Medicaid Pharmacy Director

Salary: $72.79 - $125.23 Hourly
Location : Salt Lake County, UT
Job Type: Full Time
Job Number: 38821
Agency: 250 Health & Human Services
Unit: 3120 DHHS DIH Healthcare Policy & Authorization
Opening Date: 12/20/2023
Closing Date: Continuous
FLSA: Exempt
Recruiter: Angie Rhodes
# of Openings: 1
Background Check: You must successfully pass a criminal history check.
Location: Cannon Health Building288 North 1460 WestSalt Lake City UT 84116 The Utah Department of Health and Human Services, Cannon Health Building is proud to be a tobacco free campus.
Schedule Code: AX - Employees in supervisory positions - This is a career service exempt at will position.
Benefits: This position is eligible for a full benefits package. See benefits tab below for details.
EEO Statement: The State of Utah is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. For accommodations, dial 711 or TTY: 800-346-4128.
Job Description
Are you a Pharmacist with management experience interested in leading the Medicaid Pharmacy team at the Utah Department of Health and Human Services?
The Division of Integrated Healthcare is seeking a Pharmacy Director to perform the following duties: Supervising and managing people and programs; manage the day-to-day activities of the Medicaid pharmacy program including coverage of drugs; quantities; new drugs; and explanation to providers and clients; developing, implementing and maintaining pharmacy clinical programs including: drug utilization board, prior authorization, and peer-to-peer education; working in a clinical pharmacist role in an evidence-based, outcome driven setting; evaluating clinical practice updates and applying them to policy decision-making and system operations; analyzing and interpreting medical and pharmacy claims data to identify potential opportunities for improving the pharmacy program; and understanding the Medicaid Pharmacy program requirements.
Ideal Candidate:

• Must have active Utah Pharmacist license in good standing and without restrictions
• PharmD with residency training
• Clinical practice experience
• Experience working for a state Medicaid program
• Managed health care experience
• Pharmacy benefits management experience
• Excellent communication and interpersonal skills
• Ability to analyze data and use evidence-based practices to inform decision-making
• Commitment to improving the health and well-being of Medicaid members in Utah

Why work for the Utah Department of Health and Human Services?

• On-site fitness center, for a minimal membership fee
• UTA Eco Pass, at a discounted monthly rate
• Teleworking opportunities
• On-site day care center at the Cannon Health Building with First Steps Day Care - contact for rates and availability, 801-538-6996

For more information on the Utah Department of Health and Human Services, please click here
If offered this position, your employment will be contingent upon passing a background check and review. There will be no cost to you for this check. This check will include fingerprinting, which will be available at various DHHS locations for your convenience. Fingerprinting will be completed prior to your first day of employment. You may review the policy by clicking here.
Example of Duties

• Supervise and manage people and programs, ensuring compliance with all applicable policies, procedures and Medicaid standards
• Manage the day-to-day activities of the Medicaid pharmacy program including coverage of drugs; quantities; new drugs; and explanation to providers and members
• Develop, implement and maintain pharmacy clinical programs including: drug utilization review board, prior authorization, and peer-to-peer education
• Evaluate clinical practice updates and apply them to policy decision-making and system operations
• Analyze and interpret medical and pharmacy claims data to identify potential opportunities for improving the pharmacy program
• Administer managed care programs
• Communicate information and ideas clearly, and concisely
• Develop, implement and track assigned projects based on given due dates
• Coordinate with wide variety stakeholders including medical and mental health policy team and providers
• Develop competence assessment programs that ensure all pharmacy staff performs all duties and responsibilities with utmost efficiency and safety

Supplemental Information

• Risks found in the typical office setting, which is adequately lighted, heated and ventilated, e.g., safe use of office equipment, avoiding trips and falls, observing fire regulations, etc.
• Typically, the employee may sit comfortably to perform the work; however, there may be some walking; standing; bending; carrying light items; driving an automobile, etc. Special physical demands are not required to perform the work.

Benefits:
The State of Utah offers eligible employees a variety of benefits including medical, dental, life and disability insurance, as well as a comprehensive leave program. Please click the following link for a detailed information page: To access a Total Compensation Calculator in Excel format click
FMLA General Notice:
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01
Your answers to the questions on this posting must be supported by the duties, experience, andinformation listed in your profile's work and education history, not your resume. Please select "YES" to indicate you understand the validity of your claims will be based upon information contained within your application, not your resume. Unsubstantiated claims, exclusion of information, or incomplete answers may result in the disqualification of your application or of the question. Entering "see resume" will be considered an incomplete answer.

• Yes

02
Please indicate how you heard about this specific job posting.

• State of Utah job site (www.governmentjobs.com/careers/utah)
• Referred by a Friend or Family
• Indeed
• Other External Job Board or Site
• LinkedIn
• Social Media (Facebook, Twitter, etc.)
• DWS job website (www.jobs.utah.gov)
• Advertisement (Digital Ad, Billboard, Print, etc.)
• Professional Network (Association, Membership, Work Colleague)
• University Network (Handshake, School Job Board, Career Center, etc.)
• Contacted by a Recruiter
• Career or Job Fair
• Internship
• Interviewed for different position
• Internal communications (Agency/Division, etc.)
• Jobwise
• Other (not listed above)

03
In applying for this position, I understand that any offer of employment would be contingent upon me successfully completing a background screening as per the Utah Department of Health and Human Services Background Screening Policy. Link to the policy can be found in the job description.

• Yes

04
Are you currently licensed as a Pharmacist in the state of Utah, without any restrictions?

• Yes
• No

05
Please provide your Pharmacist license number and expiration date.
06
Are you a PharmD?

• Yes
• No

07
Please indicate your years of professional experience as a supervisor, including hiring, disciplinary or correction action, performance management and termination.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

08
Please indicate your years of professional experience as a Pharmacist.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

09
Please indicate your years of clinical practice experience.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

10
Please indicate your years of experience working for a state Medicaid program.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

11
Please indicate your years of professional Managed Health Care experience.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

12
Please indicate your years of Pharmacy benefits management experience.

• No experience
• Less than 1 year
• 1-2 years
• 3-4 years
• 5 or more years

Required Question