Kaiser Permanente Manager Pharmacy Program - Drug Benefit Help Desk in Renton, Washington

Responsibilities include assisting pharmacy leadership in the planning, development and implementation of managed care products, programs and services related to a specific area of Pharmacy services, generally on a state-wide basis. May also be responsible for leading a team of Pharmacy professionals in achieving divisional goals.

Essential Responsibilities:

  • Manage and lead assigned program, which may include refining the role of the Clinical Pharmacist, strategizing to improve statewide cost and efficiency with Medication Use Management, Drug Information and/or state-wide medication safety. Monitors vendor performance. Managers with direct reports provide leadership and direction to staff including hiring, evaluating development, mentoring and coaching.

  • Track, analyze and evaluate data, assess resources and develop systems/tools to meet program needs and improve program satisfaction.

  • Chair and/or participate as a member of appropriate KFHPW and external cross functional committees, for example Consultative Specialty Services Leadership, Medication Safety, Pharmacy and Therapeutics, Medication Use Management, and/or Network services committees.

  • Coordinate and collaborate with key partners and providers to meet organizational objectives. Accountable to develop and implement strategies in pharmacy to help meet organizational population clinical quality targets.

  • Design, implement and monitor systems and process improvements.

RESPONSIBILITIES INCLUDE: LEAD OPERATIONS FOR ADMINISTRATIVE AND DRUG CLINICAL COVERAGE DETERMINATIONS/DRUG CLINICAL UTILIZATION MANAGEMENT EDITS FOR ALL LINES OF BUSINESS. MEET/EXCEED SERVICE LEVELS FOR TIMELINESS OF COVERAGE DETERMINATION DECISIONS, PHONE SERVICE LEVELS AND OTHER KPIS. ENSURE ALL COMPLIANCE AND ACCREDITATION STANDARDS ARE MET. ENSURE STANDARD WORK AND CLINICAL QUALITY STANDARDS ARE MET. MANAGE A TEAM OF PHARMACY TECHNICIANS AND CLINICAL PHARMACIST TEAM. PREFERRED SKILLS: STRONG ABILITY TO OPERATIONALIZE PROCESSES AND PROVIDE OVERSIGHT/OPTIMIZATION OF WORKFLOW. PREFERRED EXPERIENCE: EXPERIENCE LEADING TEAM RESPONSIBLE FOR COVERAGE DETERMINATIONS (OR RELATED SERVICES). EXPERIENCE SUPERVISING STAFF. CLINICAL EXPERIENCE. EXPERIENCE PARTNERING WITH CLINICAL AND OPERATIONAL PARTNERS - INCLUDING P&T COMMITTEE, PHYSICIANS, APPEALS, FORMULARY MGMT, PHARMACY BENEFIT TEAM, PBM AND MEMBER SERVICES/HEALTH PLAN ADMINISTRATION.

Basic Qualifications:

Experience

  • Minimum three (3) years of recent and relevant experience in a health care-related field with clinical pharmacy, marketing, finance, product strategy and/or managed care responsibilities.

Education

  • PharmD OR a minimum eight (8) years of experience in a directly related field.

  • High School Diploma OR General Education Development (GED) is required.

License, Certification, Registration

  • Washington State Pharmacy license by date of hire/transfer.

Additional Requirements:

  • Proficiency in program specialty which may include medical literature evaluation; medication safety; and Medication Use Management.

  • Advanced proficiency with the Microsoft standard suite of software including Word, Excel, and Powerpoint.

  • Excellent verbal and written communication skills; project management skills.

  • Able to organize multiple projects, collaborate effectively and lead groups to accomplish desired results.

Preferred Qualifications:

  • Doctorate degree: completion of PGY1 residency.

  • Masters in health administration or other advanced administrative degree.

COMPANY: KAISER

TITLE: Manager Pharmacy Program - Drug Benefit Help Desk

LOCATION: Renton, Washington

REQNUMBER: 689523

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.