Clinical Quality Supervisor, Pharmacy

The Clinical Quality Supervisor, Pharmacy, is responsible for ensuring that pharmacy services under their control are cost-effective and meet organizational expectations. This position involves planning, organizing, directing, controlling, monitoring, and evaluating the professional components of pharmacy services. The manager facilitates program development, takes the lead on projects, and oversees the strategy and vision for the pharmacy program. They are accountable for the overall operation of the pharmacy, which includes daily administrative tasks and financial performance. This role supports the organization's values through providing quality customer service, fostering teamwork, upholding integrity, respecting others, and prioritizing patient safety.

 

Essential Duties and Responsibilities:

1. Ensure the quality of pharmacy operations through effective management of daily administrative tasks and financial performance.
2. Manage the internal team on initiatives that impact STARS and HEDIS Part D metrics.
3. Identify, oversee, and optimize operational needs, including collecting and analyzing metrics, developing internal reports, and establishing standard operating procedures.
4. Actively participate in the pharmacy management team's strategic planning, contributing significantly to business plans, communication strategies, objectives, budget, and other resource plans.
5. Make independent decisions that significantly affect daily workflow, business processes, resource utilization, and functional product support activities and projects.
6. Evaluate medication adherence, chronic disease medication access, and other pharmacy-related aspects linked to STARS.
7. Develop, guide, and inspire direct reports to achieve objectives that support the department's strategic initiatives.
8. Identify, recruit, hire, develop, and retain talent for the managed care quality pharmacy team. Allocate and schedule staff effectively to ensure timely and safe patient-centered care.
9. Ensure effective collaboration with all stakeholders to optimize business operations, schedule projects promptly, achieve objectives, and address any issues that arise.
10. Perform all other duties as assigned by management.

11.Other work-related duties may be assigned by the supervisor/manager. Duties and responsibilities may be modified, added, or removed at any time at the discretion of management, either formally or informally, in writing or verbally.

 

 

The pay range for this position at commencement of employment is expected to be up to $145,000 - $150,000 /year depending on experience; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

 

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

 

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

 

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

 

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

 

Full Time Position Benefits:

 

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

 

Our dedication to our staff is evident in our comprehensiv