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ArchWell Health

Manager, Clinical Pharmacy Float

nashville, TN

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About this opportunity

ArchWell Health lists this Manager, Clinical Pharmacy Float opportunity in nashville, Tennessee. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Manager, Clinical Pharmacy (FLOAT)

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary:

Reporting to the Senior Director of Clinical Pharmacy, the Manager, Clinical Pharmacy (Float) will be managing clinical programs, providing patient care, and collaborating cross-functionally in a virtual environment to optimize the pharmaceutical care for our members. The Clinical Pharmacy Manager will be responsible for delivering virtual direct patient care for various initiatives around STARS pharmacy measures, overseeing the Central Pharmacy Refill Service, and assisting with other clinical initiatives, including Medication Therapy Management or electronic Prior Authorization, as needed. The individual will interface with various internal teams. An ideal candidate will have a deep understanding of Medicare Advantage prescription benefits, possess strong clinical knowledge, and be driven by a passion for improving medication access for seniors.

Duties/Responsibilities:

Complete virtual/telephonic outreach with members regarding STARS Statin measures and other clinical initiatives

Monitor CMS STARS Medication Adherence measures/Statin measures over several health plans

Oversee and optimize Central Pharmacy Refill Service workflow as needed

Complete virtually direct patient care with MTM services

Hire and provide oversight of Pharmacy Technicians, including maintaining training and periodic competency evaluation

Develop relationships with various internal teams throughout program execution

Develop provider education on pharmacy topics as needed

Assist with other pharmacy departmental initiatives, including MTM and ePA, as they become available

Additional duties, as assigned

Required Skills/Abilities:

Medicare Advantage experience in CMR STARs pharmacy measures

Experience with Electronic Medical Records

Advanced knowledge of ICD-10, CPT, and HCPCS codes

Proficient with Microsoft Office Suite products including Word, Outlook, PowerPoint, and Excel

Experience in developing and maintaining policies and Standard Operating Procedures

Ability to work effectively and respectfully with various seniorities and diverse populations including members, staff, providers, and family members

High degree of emotional intelligence and integrity, resilient and focused work ethic, with adaptability to handle frequent changes with a positive attitude

Self-starter with the ability to think creatively and work effectively

Ability to travel to various markets on occasion for company meetings and/or provide clinical education

Education/Experience:

Bachelor's Degree from an accredited college of Pharmacy required, PharmD preferred

A valid, active pharmacy license in state of employment, required

A minimum of 1 year of experience in clinical pharmacy (managed care or clinic setting)

PGY-1 residency, especially in managed care, preferred

Experience with medication protocols, preferred

Embodies and serves as a role model of ArchWell Health's Values:

Be compassionate

Strive for excellence

Earn trust

Show respect

Stay resilient

Always do the right thing

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.

Worksite address

nashville, TN, 37247, US

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