Director of Clinical Pharmacy

2 days ago

Des Moines, Iowa, United States Wellmark, Inc. Full time
About the Role

We are seeking a highly skilled and experienced Director of Clinical Pharmacy to join our team at Wellmark, Inc. As a key member of our leadership team, you will be responsible for driving the vision and direction of our pharmacy strategy to meet and improve client optionality.

You will own pharmacy from development through implementation and delivery to the market, building, monitoring, and maintaining vendor relations and contracts. This critical function will also involve leading key plan committees, such as Wellmark's Pharmacy & Therapeutics (P&T) Committee and the Formulary Assessment Committee.

Cross-functional alignment is critical for Wellmark to continue innovating in our Pharmacy space, so you will engage and maintain transparent communication across the organization to bring all stakeholders along on our transformative journey.

About You

You believe health care can be better and are passionate about finding ways to influence our work centered around total cost of care. You are a self-starter, analytical, innovative, influential, and partner effectively with internal and external stakeholders.

The unknown and opportunity to build something from scratch excites you, because to you it is just another challenge to overcome on the path of rewarding, strategic work. You're an experienced people-leader who believes mentorship and team member growth is the key to success.

Responsibilities
  • Work collaboratively to meet the goals and objectives of the pharmacy program with the contracted pharmacy benefit manager.
  • Drive collaboration, organization, prioritization of critical work functions, and engagement across matrixed workgroups and teams to deliver product roadmaps from development, implementation, and client consulting and support.
  • Exercise direction and leadership for the pharmacy team members accountable for developing, pricing, naming, creating market position, and packaging of Wellmark's pharmacy products that, in turn, support Wellmark and divisional strategy and goals.
  • Provide direction and leadership for the pharmacy team members responsible for supporting market intelligence, marketing, sales, and client support.
  • Support other business areas and lead the analytical and financial framework within the pharmacy team to identify practical and meaningful business improvement opportunities across our product and solutions portfolio and functional capabilities.
  • Provide day-to-day leadership of financial and human resources, primarily focusing on employee and leader coaching, development, performance improvement, coordination, and budgeting for multiple staff, and department-specific functions/services.
  • Leverage insights, data, and competitive intelligence to track and monitor pharmacy solution performance. Facilitate the identification and connection to the portfolio of solutions in our product catalogue and work to drive to the solutions on our future roadmap.
  • Serve as a key liaison and customer interface for Wellmark's pharmacy program. Build strong relationships and closely partner and consult with Sales, Product, Segment Planning and Performance, Client Consulting, Member Experience, Communications, and other internal stakeholders to drive continued alignment of development and implementation as well as to ensure successful activation for and with sales.
  • Ensure compliance with our commercial and government lines of business by understanding rules and regulations impacting our business at the state and federal level. Facilitate the necessary connections to the legal and regulatory communication process as well as the marketing process to support sales efforts.
  • Partner and execute in vendor relationships. Accountable for managing vendor relationships and ensuring alignment with Wellmark's pharmacy strategy and enhancing the customer experience.
  • Analyze pharmacy & medical benefit drug utilization data to determine overall program effectiveness and identify opportunities for improvement.
Requirements
  • PharmD.
  • MBA or master's degree preferred; health outcomes training; finance and/or business-related pharmacy practice.
  • Bachelor's degree, or direct and applicable work experience, OR PharmD.
  • If PharmD, active and unrestricted Pharmacy license in Iowa or South Dakota (individual must be licensed in the state in which they reside) or ability to obtain within 6 months from date of hire.
  • Minimum 7 years of combined experience in product development, product management, sales, or related role, with demonstrated financial acumen, including an understanding of underwriting, financial metrics, etc.
  • Prior experience should reflect the ability to build, implement, and drive forward product strategies that achieve bottom-line results. Ability to measure and evaluate work processes, services, and products to ensure alignment with strategic goals. Ability to re-design or improve processes as needed.
  • Health care or related industry experience, including knowledge of health insurance products, benefit design, etc. Understanding of applicable rules, regulations, and guidelines. Must be aware of implications to department.
  • Demonstrated leadership experience, including building/developing high-performing leaders and leaders of teams that consistently deliver value-added results. Experience demonstrating effective resource management/planning, budgeting, forecasting, and strategic planning.
  • Highly effective analytical skills, business intuition, and demonstrated proficiency distilling large amounts of information into the most relevant insights with demonstrated ability to develop understanding and appreciation for upstream and downstream impacts in processes.
  • Is forward-thinking, exhibits the ability to learn quickly; advocates and leads change efforts; analyzes successes and failures for improvement opportunities; enjoys challenges. Works well under pressure while remaining adaptable, open to feedback, and focused during unanticipated challenges.
  • Strong verbal and written communications skills with the ability to successfully share insights or recommendations with stakeholders, including senior leadership. Ability to develop and facilitate presentations.
  • Outstanding collaboration skills with the ability to influence, solicit cooperation, and action from others and the ability to collaborate with business and technical leaders to educate and gain understanding and buy-in.
  • Proficiency with the Microsoft Windows Office Suite, including Word and Excel. Technical aptitude to learn new systems quickly.
  • Some travel required.

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