Job Description

 The National Director of Pharmacy delivers regulatory compliant Pharmacy Services while providing oversight and management of prescription benefits for all Steward Health Choice health plans and pharmacy benefit plans. The National Director will set policy and direction for national and local pharmacy services including but not limited to medication coverage determination services, pharmacy benefit and formulary administration for government and commercial plans, and innovative medication use programs that engage beneficiaries and providers and drive toward quality health outcomes.

The National Director of Pharmacy will work collaboratively with senior level Clinical Operations, Quality and Provider Relations teams on developing drug coverage strategies and tools, reviewing and managing drug utilization trends, practices and behaviors, and creating clinically appropriate and fiscally responsible pharmacy programs that deliver value to regulators, purchasers and consumers. 

 

The National Director will work with Steward health plan senior leadership teams to identify and develop strategies for innovative and cost-effective pharmacy services, collaborate with health plan clinical staff and providers on improving performance measures, and lead pharmacy quality driven performance improvement programs consistent with regulatory and accreditation requirements. 

The National Director of Pharmacy participates in the Steward Health Choice Pharmacy and Therapeutics Committee and manages contracts and services provided by designated Pharmacy Benefit Management (PBM) organizations, and medication therapy management and medication use engagement vendors while providing oversight of all delegated service areas of the pharmacy benefit, medication coverage services  and medication use programs.

 

Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled



Qualifications

Qualifications:

Pharmacy degree from an accredited College of Pharmacy required; PharmD preferred

State specific pharmacist license (Arizona or other Steward Health Choice serviced states) and, if necessary, will acquire Arizona license within sixty (60) days of employment at Steward Health Choice)

Pharmacy license in good standing

At least five (5) years of practice experience with a health plan pharmacy services, managed care pharmacy environment, and / or retail or hospital pharmacy service

At least five (5) years of practice experience with pharmacy services and pharmacy benefit management (PBM) contracting for delegated functions and services

At least five (5) years experience managing pharmacy teams or staff

At least one (1) year of practice experience applying clinical drug use criteria

Proficient in the principles and practices of managed care pharmacy

Broad based knowledge in a variety of pharmacy disciplines

Knowledge of Medicare and Medicaid regulations and guidelines regarding pharmacy benefits, coverage determinations, network management, and performance metrics

Knowledge of contract negotiations and drivers of drug spend

Knowledge of pharmacy benefit marketplace

Knowledge of health plan pharmacy operations and PBM operations, functionality, and capabilities

Application Instructions

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