Director, Population Health Pharmacy; Full Time; Days

Mount Sinai is one of the largest non-profit health systems in the U.S. with a strong reputation for quality of care and research and education. Our health system has over 43,000 employees working together to provide billions of dollars in high-quality care for millions of patients each year.

Mount Sinai Health Partners (MSHP) is the health system's value-based care business unit, leading our transition toward greater accountability and risk for patient outcomes. The population health team within Mount Sinai encompasses payer contracting, population health analytics and operations, care management, clinical integration, and population-based quality and efficiency management. The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise.

MSHP is a fast-growing business unit within Mount Sinai and is looking for team members who:

• Are comfortable "playing up" and "playing down" as needed to accomplish business objectives

• Work productively amidst ambiguity

• Thrive in fast-paced work environments

• Seek to improve the status quo

Within MSHP and System Pharmacy, the pharmacy population health function drives value-based contract performance through medication optimization, utilization management, quality measure achievement, and care transition programs across a large and complex patient population. The Director, Population Health Pharmacy, will help provide strategic leadership for this portfolio, and will oversee all relevant operations, including clinical teams. . She/he will report to SVP and Chief Medical Officer of Population Health and will also work closely with Ambulatory Lead for System Pharmacy.

Mount Sinai Health Partners seeks a Director, Population Health Pharmacy who will:

(1) Help set and drive the population health pharmacy strategy across pharmacy quality performance, remote patient monitoring, utilization management and transitions of care. The Director translates organizational priorities in value-based care and total cost of care into a coherent, multi-year program roadmap and holds accountability for outcomes across the full portfolio. Important to this role will be:

• Ability to connect clinical program performance to financial and quality outcomes at the enterprise level

• Experience presenting pharmacy strategy and results to senior administrative and clinical leadership

• Ability to make resource and investment decisions across competing program priorities

(2) Lead and develop pharmacy population health programs

Pharmacy Quality Programs

• Oversee pharmacy quality initiatives including medication adherence, SUPD/ SPC and other pharmacy- related quality measures including day-to-day operations oversight, staffing, clinical operations, analytics and technology optimization and strategic planning

• Prepare and oversee performance updates to senior leadership

• Represent pharmacy in payer joint operating committees

Remote Patient Monitoring – Condition Management Program

• Co-lead clinical design, strategy, and ongoing evaluation of condition management programs across the health system, with SVP/CMO of Population Health. 

• Oversee program financial performance and operational KPIs, directing mitigation strategies as needed. Develop and maintain relationships with key internal and external stakeholders to advance program goals and support clinical workflow integration. Govern vendor relationships, technology infrastructure, and analytics tools to maintain efficient and scalable program operations. Assess program impact on populations served, with emphasis on high-risk populations aligned to value-based care goals

Pharmacy Utilization Management

• Oversee and drive equal-cost lower-efficacy initiatives

• Oversee disease-state drug utilization programs including but not limited to PPIs, opioids, anti-VEGF agents, and antifungals

• Oversee of site-of-care optimization strategy for high-risk ACO populations

• In partnership with SVP/CMO, Population Health, support value-based care partnership arrangements with payer and VBC partners on pharmacy cost and quality

• Possibly support benefit utilization management work and contribute to pharmacy benefit strategic initiatives for employee patients (i.e. PBM) 

• Possibly implement and oversee pharmacy technology solutions including real-time-benefits tracker optimization

High-Risk ACO & Transitions of Care

• Oversee strategic design of polypharmacy review and medication reconciliation programs for high-risk ACO populations

• Support enterprise pharmacy TOC strategy including discharge planning integration and building high-risk patient reviews prior to admission

Education and Experience

• PharmD from an ACPE-accredited institution required

• Active pharmacist licensure required

• 5+ years of relevant pharmacy experience required, including preferred 2+ years in a population health, managed care, ambulatory care, health plan, or health system leadership role

• Experience leading teams

• Expertise in pharmacy utilization management, HEDIS/Star Ratings quality performance, and value-based care program design preferred

• Experience translating data analysis into operational, clinical, and business strategy preferred

• Board certification (BCPS, BCACP, or relevant specialty) preferred

• CDCES or other chronic disease management credential preferred

Additional Key Skills and Attributes

• Professional maturity to manage executive and system-impacting programs and deliverables

• Ability to get smart quickly across new clinical, operational, and financial domains

• Comfortable working in a fast-paced, dynamic environment with shifting priorities

• Superior work ethic and persistence to achieve challenging goals

• Strong relationship and influencing skills across clinical, administrative, and payer audiences

• Experience with remote patient monitoring platforms or digital health a plus

Strength through Unity and Inclusion

The Mount Sinai Health System is committed to fostering an environment where everyone can contribute to excellence. We share a common dedication to delivering outstanding patient care. When you join us, you become part of Mount Sinai’s unparalleled legacy of achievement, education, and innovation as we work together to transform healthcare. We encourage all team members to actively participate in creating a culture that ensures fair access to opportunities, promotes inclusive practices, and supports the success of every individual.

At Mount Sinai, our leaders are committed to fostering a workplace where all employees feel valued, respected, and empowered to grow. We strive to create an environment where collaboration, fairness, and continuous learning drive positive change, improving the well-being of our staff, patients, and organization. Our leaders are expected to challenge outdated practices, promote a culture of respect, and work toward meaningful improvements that enhance patient care and workplace experiences. We are dedicated to building a supportive and welcoming environment where everyone has the opportunity to thrive and advance professionally. Explore this opportunity and be part of the next chapter in our history.

About the Mount Sinai Health System:

Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time — discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients’ medical and emotional needs at the center of all treatment. The Health System includes more than 9,000 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report’s “Best Children’s Hospitals” ranks Mount Sinai Kravis Children's Hospital among the country’s best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 11 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek’s “The World’s Best Smart Hospitals” ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.

Equal Opportunity Employer

The Mount Sinai Health System is an equal opportunity employer, complying with all applicable federal civil rights laws. We do not discriminate, exclude, or treat individuals differently based on race, color, national origin, age, religion, disability, sex, sexual orientation, gender, veteran status, or any other characteristic protected by law. We are deeply committed to fostering an environment where all faculty, staff, students, trainees, patients, visitors, and the communities we serve feel respected and supported. Our goal is to create a healthcare and learning institution that actively works to remove barriers, address challenges, and promote fairness in all aspects of our organization.

Compensation

The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $140000 - $230000 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.