Manager, Clinical Program Pharmacy

Quantum Health, Inc. • Nashville, TN

43d

About The Position

The Manager, Clinical Program - Pharmacy supports the Vice President, Pharmacy Services by providing leadership, strategic direction, and operational oversight for the Pharmacy program. The role oversees people leadership, program performance, client engagement, workforce planning, and continuous improvement while ensuring high-quality pharmacy services and optimal member outcomes. The Manager guides Pharmacy Leads and clinical staff and serves as the primary escalation point for complex clinical, operational, and client-related issues.

The role leads pharmacists, nurses, and support staff; develops team members and leadership talent; establishes onboarding, training, competency, and quality standards; manages workforce capacity and performance; and supports client relationships, implementations, audits, and escalated clinical matters. It also provides clinical expertise and operational guidance to specialty teams and organizational partners.

Requirements

• Hold an active, unrestricted, unencumbered professional license in good standing as a Pharmacist (R.Ph. or PharmD), Registered Nurse, or another independently licensed healthcare professional authorized to conduct clinical assessments.
• Maintain a Multi-State License where applicable; where one is unavailable, be willing and able to obtain and maintain additional state licenses as needed.
• Obtain all required licenses, including multistate and additional state licenses, within 90 days of hire and maintain them in compliance with applicable requirements and regulations.
• Doctor of Pharmacy (PharmD).
• At least 5 years of pharmacy experience.
• At least 3 years of pharmacy leadership, management, or supervisory experience.
• Expertise in managed care, specialty pharmacy, utilization management, Pharmacy Benefit Manager operations, performance coaching, analytics and reporting, and client relationship management.
• Excellent verbal, written, and presentation communication skills.
• Ability to drive results in a high-service healthcare, insurance, or managed care environment.
• Strong leadership, organizational, and workforce planning skills.
• Knowledge of interdisciplinary clinical operations and healthcare delivery models.
• Ability to analyze operational performance and implement continuous improvement initiatives.
• Commitment to protecting confidential company and member information and following organizational ethics, compliance standards, and data security policies.

Nice To Haves

• 3 to 5 years of experience managing a pharmacy team.
• Experience mentoring, coaching, and developing clinical professionals in a healthcare environment.

Responsibilities

• Support recruiting and retention efforts, including participating in new-hire selection.
• Directly lead and manage pharmacists, nurses, and support staff.
• Develop Pharmacy Leads and other leaders, applying consistent coaching frameworks across the department.
• Provide performance feedback, performance management, and coaching to support employee development and team success.
• Foster a collaborative, community-oriented culture that recognizes innovation and supports member and employee satisfaction.
• Establish onboarding, training, competency, and quality standards for the Pharmacy program and ensure Pharmacy Leads consistently execute development plans.
• Conduct regular one-on-one meetings and quarterly performance reviews using data and insights from the Clinical Quality team.
• Lead succession planning and Individual Development Plan processes.
• Oversee workforce planning, service levels, productivity targets, and resource allocation across the Pharmacy program.
• Facilitate department communications, strategic planning sessions, leadership meetings, and organizational initiatives affecting Pharmacy Services.
• Promote camaraderie, partnership, collaboration, accountability, and shared responsibility for high-quality member and provider support.
• Build and maintain client relationships and align services with client expectations.
• Collaborate with Third-Party Administrators, Pharmacy Benefit Managers, and vendor partners to support client plans and address member concerns.
• Identify and resolve service issues, escalating trends and risks to leadership as appropriate.
• Support client implementations with organizational leadership and keep Client Executives informed about emerging issues and trends.
• Participate as a clinical leader in prospective and current client meetings and site visits.
• Provide clinical consultation and support to Pod Leadership and Client Engagement Group teams on escalated client cases.
• Serve as the primary clinical representative during advocacy reviews and clinical audits by presenting materials and findings, responding to stakeholder questions, identifying themes and improvement opportunities, and collaborating with relevant teams.
• Reinforce expectations for workflows, processes, protocols, and program design, and serve as an accessible resource for staff.
• Assist in resolving escalated issues and complex clinical or operational challenges.
• Communicate client expectations, business performance metrics, member satisfaction insights, and team culture initiatives.
• Support specialty clinical teams by triaging Patient Service Representative inquiries, providing clinical guidance, reviewing and resolving or delegating clinical questions, and advising leaders and staff.
• Monitor and adjust daily clinical workloads to maintain operational effectiveness.
• Maintain comprehensive knowledge of clinical workflows, policies, and procedures.
• Help team members resolve issues, obtain needed information, and improve the member healthcare experience.

Benefits

• Competitive base and incentive compensation.
• Health, vision, and dental coverage, including healthcare navigation services.
• Life insurance, legal and identity protection, adoption assistance, EAP, and Teladoc services.
• 401(k) plan with up to 4% employer match and full vesting on day one.
• Paid time off, 7 paid holidays, parental leave, volunteer days, and paid sabbaticals.
• Tuition reimbursement up to $5,250 annually.
• Certification and continuing education reimbursement, discounted higher education partnerships, paid trainings, and leadership development.
• Modern workplace with casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary services, and dry-cleaning services.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Ph.D. or professional degree