Manager Health Outcomes Pharmacy

Company :

Job Description : 

JOB SUMMARY

This job manages a team of Population Health Pharmacists and support the team in the implementation and execution of the Population Health Pharmacy Strategy.   Manage team efforts to improve provider performance under value based reimbursement contracts, STARs performance, HEDIS performance, Risk Adjustment documentation and any other risk based contracts developed by Highmark, Inc.  The incumbent will report to the Director of Value-Based and Population Health Pharmacy.            

ESSENTIAL RESPONSIBILITIES

• Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.  Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
• Develop and Execute employee engagement plan for team including assessment of team skills and performance.  Determine continuous improvement and training programs for team. Maintain team performance dashboards and development performance improvement efforts when necessary.
• Implement the team's strategy under the direction of department Director for improving provider scores on metrics related to pharmacy under the VBR contracts. Determines team deployment plan and maintains team provider assignments. Serve as business lead for assigned department initiatives including but not limited to department C2V efforts, development and execution of population health pharmacy playbook, and management of pharmacy students.
• Work in a matrixed fashion with Highmark, Inc's pharmacy department to support  overall health plan pharmacy and VBR efforts. Includes coordination, collaboration, and communication with other enterprise pharmacy departments on correlating initiatives.  
• Other duties as assigned.

EDUCATION

Required

• Doctorate in Pharmacy

Substitutions

• None

Preferred

• None

EXPERIENCE

Required

• 5 - 7 years in a Pharmacy role

To Include:

• 3 - 5 years with Payer and/or Provider
• 3 - 5 years in a Management role

Preferred

• None

LICENSES or CERTIFICATIONS

Required

• Registered Pharmacist​

Preferred

• None

SKILLS

• Analysis of business problems/needs
• Analytical and Logical Reasoning/Thinking
• Building and Leading Teams
• Business Process Management
• Coaching
• Communication Skills
• Management

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-based

Teaches / trains others regularly

Frequently

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

No

Lifting: up to 10 pounds

Frequently

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the