Director, Managed Pharmacy Solutions

Primary City/State:

Arizona, Arizona

Department Name:

Pharm Benefits Mgmt-Misc

Work Shift:

Day

Job Category:

Pharmacy

Innovation and highly trained staff. Our Pharmacy team members play a critical role in ensuring the best care for our patients. Join a nationally recognized leader that values excellence and begin making a difference in people’s lives. Apply today.

Banner Health was named to Fortune’s America’s Most Innovative Companies list for the second year in a row for 2024 and named Most Trustworthy Companies in America by Newsweek. We’re proud to be recognized for our commitment to the latest health care advancements and excellent patient care.

In this role, you will serve as the Managed Pharmacy Services Medicare Director. You will provide Support Medicare strategy for Managed Pharmacy Services. You will also serve as an organizational expert to Pharmacy Medicare, participating in relevant internal and external meetings and communications regarding Medicare bid strategy, quality, cost savings initiatives, and preparing the related communication materials for awareness. Experience in a pharmacy managed care environment in a health plan or Pharmacy Benefit Management environment will be helpful in this position. This is a remote work from home role, Monday - Friday 8AM - 5PM no mandatory call, no holiday rotation.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. 

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

Banner Pharmacy Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner formulary, development of standardized system wide clinical pharmacy services, and management of adverse drug event preventions. Clinical Pharmacy Services provides collaborative drug therapy management and educational interventions in patient care to optimize medication therapy, improve outcomes, promote wellness, and disease prevention. As a division, Banner Pharmacy services provides excellent patient care across our entire continuum through convenient access, improved medication outcomes and innovative pharmacy practices.

POSITION SUMMARY

This position is responsible for leading, coordinating, and developing clinical pharmacy activities and initiatives for the Managed Pharmacy Solutions (MPS) business line within Banner Pharmacy Services (BPS). This includes the creation and management of standard and a customized formularies that will be used by Banner Health’s risk based network partners. Responsible for the creation and maintenance of a Pharmacy and Therapeutics committee using current Banner medical and pharmacy subject matter experts as well as external experts. Responsible for the development, implementation, maintenance and evaluation of clinical quality and utilization management programs designed to lower drug expense while improving quality within the pharmacy benefit programs. Collaborates with internal and external clinical teams to review health plan analytics and various analytic material in order to improve overall medication use and quality. Serves as part of a team that develops and presents complex clinical ideas and strategies to diverse audiences including healthcare professionals, health plans, plan sponsors, and other strategic partners based on sound analytical information to non-medical personnel in an easy to understand format. Oversees a team of pharmacists, pharmacy technicians, and/or support staff to deliver clinical quality and utilization management programs and services. Serves as an integral member of the BPS Managed Pharmacy Solutions team and drives growth strategies in the pharmacy benefit and clinical quality arena.

CORE FUNCTIONS

1. Responsible for leading, coordinating, and developing clinical pharmacy activities and initiatives for the Managed Pharmacy Solutions (MPS) business line within Banner Pharmacy Services (BPS). Works collaboratively with MPS business partners including Banner employee benefits leaders, joint venture payer partners, various PBM teams, Banner Health Network (BHN) providers and staff, Banner Medical Group (BMG) providers and staff and BPS