Address
Form of work
SalaryJob Description
Pharmacy Director
Medicare Advantage Plan
Miami, Florida
On-site w/ some local travel
The Pharmacy Director is responsible for analyzing, planning, and implementing pharmaceutical utilization and operational initiatives for quality measures and improvements. The Pharmacy Director is tasked with formulating healthcare strategies to drive efficiency and accuracy in the department. The individual in this role should serve as a reliable subject matter expert and resource to the organization.
Requirements
Annual Salary $140K-$160K, plus PTO, Benefits, Holidays, and more
Apply
Please submit your resume in a word document. Please include your experience, specifically the Pharmacy side of managed care. Please list the month and year for each employment. You will be contacted by a ttg Talent Solutions recruiter by email/phone to arrange a phone interview. Monitor your messages.
At ttg, “We believe in making a difference One Person at a Time,” ttg OPT
Medicare Advantage Plan
Miami, Florida
On-site w/ some local travel
The Pharmacy Director is responsible for analyzing, planning, and implementing pharmaceutical utilization and operational initiatives for quality measures and improvements. The Pharmacy Director is tasked with formulating healthcare strategies to drive efficiency and accuracy in the department. The individual in this role should serve as a reliable subject matter expert and resource to the organization.
Requirements
- Bachelor’s in Pharmacy or PharmD and 6 years of experience as a practicing pharmacist
- Minimum of five 5 years experience working with managed care and pharmacy benefit management
- Must be registered and in good standing with the Florida Department of Health, Florida Board of Pharmacy
- Experience with Managed Care Organizations preferred or understanding of managed care pharmaceutical operations and benefits
- Knowledgeable in managed Medicare and Medicaid pharmaceutical benefits and operations
- Thorough understanding of HEDIS and pharmacy-related quality metrics
- Excellent expertise in pharmacy claims data and financial data
- Strong knowledge of electronic medical record systems
- Provides guidance and recommendations as related to, medical center pharmacy coordinators, network pharmacies, medical centers/clinics, PBM, PCPs and Health Plans Part D program
- Conducts data analysis to proactively identify quality and cost performance improvement opportunities
- Develops effective strategies targeted to enhance provider pharmacy utilization performance, cost and quality measures
- Develops and distributes educational materials for best practices and opportunities for cost management and improvement in pharmaceutical
- Ensures that reporting and data submissions are submitted correctly and within predetermined timelines, including submissions made to governing agencies.
- Applies medical claim and prescription data to produce recommendations for Medication Therapy Management Program (MTMP).
- Collaborates with providers or members, as needed, in utilizing Plan formularies to guide appropriate medication recommendations.
- Develops strong working relationships with providers and communicates drug utilization reviews and clinical pharmacy programs
- Leads immunization campaigns, processes and purchasing
- Maintains current knowledge of pharmacy industry
- Adheres to company policies and procedures including all HIPAA guidelines/regulations
Annual Salary $140K-$160K, plus PTO, Benefits, Holidays, and more
Apply
Please submit your resume in a word document. Please include your experience, specifically the Pharmacy side of managed care. Please list the month and year for each employment. You will be contacted by a ttg Talent Solutions recruiter by email/phone to arrange a phone interview. Monitor your messages.
At ttg, “We believe in making a difference One Person at a Time,” ttg OPT
