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Form of workAbout SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
We are seeking a highly skilled and motivated individual to join our team as the Director of Clinical Pharmacy at SCAN. This leadership role provides strategic, tactical, and operational leadership in creating evidenced-based pharmacy care programs instilling and reinforcing SCANs "clinical first" mission and advancing the role of a health plan in providing the right care.
You Will
Clinical Pharmacy Program Development: As the Director, you will be responsible for designing, implementing, managing, and measuring the development of comprehensive Clinical Pharmacy programs. Focusing on optimizing medication management, ensuring appropriate and effective medication utilization, and improving health outcomes for our members.
Multi-Disciplinary Collaboration: You will actively engage as a leader for the I-SNP (Institutional Special Needs Plan) and collaborate with physicians, nurse practitioners, care managers, and behavioral therapists to ensure a patient-centered approach to medication management. Your expertise will contribute to enhancing overall care coordination and treatment outcomes.
Team Management: You will lead and mentor a team of clinical pharmacists. Your guidance will be vital in fostering a collaborative and innovative environment to achieve program objectives.
Utilization Management: Collaborate with cross-functional teams to identify utilization trends and lead specific interventions to manage medical and pharmacy drug utilization and ensure cost-effective and evidence-based medication practices. Your expertise will contribute to maintaining the highest quality of care while managing expenses.
Stars Performance: Work closely with the Pharmacy 5 Star Team to enhance stars performance related to medication adherence and pharmacy measures.
Compliance and Regulatory Oversight: Maintain a thorough understanding of Medicare Advantage regulations, guidelines, and standards related to Pharmacy Services. Ensure that all Clinical Pharmacy program activities are compliant with regulatory requirements.
NCQA: Support organization in pharmacy care program requirements as needed to become NCQA accredited.
Data Analysis and Reporting: Utilize data analytics to evaluate the effectiveness of the Clinical Pharmacy program and identify areas for improvement. Regularly report on program outcomes and collaborate with stakeholders to optimize results.
Stakeholder Collaboration: Foster positive relationships with internal and external stakeholders, including providers, healthcare partners, and pharmacy benefit managers. Collaborate to enhance patient care and overall health plan performance.
Continuous Improvement: Promote a culture of continuous improvement and innovation within the Clinical Pharmacy department. Stay abreast of industry trends and best practices to maintain the organization's competitive edge.
Actively support the achievement of SCAN's Vision and Goals.
Other duties as assigned.
Your Qualifications
Doctor of Pharmacy (PharmD) degree from an accredited institution required.
Active pharmacy license in California required.
Minimum 4 years of experience in Clinical Pharmacy leadership roles, preferably within a Medicare Advantage or managed care setting.
Strong understanding of Medicare Advantage regulations and pharmacy-related quality measures (Stars ratings).
Proven track record of developing and implementing successful Clinical Pharmacy programs.
Excellent leadership, communication, and interpersonal skills.
Proficiency in data analysis and reporting tools.
Ability to adapt to a fast-paced and dynamic healthcare environment.
What's in it for you?
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
#LI-CS2
#LI-Hybrid
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
We are seeking a highly skilled and motivated individual to join our team as the Director of Clinical Pharmacy at SCAN. This leadership role provides strategic, tactical, and operational leadership in creating evidenced-based pharmacy care programs instilling and reinforcing SCANs "clinical first" mission and advancing the role of a health plan in providing the right care.
You Will
Clinical Pharmacy Program Development: As the Director, you will be responsible for designing, implementing, managing, and measuring the development of comprehensive Clinical Pharmacy programs. Focusing on optimizing medication management, ensuring appropriate and effective medication utilization, and improving health outcomes for our members.
Multi-Disciplinary Collaboration: You will actively engage as a leader for the I-SNP (Institutional Special Needs Plan) and collaborate with physicians, nurse practitioners, care managers, and behavioral therapists to ensure a patient-centered approach to medication management. Your expertise will contribute to enhancing overall care coordination and treatment outcomes.
Team Management: You will lead and mentor a team of clinical pharmacists. Your guidance will be vital in fostering a collaborative and innovative environment to achieve program objectives.
Utilization Management: Collaborate with cross-functional teams to identify utilization trends and lead specific interventions to manage medical and pharmacy drug utilization and ensure cost-effective and evidence-based medication practices. Your expertise will contribute to maintaining the highest quality of care while managing expenses.
Stars Performance: Work closely with the Pharmacy 5 Star Team to enhance stars performance related to medication adherence and pharmacy measures.
Compliance and Regulatory Oversight: Maintain a thorough understanding of Medicare Advantage regulations, guidelines, and standards related to Pharmacy Services. Ensure that all Clinical Pharmacy program activities are compliant with regulatory requirements.
NCQA: Support organization in pharmacy care program requirements as needed to become NCQA accredited.
Data Analysis and Reporting: Utilize data analytics to evaluate the effectiveness of the Clinical Pharmacy program and identify areas for improvement. Regularly report on program outcomes and collaborate with stakeholders to optimize results.
Stakeholder Collaboration: Foster positive relationships with internal and external stakeholders, including providers, healthcare partners, and pharmacy benefit managers. Collaborate to enhance patient care and overall health plan performance.
Continuous Improvement: Promote a culture of continuous improvement and innovation within the Clinical Pharmacy department. Stay abreast of industry trends and best practices to maintain the organization's competitive edge.
Actively support the achievement of SCAN's Vision and Goals.
Other duties as assigned.
Your Qualifications
Doctor of Pharmacy (PharmD) degree from an accredited institution required.
Active pharmacy license in California required.
Minimum 4 years of experience in Clinical Pharmacy leadership roles, preferably within a Medicare Advantage or managed care setting.
Strong understanding of Medicare Advantage regulations and pharmacy-related quality measures (Stars ratings).
Proven track record of developing and implementing successful Clinical Pharmacy programs.
Excellent leadership, communication, and interpersonal skills.
Proficiency in data analysis and reporting tools.
Ability to adapt to a fast-paced and dynamic healthcare environment.
What's in it for you?
- Base salary range: $147,900.00to $236,600.00 per year
- Position will be mostly onsite with in office days on Tuesday & Wednesday each week
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Ten paid holidays per year, plus 1 additional floating holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
#LI-CS2
#LI-Hybrid
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
