VP Managed Care Pharmacy Services

Location:

Geisinger Community Health Services & Sleep Disorder Center

Shift:

Days (United States of America)

Scheduled Weekly Hours:

40

Worker Type:

Regular

Exemption Status:

Yes

Job Summary:

Responsible for overall strategy, planning, development, implementation, and supervision of Enterprise Pharmacy managed care pharmacy services for all lines of business. Possesses and maintains the oversight of the managed care pharmacy staff and leadership teams, functioning as a leader and facilitator in a team-based environment.Clearly and effectively articulates in a timely fashionthe mission, goals,directions, critical issues,and values to the employees who work within the respective area of responsibility. Oversees and coordinates the operational and clinical programs of the Enterprise Pharmacy managed care pharmacy services and, in collaboration with Chief Pharmacy Officer (CPO), sets the strategic vision for Geisinger’s managed care pharmacy pillar.

Job Duties:

• Provide operational and clinical oversight and accountability for all managed care pharmacy services, including human resources, financial planning and ongoing growth and development. This includes but is not limited to formulary management, clinical policy development, utilization management operations and pharmacy benefit configuration.
• Serves as department liaison and program steward across the organization, with outside constituents, and with strategic partners including pharmaceutical industry partners, pharmacy benefit managers (PBM), legislative groups, other health systems ,schools of pharmacy, and professional pharmacy organizations.
• Oversee the development, revision, and auditing of applicable policies and operational procedures, compliance with federal and state regulatory requirements (CMS, DHS, etc.) and other standards of practice (NCQA, ACA, etc.).
• Leads and chairs system-level initiatives and workgroups upon request from executive and system leadership. Provides direction and guidance for the development and implementation of optimum standards of managed care pharmacy services, pharmacy benefit management services, medication therapy disease management, and medication management processes.
• Develops, communicates, and participates in research to enhance the impact of clinical pharmacy and innovative care delivery models providing optimal customized care for Geisinger’s