Director- Hospital Pharmacy Services

Director of Pharmacy ServicesBaystate Health is seeking a Director of Pharmacy Services to join our Pharmacy at Baystate Medical Center in Springfield, MA.The Director of Pharmacy Services is responsible for directing, leading, developing and implementing Pharmacy Services policies and initiatives for the provision of quality, cost-effective pharmaceutical care involving providers, members and employers. Specific activities include timely and accurate reporting of pharmacy financials with budgetary impacts and related regulatory reporting requirements, compliance, and other regulatory requirements. This position manages the Pharmacy Department team ensuring compliance with department policies and procedures, actively coaches staff, encourages personnel development and training, and project management as deemed necessary while staying in alignment with HNE's mission, vision and corporate values. The Director of Pharmacy will also work with other members of ELT and the Director's Team.Key ResponsibilitiesKey contributor in the creation and deployment of HNE's pharmacy and medical service strategyManages the functions and budgets of the commercial and government program PBMs, including retail, mail-order and specialty pharmacy.Negotiate and manage supplemental rebate contracts for all lines of businessManage the specialty pharmacy and home infusion relationship with Baystate Health, UMass Memorial Health Care, and other future system partners, e.g. Hartford Health Care.Responsible for oversight of multiple vendors (e.g PBM, Medical pharmacy providers, etc.)Responsible for overall management of greater than 20% of overall medical spend (>$250 million)Develop and implement pharmacy initiatives within the Medical, Behavioral Health, and Disease Management programs.Monitor pharmacy trend and utilization management activities with respect to pharmacy budget and medical budget for all three lines of business.Identify, assess and make recommendations for medical management programs to enhance member compliance and appropriate use of pharmaceuticals. Assess opportunities to coordinate with care management program.Work collaboratively with other members of the CSI Management team and promote integrated clinical activities.Represent the CSI Management team at Director's meetings.Review of outlier issues with the Clinical Pharmacist and/ or Pharmacy Services CoordinatorParticipate in and promote coaching activities.Identify problems/issues and initiate corrective action.Arrange and/or provide training of the Pharmacy Services staff.Monitor NCQA and other regulatory compliance through audits and close interaction with the Pharmacy Supervisor and other related departments.Continually evaluate the UM criteria sets utilized within Pharmacy and ensure that all designated staff is trained in their use.Work cooperatively with Provider Relations, Finance & Healthcare Economics, Sales, Marketing, Member Services, Claims, ASO, other units within the Health Services division, and other HNE departments.Represent HNE at the system level, and in state and national meetings, e.g. the Health Plan Alliance.Represent HNE at MassHealth pharmacy-related meetings.Project or product development or implementation as deemed necessary by the Medical Director, CM, CFO, or CEO including analysis and recommendations on pharmacy and medical trend.Assist Medical Directors and Clinical Pharmacists in the identification and assessment of new pharmaceutical agents and payment methodologies.Present as needed to HNE Management or Peer groups, including CLT, the Director Team and subcommittees.Provides leadership and direction to department staff; establishes annual performance objectives and evaluates performance; determines personnel actions.Provide sales support for prospective and current employer groups, broker including but not limited to evaluation of data, subject matter expertise around pharmacy trend and benefit design.Provide support in development of rates for commercial and Medicaid rates for medical and pharmacy trends.Provide support in Medicare bid development in working with both internal HNE associates and actuaries for medical and pharmacy.Promote and seek opportunities to improve processes and identify areas of improvement.Provide subject matter expertise around pharmacy trends, benefit design, and new and emerging technology to multiple stakeholders including: Baycare, BH, providers, etc.Education / Experience / Other Information (include only those that are specific to the role)RPh licensure with BS in Pharmacy (PharmD or MBA preferred) with more than 7 years of progressively responsible pharmacy experience in Managed Care and/or integrated delivery systems.Proven management experienceSound pharmacy and medical knowledge base and the desire to maintain and expand on this base with an strong understanding of health system operationsKnowledge of DOI, EOHHS and CMS rules and regulations for medical and pharmacy services.Experience in pharmacy utilization analysis and reportingExcellent organizational abilitiesSelf-directed, self-motivated and detail orientedExcellent verbal and written communication skillsComputer experience with Microsoft Office programs with advanced excel skillsStrong interpersonal skills, able to relate to all levels of professionalsExcellent contractual negotiation skillsWorking ConditionsWork in a standard office-based environment; non-standard hours are a common occurrence. Limited/moderate/extensive (update as appropriate) travel.Education:Bachelors Degree: Pharmacy (Required)Certifications:CompensationNote: 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 candidate's 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$191,651.00 - $220,292.00 - $260,561.00Equal Employment Opportunity EmployerBaystate 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.