Specialty Pharmacy Manager
UnitedHealth Group•Springfield, IL
•$112,700 - $193,200•Onsite
About The Position
Explore opportunities with CPS, part of the Optum family of businesses. We’re dedicated to crafting and delivering innovative hospital and pharmacy solutions for better patient outcomes across the entire continuum of care. With CPS, you’ll work alongside our team of more than 2,500 pharmacy professionals, technology experts, and industry leaders to drive superior financial, clinical, and operational performance for health systems nationwide. Ready to help shape the future of pharmacy and hospital solutions? Join us and discover the meaning behind Caring. Connecting. Growing together. The Specialty Pharmacy Manager is accountable for the overall management, oversight, and operation of the outpatient specialty pharmacy program. This role is responsible for ensuring exceptional patient care, regulatory compliance, operational excellence, and financial performance.
Requirements
- PharmD from an ACPE-accredited College of Pharmacy; Bachelor's Degree in Pharmacy with relevant pharmacist experience will be considered
- Active pharmacist license in the State of Illinois
- Leadership, supervisory, or management experience in a pharmacy or healthcare setting
- Solid knowledge of pharmacy regulations, medication management, and clinical pharmacy practice
Nice To Haves
- Specialty Pharmacy Manager or Pharmacy Manager experience
- Specialty pharmacy experience and knowledge of accreditation standards (URAC, ACHC, etc.)
- Experience managing pharmacy operations, workflow, and performance metrics
- Proficiency with Microsoft Office applications and EMR systems, including Epic.
- Demonstrated solid leadership, communication, and relationship-building skills.
- Demonstrated ability to collaborate effectively with providers, clinic leadership, and cross-functional teams
- Demonstrated ability to manage multiple priorities across specialty pharmacy service lines
Responsibilities
- Provide compliant and efficient outpatient pharmacy operations with a focus on: Patient Safety, Pharmacy Professional Practice, Regulatory Compliance, Quality Assurance, Customer Service, Personnel Management, Inventory Management, Financial Performance, Loss Prevention, Workflow Optimization
- Educate providers, clinic staff, and patients regarding specialty pharmacy services and medication therapies
- Serve as a clinical resource by addressing medication-related questions and appropriately triaging patient concerns
- Collaborate with providers to support medication adherence, optimize therapy outcomes, and improve patient care
- Partner with clinic leadership and staff to promote specialty pharmacy services and demonstrate the value of the pharmacy care model
- Assist with the recruitment, onboarding, training, and development of Pharmacy Liaisons and Pharmacists
- Maintain compliance with all applicable state and federal regulations, accreditation standards, and company policies
- Provide leadership, coaching, and guidance to pharmacy staff to ensure operational excellence and high-quality patient care
- Monitor pharmacy performance metrics and identify opportunities for process improvement and enhanced patient outcomes
- Partner with site leadership to develop and implement best-in-class dispensing, fulfillment, and shipping protocols designed to maximize patient outcomes
- Assess medication regimens and recommend cost-effective treatment options that support both clinical outcomes and patient affordability
- Collaborate in the development and delivery of training materials to support onboarding and ongoing staff education
- Ensure compliance with specialty pharmacy accreditation standards, including URAC, ACHC, and applicable regulatory requirements
- Oversee pharmacy workflow to ensure timely and accurate dispensing and delivery of medications
- Support inventory management initiatives to maintain appropriate medication supplies while minimizing waste and financial loss
- Contribute to the development, implementation, and revision of pharmacy policies and procedures
- Perform order entry and prescription verification within pharmacy management systems, including dispensing and point-of-sale platforms
- Ensure accurate adjudication of prescription claims and resolution of reimbursement issues as needed
- Verify specialty medication delivery methods are appropriate based on patient needs and medication requirements
- Perform comprehensive clinical reviews of prescriptions, including: Dosage appropriateness, Indication review, Drug interactions, Renal and hepatic dose adjustments, Therapeutic appropriateness
- Maintain professional competency through continuing education and professional development activities
- Ensure all activities comply with accreditation standards, legal requirements, and pharmacy regulations
- Lead, mentor, and develop pharmacy staff to promote a culture of accountability, collaboration, and continuous improvement
- Assist with workforce planning, employee engagement, and succession planning initiatives
- Partner with organizational leadership to achieve operational, clinical, and financial goals
- Foster solid working relationships with providers, clinic staff, patients, and external partners
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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What This Job Offers
Job Type
Full-time
Career Level
Manager
