Pharmacy Director

Virginia Information Technologies Agency•Richmond, VA

5d•$159,135 - $178,175•Onsite

About The Position

The Department of Medical Assistance Services (DMAS) is excited to offer a competitive opportunity to serve as the Pharmacy Director in the Chief Medical Office. This position provides executive-level oversight and strategic management of the DMAS Pharmacy Program, including the design, development, and implementation of a single Pharmacy Benefit Manager (PBM) model for the Virginia Medicaid enterprise. The position holds authority over pharmacy policy development and interpretation, payment methodology and rate-setting, and provider oversight functions. As a senior manager within the Office of the Chief Medical Officer, this role directs the pharmacy unit, advises agency leadership and the General Assembly on pharmacy program operations and legislative matters, resolves complex and sensitive issues affecting pharmaceutical access and expenditures, and ensures alignment of the pharmacy program with federal and state regulatory requirements, DMAS mission, and Commonwealth health policy objectives. The business needs for this position have in office requirements to include but are not limited to attending in-person meetings, trainings, travel, conferences, and external stakeholders' meetings. Located in beautiful Central Virginia, the Richmond area puts you just 2 hours from the Blue Ridge Mountains, Virginia Beach and Washington DC. The Department of Medical Assistance Services (DMAS) is working to improve the health and well-being of Virginians through access to high-quality health care coverage. DMAS wants talented individuals who can align their experience with the mission of the agency and its core values – service, collaboration, trust, problem solving and adaptability. At the Department of Medical Assistance Services (DMAS) we encourage and promote that you Come as you are | Become who you want to be | That is our promise.

Requirements

Considerable knowledge and experience administering or overseeing pharmacy programs, Pharmacy Benefit Management (PBM) operations, or managed care pharmacy functions.
Considerable knowledge and experience with pharmacy payment methodologies, drug pricing benchmarks, and Medicaid fee-for-service and managed care reimbursement structures.
Considerable experience with strategic planning, program evaluation, and performance measurement in health care or government settings.
Considerable experience in policy development, analysis, and implementation within Medicaid, health care, or public health programs.
Considerable knowledge/experience of systems/programs/computer software.
Considerable experience interpreting, applying, and monitoring compliance with federal and state laws, regulations, and policies governing Medicaid pharmacy programs and related CMS guidance.
Experience in meeting Federal and State program deadlines.
Experience engaging and managing relationships with internal and external stakeholders, including CMS, state agencies, legislative bodies, managed care organizations, PBMs, providers, and pharmacy associations.
Must have current Virginia pharmacy license.
Must possess an active Doctor of Pharmacy degree.

Nice To Haves

Considerable experience leading professional staff within a government agency, managed care organization, or similarly complex environment.
Experience navigating organizational change.
Experience presenting or responding to legislative committees and/or legislators on pharmacy program policy or budget matters.
Knowledge of and experience with value-based pharmacy arrangements, outcomes-based contracting, or innovative drug payment models.
Experience managing or overseeing state Medicaid pharmacy programs, specialty pharmacy programs, pharmacist as provider programs, drug rebate programs, and/or 340B program compliance.

Responsibilities

Provides executive-level oversight and strategic management of the DMAS Pharmacy Program, including the design, development, and implementation of a single Pharmacy Benefit Manager (PBM) model for the Virginia Medicaid enterprise.
Holds authority over pharmacy policy development and interpretation, payment methodology and rate-setting, and provider oversight functions.
Directs the pharmacy unit, advises agency leadership and the General Assembly on pharmacy program operations and legislative matters, resolves complex and sensitive issues affecting pharmaceutical access and expenditures, and ensures alignment of the pharmacy program with federal and state regulatory requirements, DMAS mission, and Commonwealth health policy objectives.

Benefits

The Department of Medical Assistance Services (DMAS) does not offer employment-based Sponsorship.
Selected candidates will have their work authorization completed using the E‐Verify Program.
This position could be expected to work in the office as driven by business needs.
Telework arrangements are a privilege and may be rescinded at any time based on performance and/or business need.
The agency reserves the right to modify or terminate a telework arrangement, provided that reasonable notice is given to the employee.
This position requires a fingerprint based Criminal History Background Check, Education Checks if applicable, Work History Verification with references.
This position requires the submission of a Statement of Economic Interest (financial disclosure).
The Department of Medical Assistance Services practices fair and equal employment opportunity to all employees and applicants in accordance with applicable laws and regulations.
The Department of Medical Assistance Services is a V3 certified state agency that provides hiring preference to veterans and members of the reserves and/or National Guard in support of executive order 29, (2010).
DMAS encourages veterans and spouses of veterans or active military members to apply and respond accordingly on their state application.