Clinical Pharmacy Manager

Position Overview MassHealth is seeking qualified applicants for the position of Clinical Pharmacy Manager . Under the general direction of the Deputy Director of Clinical Pharmacy, the Clinical Pharmacy Manager will assist in the development and management of the MassHealth Drug List, clinical initiatives, Accountable Care Organization pharmacy oversight, and other pharmacy programs. The role serves as a liaison to EOHHS sister agencies, the Drug Utilization Review Program, pharmacy providers, and the pharmaceutical industry as necessary. Roles and Responsibilities Manage select aspects of the specialty pharmacy program. Recommend appropriate therapeutic interchanges based on clinical information, economic evaluations and strategic initiatives. Identify market trends related to specialty pharmacy and proactively recommend adjustments. Analyze cost data and make formulary recommendations. Analyze data and clinical appropriateness for supplemental rebates and present findings to senior management for action. Monitor the clinical program, analyze results, and plan new program initiatives. Serve as liaison to the MassHealth Quality Office. Participate in the development of clinical drug use criteria for the Pharmacy Program. Lead pharmacy strategy workgroups to ensure deliverables are met and program implementation is optimized. Evaluate appropriate therapeutic classes for procurement based on utilization and clinical information. Evaluate, interpret, and present data in formal written format for review. Lead and participate in quality improvement and quality assurance initiatives. Refer suspected abuse and fraudulent members to the program manager or designee for case review. In the absence of the Clinical Pharmacy Director, make clinical recommendations to sister agencies and other stakeholders. Preferred Qualifications Ensure programs and projects are fiscally responsible. Implement policy, including developing policy, obtaining support from necessary parties, and disseminating information. Eligibility for licensure or current pharmacist license in good standing in the Commonwealth of Massachusetts. Previous medical and medication review experience. Experience with Medicaid. Experience with Managed Care. Experience in data analysis, and the evaluation and interpretation of economic models. Minimum Qualifications Applicants must have at least six (6) years of full-time or equivalent part‑time professional, administrative, supervisory, or managerial experience in a specific specialty, and possess current license and/or registration requirements established for the performance of the position. At least two (2) of those years must have been in a project management, supervisory, or managerial capacity. Substitutions may be made for a certificate, bachelor’s degree, graduate degree, or doctorate in a related field for a corresponding reduction in required years of experience. Salary placement is determined by a combination of factors, including the candidate’s directly related experience, education, and alignment with internal compensation structures. Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. These benefits support you, your loved ones, and your future. Equal Opportunity Employer The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. #J-18808-Ljbffr JobRx, Inc.