Address
Form of work
SalaryThe work we do matters!
Hiring Agency:
Health & Human Services - Agency 25Location:
Hiring Rate:
Classification Salary Range:
Job Posting:
Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):
Job Description:
You have the passion, we have the opportunities - let's make a difference for Nebraskans!
Examples of Work
The Medicaid Pharmacy Director:
- Provides daily management for the MLTC Pharmacy Program of over $250,000,000, including oversight of and support for the operation of the Heritage Health Managed Care Organizations' pharmacy benefit.
- Provides oversight to the MCO pharmacy programs relative to the Heritage Health contract requirements,
- Ensures compliance with complex CMS rules, state regulations, and general provisions of the Pharmacy Program.
- Interprets departmental policies, regulations, and federal guidance governing pharmaceutical services.
- Manages the Drug Utilization Review (DUR) contract and provides oversight of the DUR program and functions.
- Manages pharmacy participation in the health management program involving utilization and care management strategies relative to the model of population health.
- Interacts with the data and analytic team and medical director to support evidenced based care.
- Assists in developing programs, policies and procedures for the coverage of, dispensation, payment, and rebating of pharmaceuticals for Medicaid clients.
- Reviews practices and policies to ensure compliance and assists with audits.
- Conducts and participates in meetings to review and communicate Medicaid program needs.
- Supervises pharmacy staff and acts as liaison between pharmacy providers, pharmaceutical manufacturers or associations and the Department of Health and Human Services.
Requirements / Qualifications
Minimum Qualifications: Graduation from an accredited school of pharmacy and licensed to practice pharmacy in the State of Nebraska, plus four years of full-time experience as a licensed pharmacist
Preferred Qualifications: Experience with population health and care management protocol development.
Residency training preferred.
Experience with managed care organizations and pharmacy benefit managers a plus.
Surveillance and auditing with data analytic experience is preferred.
Residency training preferred.
Experience with managed care organizations and pharmacy benefit managers a plus.
Surveillance and auditing with data analytic experience is preferred.
Knowledge / Skills / Abilities
Knowledge of: The professional principles and practices of pharmaceutics, pharmaceutical economics, federal and state laws regulating the practice of pharmaceutics and Medicaid policies and procedures with regards to pharmaceutical practice.
Skill and Ability to: Collaborate with the managed care organizations and other stakeholders to support quality initiatives and effective utilization of pharmacy services relative to population heath and the quadruple aim. Ability to develop standards for use in policy determination and setting of regulations governing the prescribing, dispensing and payment of drugs in the public welfare program, make a detailed analysis of pharmaceutical services and recommend a course of action, express ideas effectively orally and in writing, establish and maintain effective working relationships with professional and lay personnel at various levels inside and outside the Division.
Benefits
We offer a comprehensive package of pay, benefits, paid time off, retirement and professional development opportunities to help you get the most out of your career and life. Your paycheck is just part of your total compensation.
Equal Opportunity Statement
The State of Nebraska values our teammates as well as a supportive environment that strives to promote diversity, inclusion, and belonging. We recruit, hire, train, and promote in all job classifications and at all levels without regard to race, color, religion, sex. age, national origin, disability, marital status or genetics.
Current employees of the State of Nebraska should NOT apply on this external career. Instead go to Workday and access the Jobs Hub - Internal Apply app from your home landing page.
Instructions for Applying
Important points to remember when applying:
- The employment application is required and is the primary source of information used to determine if you meet the minimum requirements of the job.
- Make sure your application is complete. Incomplete applications are rejected.
- You will not be allowed to change your application after you have applied for a position and you cannot re-apply for the the same position unless it is posted again.
- You have the opportunity to attach a resume; however, it should not be used to replace any information asked for on the official application.
- When you have successfully applied for a job, you will receive a confirmation on the screen and your application will be available on your Candidate Home page.
We encourage you to use the Search for Jobs feature to find jobs that are available in a particular location or a job that matches your work experience.
Applicants who need accommodation in the selection process should request this in advance. Requests can be made by contacting the Nebraska State Personnel Office 1526 K Street, Suite 100, Lincoln, NE. (402)471-2075.
These positions are subject to application of Veterans' Preference.
