Pharmacy Services Manager

Intermountain Health

8d • $79 - $114

About The Position

The Pharmacy Services Manager provides leadership and direction to SelectHealth Pharmacy Services and Scripius. This position contributes to the strategic and clinical direction of the department. The Manager identifies and promotes the changes needed to provide cost-effective quality pharmacy benefits to members. This position will act as a Clinical Account Manager for Medicare clients. They will play a key role in supporting and strengthening client relationships through the delivery of high-quality clinical insights, pharmacy benefit expertise, and exceptional customer service. This role requires clinical knowledge, pharmacy benefit management (PBM) expertise, Medicare proficiency, and the ability to deliver compliant, data-driven, and client-focused solutions. Success in this role requires the ability to interpret complex clinical, utilization, and cost data; translate that information into actionable recommendations; and communicate effectively with diverse stakeholders ranging from clinical professionals to non-clinical business leaders. This position requires travel. Shifts will be primarily M-F 8-5. There will be a travel requirement for this position. Essential Functions Ensures coordination and communication of pharmacy benefit management (PBM) programs including drug manufacturer contracting, P&T Committee activities, physician communication/education, retail/community pharmacy, NCQA qualification, information services, clinical intervention programs, drug usage evaluation programs, and pharmacy outcomes research. Coordinates, manages, and monitors pharmacy claims processing services, utilization management, and prior authorization protocols. Conducts Drug Utilization Review projects as appropriate, which includes ability to query and analyze pharmacy data. Oversees Clinical Coordinators, pharmacy residents and student activities. Promotes stand-alone PBM through relationships with customers, brokers, and key employer group executives. Responsible for the administration of all medication therapy management programs for Medicare Advantage, Medicaid, Commercial lines of business. Oversees and/or coordinates pharmacy and network contracts.

Requirements

• Pharmacy Benefits Management (PBM)
• Pharmacy Services
• Clinical Pharmacy
• Communication
• Presentation Skills
• Computer Literacy
• Pharmaceutical Industry
• Pharmacy Claims
• Benefits Management
• Medication Therapy Management
• Pharm D. degree or Masters degree from an accredited school of pharmacy. Degree will be verified.
• State license to practice pharmacy and dispense controlled substances.
• Five years of pharmacy practice experience in a managed care or hospital environment.
• Five years of Pharmacy Benefits management experience.

Nice To Haves

• Advanced degree in business management or healthcare administration.
• Pharmacy experience in a managed care setting including an ASHP accredited managed care residency.
• Strong health care systems orientation including: managed care, retail and hospital pharmacy, pharmacy contracting, pharmaceutical company contracting.
• Strong verbal and written communication skills.
• Personal computer skills including word processing and spreadsheets.

Responsibilities

• Ensures coordination and communication of pharmacy benefit management (PBM) programs including drug manufacturer contracting, P&T Committee activities, physician communication/education, retail/community pharmacy, NCQA qualification, information services, clinical intervention programs, drug usage evaluation programs, and pharmacy outcomes research.
• Coordinates, manages, and monitors pharmacy claims processing services, utilization management, and prior authorization protocols.
• Conducts Drug Utilization Review projects as appropriate, which includes ability to query and analyze pharmacy data.
• Oversees Clinical Coordinators, pharmacy residents and student activities.
• Promotes stand-alone PBM through relationships with customers, brokers, and key employer group executives.
• Responsible for the administration of all medication therapy management programs for Medicare Advantage, Medicaid, Commercial lines of business.
• Oversees and/or coordinates pharmacy and network contracts.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager