Director, Pharmacy Job in Long Beach 90745, California US
Director, Pharmacy
Responsible for monitoring drug utilization patterns for Molina Healthcare. Assists in the development, implementation and supervision of programs to promote cost-effective pharmacotherapy.
Duties and Responsibilities:
- Reviews member, physician, pharmacy and drug utilization reports. Identifies trends affecting the pharmacy budget. Requests, reviews and summarizes ad hoc reports as required. Provides regular summaries of activities to Chief Medical Officer.
- Responsible for formulary development and maintenance. Coordinates Pharmacy and Therapeutics Committee. Participates in the evaluation of new drug products.
- Develops criteria for reviewing prior authorization requests. Assists in the review of prior authorization requests and overseesthe approval and denial of such requests.
- Selects and maintains appropriate pharmacy reference resources. Researches and references drug therapy related questions.
- Recommends and implements appropriate actions and educational programs to influence prescribers. Ensures systems are in place to monitor results. Participates in Quality Improvement and Health Education programs related to pharmacy, including NCQA and DCS required programs. Participates in management committee meetings.
- Participates in provider meetings as required.
- Performs audits as required of patient charts, provider sites and pharmacies.
- Perform other duties as assigned.
- Complies with workplace safety standards
State Plan / Department Specific Duties and Responsibilities:
- Ensures compliance with quality, legal, regulatory and HIPPA required rules and activities.
- Establish effective working relationship with PBM for reporting and oversight.
Knowledge, Skills and Abilities:
- Ability to accurately assess and retrieve information from database.
- Ability to accurately input information from database.
- Good judgment and common sense while interfacing with outside contacts and performing job functions.
- Ability to maintain courteous, professional, business like manner.
- Ability to manage multiple simultaneous projects and prioritize functions.
- Good organizational skills.
- Excellent verbal and written communication skills
- Ability to abide by Molina’s policies
- Maintain regular attendance based on agreed-upon schedule
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
- Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers
- Other duties as assigned
QUALIFICATIONS
Required Education
- Doctorate in Pharmacy (PharmD) Completion of ASHP – approved residency program is preferred
Preferred Education
- Completion of ASHP-approved residency program
Required Experience
- Minimum of 2 years in the health care industry or equivalent experience in managed care and/or retail pharmacy is preferred
- Prior experience in the oversight of projects and managing people is desired
- Must have prior work experience with vendors, outside contacts and other health care professionals to accomplish responsibilities
- Knowledge of computer data extracting methods
- Strong knowledge of pharmacological management of chronic disease states
Preferred Experience:
- 5 years Managed Care experience
Required Licensure/Certification
- Licensed to practice Pharmacy in the State
- Must be free of sanctions from Medicaid or any other government program and without restrictions that would affect job performance
Molina Healthcare is an Equal Opportunity Employer. (EOE). M/F/V/D
See Job Description
January 31, 2012
• Tags: California Us, Director, Pharmacy Job in Long Beach 90745 • Posted in: General