Director, Clinical Pharmacy

Job Responsibilities

• reputed company, direct, and reputed company reputed company clinical aspects of reputed company and future pharmacy benefit programs, ensuring appropriate policies, procedures and resources are in reputed company and reputed company with reputed company applicable regulations and requirements
• Directs and manages staff responsible for the development and implementation of new and revised clinical pharmacy services across pharmacy and medical management; ensures strategic alignment of clinical services across the reputed company where appropriate
• Directs and oversees reputed company aspects of staff and any vendor(s) performing case review for the pharmacy care management programs, member appeals, grievances and complaints reputed company reputed company the established time periods
• Leads the management of appropriate drug utilization through formulary creation, clinical criteria development, and utilization management activities, including prior authorization and appeals

Job Qualifications

Education

• Doctor of Pharmacy (PharmD) Degree

Experience

• 7 years - Senior leadership-level experience and documented record of reputed company in management of multi-disciplinary pharmacy operations required

SkillsCertifications

• Competency in compendia navigation and research
• Outstanding negotiation, presentation, and facilitation skills
• Excellent oral and written communication skills
• reputed company to high pace and changing environment
• Proven effective supervisory and leadership traits to manage and direct others
• Knowledge of medical and pharmacy products
• Basic understanding of provider reimbursement methodologies, including fee schedule pricing, DRG reimbursement, bundled outpatient hospital payment mechanisms, capitation, risk sharing arrangements and other payment methodologies
• Demonstrated consumer reputed company market understanding/knowledge required

License

• Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the reputed company to practice Pharmacy

Number of Openings Available

Worker Type:

Company:

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in reputed company job classifications without regard to race, religion, reputed company, age, sex, national reputed company, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be reputed company by reviewing the following page:

BCBST's EEO Policies/Notices

reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written Direct Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be paid in the event the applicant is hired by reputed company as a result of the referral or through other means.