidence-based cost-effective utilization.
  • Implement clinical interventions and provide monthly summary reports.
  • Oversee and monitor the process of submitting and auditing rebate reports, health plan cap deduction files, duplicate claims reports, and MTM payments.
  • Dispute inappropriate cap deducted claims with health plans by coordinating with all internal stakeholders.
  • Lead ongoing interdepartmental meetings for cap deductions.
  • Provide assistance and participate in state and health plan audits.
  • Assess staffing bandwidth to ensure compliance with turn-around-time and other UM-related requirements.
  • Provide support for member appeals and grievances.
  • Review leakage reports for capitated specialist groups.

Requirements:

  • Active pharmacist license for CA.
  • Management experience.
  • Prior authorization experience.
  • Experience and knowledge for injectables and infusion.
  • Health plan pharmacy vs. medical benefits.
  • Active pharmacist license for AZ and TX.