Supervisor Clinical Pharmacy

Job Title

Supervisor Clinical Pharmacy

Duration

Open until filled

Work Hybrid

Yes

Description

Let’s do great things, together!

About ModaFounded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary We are currently seeking a skilled and dedicated pharmacist to join our Clinical Pharmacy team as a Supervisor. The Supervisor, Clinical Pharmacy role, works within the broader clinical pharmacy department and will focus on providing and leading policy maintenance and development as well as formulary management. Our organization has business that spans multiple states and lines, from commercial to health care exchange, Medicare and Managed Medicaid and we offer and manage both medical and pharmacy benefits. We are seeking a leader who can lead primary managed care functions within a health plan. To support this Supervisor are other pharmacy stakeholders including industry relations, drug information pharmacist(s), clinical pharmacists, and pharmacy benefits and operations. The Supervisor role is also responsible for overseeing the day-to-day performance of select Moda Clinical Pharmacist staff who perform this work. By joining our team, you will be part of a dynamic environment and cooperative team where you can make a significant impact on patient care and contribute to the overall success of our healthcare organization.The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered. Pay Range$128,858.77 - $164,296.49 ​​​annually (depending on experience)*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

https://j.brt.mv/jb.do?reqGK=27751968&refresh=trueBenefits:

• Medical, Dental, Vision, Pharmacy, Life, & Disability

• 401K- Matching

• FSA

• Employee Assistance Program

• PTO and Company Paid Holidays

Required Skills, Experience & Education:

• Doctor of Pharmacy degree (Pharm.D.) preferred, or Bachelors of Pharmacy degree.

• Valid Registered Pharmacist (RPh) license in the State of Oregon, or ability to become licensed within three months of employment.

• Prior supervisory experience preferred.

• Two to three years managed care experience. Training from an accredited managed care residency preferred.

• Strong clinical acumen with working knowledge of numerous disease states and conditions and their therapeutic management.

• Advanced competency in medical literature evaluation and principles of evidence-based medicine, policy development and formulary management.

• Strong problem-solving and analytical skills, and an ability to work with large data sets as needed.

• Ability to work well under pressure with frequent interruptions and shifting priorities.

• Effective communication and interpersonal skills to interact with internal teams, healthcare providers, and external stakeholders.

• Capable of taking initiative, leading project teams, and implementing and maintaining clinical programs.

• Demonstrate a commitment to service, organization values, and professionalism through appropriate conduct and demeanor.

• Ability to maintain confidentiality and project a professional business image.

• Ability to work collaboratively with other departments across the Moda organization.

• Proficient with Microsoft Office applications.

• Ability to work independently and collaborate cross-functionally with various stakeholders.

• Ability to attend regular meetings in-person as needed (if hybrid).

Primary Functions:

• Lead a team of pharmacists. Responsible for the day-to-day supervision of clinical pharmacy personnel, including ongoing performance feedback and professional development.

• Lead and provide oversight to the development and maintenance of drug and drug class monographs to support formulary decision making.

• Bring continuity and oversight to our Pharmacy and Therapeutics (P&T) committee and the multiple stakeholders who are contributing to this body of work.

• Lead and provide oversight to policy maintenance and development of new FDA approvals and expanded indications of currently available therapies, and their respective therapeutic classes.

• Develops and implement clinical utilization criteria for new market entries and market updates utilizing evidence-based medicine principles.

• Lead or be the clinical pharmacy subject matter expert to various committees including Medical Necessity Committee and Regulatory/Compliance workgroups ensuring compliance with state legislative requirements, Board of Pharmacy standards, and federal regulations related to pharmacy program management and services, providing oversight, and supporting adherence to these guidelines within the team.

• Provide direction and oversight to various policy and formulary analysis projects.

• Provide clinical and organizational mentoring, including proper training for new and existing clinical pharmacy staff.

• Acts as a clinical leader across all operational units to ensure clinically appropriate execution of formulary and utilization management strategies.

• Collaborate with other pharmacy team leaders and external department leaders to promote efficient and consistent workflow expectations and improvements.

• Serves as a primary resource and subject-matter expert pertaining to medical necessity criteria (i.e. policy) and formulary management.

• Reviews, updates, and maintains policies and procedures related to clinical pharmacy services.

• Deliver concise, applicable, comprehensive, and timely responses to requests for drug information from members, client plans, providers, and Company health care teams.

• Performs other duties as assigned.

Working Conditions & Contact with Others

• Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business needs. The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered.

Together, we can be more. We can be better. ​​​​​​Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations please direct your questions to Kristy Nehler via our humanresources@modahealth.com email.