Director- Hospital Pharmacy Services

Director of Pharmacy Services - Baystate Medical Center- Pharmacy

Baystate Health Careers

Department: Pharmacy

Location: Baystate Medical Center Springfield MA

Job Type: Salary full time

Make an Impact with Baystate Health

Baystate Health is seeking a Pharmacy Supervisor to join our Pharmacy at Baystate Noble Hospital in Westfield Massachusetts .

Schedule Details

• Job Type: Full time-
• Hours: 40
• Schedule: Days

Required Work Experience:

• 3 years leadership
• 5 years preceptor/educator experience

Required Education:

• Licensed Pharmacist
• RPhlicensurewithBSinPharmacy(PharmDorMBApreferred)withmorethan7yearsofprogressivelyresponsiblepharmacyexperienceinManagedCareand/orintegrateddeliverysystems.
  

Summary

TheDirectorofPharmacyServicesisresponsiblefordirectingleadingdevelopingandimplementingPharmacyServicespoliciesandinitiatives for the provision of quality cost-effective pharmaceutical care involving providersmembersand employers. Specificactivities includetimelyandaccuratereporting of pharmacy financials with budgetary impacts and related regulatory reportingrequirements compliance and other regulatory requirements. This position manages the Pharmacy Department team ensuringcompliance with department policies and proceduresactively coaches staff encourages personnel development and training .

Accountabilities

Key Responsibilities

Administrative/DepartmentalSupportandResponsibilities

• KeycontributorinthecreationanddeploymentofHNEspharmacyandmedicalservicestrategy

• ManagesthefunctionsandbudgetsofthecommercialandgovernmentprogramPBMsincludingretailmail-orderandspecialtypharmacy.

• Negotiate and manage supplemental rebate contracts for all lines of business

• .

• Responsible for oversight of multiple vendors ( Medical pharmacy providers etc.)

• Responsible for overall management of greater than 20% of overall medical spend (>$250 million)

• DevelopandimplementpharmacyinitiativeswithintheMedicalBehavioralHealthandDiseaseManagementprograms.

• Monitorpharmacytrendandutilizationmanagementactivitieswithrespecttopharmacybudgetandmedicalbudgetforallthreelinesofbusiness.

• .

• WorkcollaborativelywithothermembersoftheCSIManagementteamandpromoteintegratedclinicalactivities.

• RepresenttheCSIManagementteamatDirectorsmeetings.

• ReviewofoutlierissueswiththeClinicalPharmacistand/orPharmacyServicesCoordinator

• Participateinandpromotecoachingactivities.

• Identifyproblems/issuesandinitiatecorrectiveaction.

• Arrangeand/orprovidetrainingofthePharmacyServicesstaff.

• MonitorNCQAandotherregulatorycompliancethroughauditsandcloseinteractionwiththePharmacySupervisorandotherrelateddepartments.

• ContinuallyevaluatetheUMcriteriasetsutilizedwithinPharmacyandensurethatalldesignatedstaffistrainedintheiruse.

• WorkcooperativelywithProviderRelationsFinance&HealthcareEconomicsSalesMarketingMemberServicesClaimsASOotherunitswithintheHealthServicesdivisionandotherHNEdepartments.

• .

• RepresentHNEatMassHealthpharmacy-relatedmeetings.

• ProjectorproductdevelopmentorimplementationasdeemednecessarybytheMedicalDirectorCMCFOorCEOincludinganalysisandrecommendationsonpharmacyandmedicaltrend.

• AssistMedicalDirectorsandClinicalPharmacistsintheidentificationandassessmentofnewpharmaceuticalagentsandpaymentmethodologies.

• PresentasneededtoHNEManagementorPeergroupsincludingCLTtheDirectorTeamandsubcommittees.

• Providesleadershipanddirectiontodepartmentstaff;establishesannualperformanceobjectivesandevaluatesperformance;determinespersonnelactions.

• Providesalessupportforprospectiveandcurrentemployergroupsbrokerincludingbutnotlimitedtoevaluationofdatasubjectmatterexpertisearoundpharmacytrendandbenefitdesign.

• ProvidesupportindevelopmentofratesforcommercialandMedicaidratesformedicalandpharmacytrends.

• ProvidesupportinMedicarebiddevelopmentinworkingwithbothinternalHNEassociatesandactuariesformedicalandpharmacy.

• Promoteandseekopportunitiestoimproveprocessesandidentifyareasofimprovement.

• Providesleadershipanddirectiontodepartmentstaff;establishesannualperformanceobjectivesandevaluatesperformance;determinespersonnelactions.

• Providesubjectmatterexpertisearoundpharmacytrendsbenefitdesignandnewandemergingtechnologytomultiplestakeholdersincluding:BaycareBHprovidersetc.

ClinicalSupport

• Developimplementnewandmaintaincurrentclinicalqualityandcostsavingprogramsandprocessimprovementswithrespecttopharmacyandclinicallyintegratedactivities.

• TrainandsuperviseClinicalPharmaciststoprovidesupportforthePharmacyDepartment.

• OverseeUMguidelinesanddecisionsforformulariesforalllinesofbusiness.

• OverseeMedicareformularydevelopmentandmaintenancereportingandreconciliationefforts.

• Performreviewsofspecificmember/pharmacyrequestsfordrugsunderUMguidelines.

• Identifyanddevelopstrategiesforpharmacyrelatedcommunicationsforphysiciansmembersinternaldepartmentsandexternalcustomers.

• Performanalysisofpharmacydatatoidentifyopportunitiestoimpactdrugcostandutilizationopportunitiesincludingreviewofthemonthlypharmacyandspecialtypharmacyreportsandthecreationofnewreportingtoolsasneeded.

• .

• WorkwithHCEtodevelopproviderpharmacyreportswhichareuseableandactionable.

• Willworkalongsidethesalesteamtoanalyzesalespackagereportsforemployergroupsasneeded.

• SupportinternaldepartmentssuchasFinanceSalesMemberandProviderServicesthrougheducationaboutpharmacyissuesandbenefitupdatesprovidingactualandtrenddataetc.

• PartnerwithDiseaseManagementUtilizationManagementandBehavioralHealthtoprovideintegratedclinicalservicestoHNEmembers.

• ManagetheUtilizationManagement(UM)processesdevelopmentofQualityImprovementActivitiesandtheoversightofDelegationAgreements.

Pharmacy&Therapeutics(P&T)CommitteeSupport

• ChairPharmacyandTherapeutics(P&T)Committeeandparticipateinsystem-wideP&T

• ProvideclinicalsupportforMedicalDirectoranddirectionfortheclinicalpharmacist.

• CoordinatewiththePBMsupportteamandclinicalpharmacistforpreparationofP&Tmaterials

• ProvidesupporttotheClinicalPharmacistforcoordinationandpresentationofmaterialsformonthlyP&TCommitteeintheevening.

Education / Experience / Other Information(include only those that are specific to the role)

RPhlicensurewithBSinPharmacy(PharmDorMBApreferred)withmorethan7yearsofprogressivelyresponsiblepharmacyexperienceinManagedCareand/orintegrateddeliverysystems.

• Provenmanagementexperience

• Soundpharmacyandmedicalknowledgebaseandthedesiretomaintainandexpandonthisbasewithanstrongunderstandingofhealthsystemoperations

• KnowledgeofDOIEOHHSandCMSrulesandregulationsformedicalandpharmacyservices.

• Experienceinpharmacyutilizationanalysisandreporting

• Excellentorganizationalabilities

• Self-directedself-motivatedanddetailoriented

• Excellentverbalandwrittencommunicationskills

• ComputerexperiencewithMicrosoftOfficeprogramswithadvancedexcelskills

• Stronginterpersonalskillsabletorelatetoalllevelsofprofessionals

• Excellentcontractualnegotiationskills

Working Conditions

• Work in a standard office-based environment; non-standard hours are a common (update asappropriate)travel.

Education:

Certifications:

Compensation

Note: The compensation range(s) in the table below represent the base salaries for all positions at a given grade across the health system. Typically a new hire can expect a starting salary somewhere in the lower part of the range. Actual salaries may vary by position and will be determined based on the candidates relevant experience. No employee will be paid below the minimum of the range. Pay ranges are listed as hourly for non-exempt employees and based on assumed full time commitment for exempt employees.

Minimum - Midpoint - Maximum

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity marital status national origin ancestry age genetic information disability or protected veteran status.

Required Experience:

Director