Director, Pharmacy - Market(Must Live In Nevada)

Job Summary:

Director, Pharmacy – Market is responsible to participate in the Traditional Work Group and lead CareSource market-specific Pharmacy & Therapeutics (P&T) committee.

Essential Functions:

• Act as key pharmacy point of contact for market entities and participate in required committees, such as Drug Utilization Review (DUR) Board, market-specific P&T, and MCO pharmacy director meetings
• Work with corporate pharmacy team to ensure key vendors are meeting market-specific requirements
• Responsible for ensuring employees’ performance is in compliance with regulatory requirements
• In collaboration with corporate pharmacy operations team, monitor pharmacy operational statistics and turnaround times specific to assigned market to ensure they are within regulatory compliance
• In collaboration with corporate pharmacy leadership team, assist in development and execution of pharmacy programs in assigned market to meet clinical, operational, and financial goals, with a key focus on the development of processes to achieve operational excellence in all areas
• Drive collaborative resolutions to identified issues and identify appropriate subject matter experts to assist in resolution when needed
• Collaborate with internal departments on cross-functional projects
• Drive collaboration between state partners and internal stakeholders
• Represent assigned market and pharmacy on company-wide committees relating to operational, regulatory and financial oversight
• Contribute to determining “as is” and “to be” operational and staffing needs of the market’s pharmacy department to meet standards as required by market regulations
• In conjunction with the VP, AVP, Pharmacy and market leadership, manage budgets and forecast for strategic planning and key initiatives, balance current and future needs effectively
• Review and analyze reports to understand drug spend within assigned market; utilize findings from reports to assist in managing budget and identification of Medical Cost Ratio (MCR) savings initiatives within the structure of corporate pharmacy department
• Represent Market/RX in meetings/testimony as needed with local providers and Legislators/Stakeholders
• Perform any other job duties as requested

Education and Experience:

• Bachelor’s Degree in Pharmacy is required; Doctor of Pharmacy (PharmD) is strongly preferred
• Master’s Degree in Business Administration is preferred
• A minimum of five (5) combined years health plan, operations and/or clinical management experience is required
• A minimum of three (3) years of recent contracting, quality improvement or management experience in a healthcare environment, preferably managed care is required
• Pharmacy Benefit Management operational experience is preferred

Competencies, Knowledge and Skills:

• Microsoft Access, Word and Excel proficiency
• Strong operational leadership skills
• Strong needs analysis and planning skills
• Strong people management skills
• Strong budgeting and financial skills
• Strong external and internal communications 
• Thorough knowledge of pharmaceutical care and pharmacy benefit management practices
• Strong customer service skills
• Strong project management skills
• Knowledge of retail pharmacy operations
• Knowledge of pharmaceutical industry, regulations and trends
• Ability to work independently and within a team environment
• Strong attention to detail, including work plan development and execution skills
• Knowledge of the healthcare field overall
• Negotiation skills/experience
• Strong communications skills (written and oral)
• Ability to critically think, make decisions and problem solve
• Strong computer skills and good analytical and mathematical skills

Licensure and Certification:

• Current, unrestricted Registered Pharmacist (RPh) licensure in state of practice is required (License required or expectation to achieve License in assigned market(s))
• To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
• CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held re