Supervisor, Pharmacy Care Delivery, Clinical Pharmacy

Supervisor, Pharmacy Care Delivery, Clinical Pharmacy

In addition to the responsibilities listed below, this position is also responsible for leading team to aid development, maintenance, and implementation of complex clinical practice standing orders, drug therapy management protocols and guidelines (e.g., collaborative protocols with providers); proactively supervising team to provide complex direct patient care, drug utilization, and educational programs related to ambulatory care to positively impact patient adherence and outcomes and provider prescribing practices; supervising team and may also provide direct patient care for medication initiation, medication selection, dosage titration, drug monitoring, patient engagement, medication adherence counseling, side effect management, medication discontinuation in alignment with strategic priorities and mission work; regularly maintaining and developing day-to-day relationships with providers to align drug conversion, drug tapering, and discontinuation initiatives and determine opportunities; aligns self and team to initiative implementation and guiding team to analyze data regarding measurement follow up and minimization of gaps to drive implementation of processes and workflow for assigned service areas; identifying and escalating formulary concerns and influencing formulary adherence within the team; helping to develop initiatives and clinical services, gaining physician engagement to reduce practice variation, and monitoring progress of standard new/existing initiatives; implementing new/existing services for a disease state or care grouping/specialty (e.g., MTM) and supervising team and collaborators (e.g., PMG) to apply changes in service; and participating in regional/interregional service leadership meetings to suggest strategic improvements and escalate perspectives from operations teams.

Essential Responsibilities:

• Recommends developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; provides team members with feedback; and mentors and coaches to drive performance improvement. Pursues professional growth; provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Implements, adapts, and stays up to date with organizational change, challenges, feedback, best practices and processes. Fosters open dialogue, supports, mentors, engages, and motivates team members on collaboration. Delegates tasks and decisions as appropriate; provides appropriate support, guidance and scope.
• Supervises and coordinates daily activities of designated work team or unit by monitoring the execution and completion of tactical action items and work assignments; ensures all policies and procedures are followed. Aligns team efforts and standards, and measures progress in achieving results; determines and carries out processes and methodologies; resolves escalated issues as appropriate. Develops work plans to meet business priorities and deadlines; coordinates, obtains and distributes resources. Removes obstacles that impact performance; identifies and recommends improvement opportunities; influences teams to execute in alignment with operational objectives.
• Leads team to carry out implementation and development of drug therapy by: overseeing efforts for proper drug use management across a team; teaching team members how to create moderately complex content regarding utilization of medicine; collaborating with senior health care providers to gather relevant sources on potential changes within the market and upcoming new drugs; collaborating across teams/functions to provide input and oversee standard pharmacotherapeutic drug regimen guidelines and trainings; guiding team to ensure members, patients and/or healthcare providers understand appropriate use, application, and interactions of prescribed medication and provides drug information to relevant healthcare providers; driving application of strategies to ensure achievement of member financial and therapeutic objectives; and evaluating teams reports of member data to assess plan outcomes and carrying out action plans to affect change.
• Oversees drug education and training efforts by: proactively supervising team to provide complex pharmacy and provider education to positively impact patient compliance and prescribing practices.
• Provides pharmaceutical patient care and drug therapy by: managing productive relationships with care providers and members; organizing teams workflow and execution of comprehensive pharmaceutical information e.g., drug therapy, adverse effects, compliance, appropriate use, and handling); leading team to research, organize, identify issues, and/or recommend patient-specific drug therapy plans while evaluating progress of therapy through interviews, physical assessment, patient education and clinical laboratory monitoring, independently; modeling, collecting, analyzing, identifying trends, and/or presenting therapeutic workflow outcomes to health care providers to collaboratively identify drug plan improvements, independently; leading implementation process, evaluating, and reporting utilization, as appropriate, of targeted medications and medication classes, strategizing novel work to assure safe, rational and cost-effective prescribing; supervising the development, implementation, and analyzation process of clinicians or department-level decisions, support, and feedback utilizing tools driving support for the drug use process; and supervising improvements to and coordination of complex pharmaceutical care and optimal utilization of resources to and from hospital, acute, and ambulatory patient-care settings.
• Leads team to monitor services in compliance with state and federal laws, all regulatory bodies, established quality standards and organizational service standards by: supervising adherence to all regulatory rules and regulations (e.g., Drug Enforcement Administration [DEA], State Board of Pharmacy, Health Insurance Portability and Accountability Act [HIPAA]) and relevant internal regional and national policies; ensuring team and self are up to date with policies and procedures and performs in accordance with applicable regulatory requirements and accreditation standards as they relate to the assigned department; encouraging reporting, conducting investigations of, responding to, and resolving escalated member inquiries and concerns from team; and supervising team to collaborate with physicians, other medical professionals, and health plan personnel to assess, resolve, and assure quality and process outcome measures.

Minimum Qualifications:

• Doctorate of Pharmacy or equivalent degree (e.g., Bachelors of Pharmacy from a School of Pharmacy) AND completion of a Post-Graduate Year 1 (PGY1) residency at time of hire OR Doctorate of Pharmacy or equivalent degree (e.g., Bachelors of Pharmacy from a School of Pharmacy) AND minimum two (2) years of experience as a Pharmacist and/or Pharmacist Intern in pharmacy or a directly related field.

• Pharmacist License (California) required at hire

• National Provider Identifier within 6 months of hire

Additional Requirements:

• Knowledge, Skills, and Abilities (KSAs): Direct Care - Medication Therapy; Cost Optimization; Commercial Customer Quality; Confidentiality; Stakeholder Management; Service Focus; External Health Care Compliance

• Board of Pharmacy Specialties Board Certification.
• Post-Graduate Year 2 (PGY2) residency or fellowship.