Clinical Pharmacy Manager
About The Position
The Clinical Pharmacy Manager serves as the clinical and operational leader of the Medication Access Department. This pharmacist oversees medication access operations, staffing, workflow optimization, quality initiatives, prior authorization support, patient assistance program services, and clinical appeals throughout the organization. The role is accountable for departmental performance, staff development, process improvement, and helping ensure patients receive timely and affordable access to prescribed therapies. The manager maintains expertise in medication access programs, payer requirements, manufacturer assistance programs, and departmental workflows, and serves as a clinical resource for complex medication access issues. The manager must maintain competency in all departmental functions and provide direct operational coverage for Medication Access Technician positions as needed to ensure continuity of services. The Director of Clinical Pharmacy provides oversight of this position.
Requirements
- PharmD degree from an accredited College of Pharmacy.
- Current, valid pharmacist license in the state of the primary practice site.
- Complex and innovative problem-solving, analytical, critical, and strategic thinking skills.
- Strong knowledge of pharmacy benefit management, insurance processes, prior authorization requirements, and medication assistance programs.
- Experience with electronic medical records and pharmacy-related software systems.
- Maintain at least the minimum Continuing Education requirements for state licensure.
Nice To Haves
- At least one year of post-graduate residency training or at least two years of experience in ambulatory care pharmacy, managed care pharmacy, specialty pharmacy, medication access, or a related practice area.
- Previous supervisory or leadership experience.
- Board Certification in an applicable area of pharmacy practice.
Responsibilities
- Oversee daily operations of the Medication Access Department.
- Develop and monitor workflows, quality measures, and key performance indicators.
- Maintain current knowledge of payer requirements, formularies, manufacturer assistance programs, and medication access resources.
- Develop policies, procedures, and training materials.
- Lead process improvement initiatives.
- Provide oversight and support for Medication Access staff.
- Assist with onboarding, training, competency assessment, and staff development.
- Ensure adequate staffing coverage and monitor productivity and quality metrics.
- Maintain expertise in medication access programs and workflows.
- Oversee prior authorizations and patient assistance services.
- Serve as the departmental escalation resource and provide technician coverage as needed.
- Author and submit complex clinical appeals and develop evidence-based appeal letters.
- Collaborate with providers to obtain supporting documentation for appeals.
- Track appeal outcomes and trends.
- Support departmental and organizational initiatives, maintain confidentiality, follow company culture and policy, continually seek to learn and improve, and perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Education Level
Ph.D. or professional degree
