Directing the development, maintenance and on-going oversight for clinical and operational programs and processes for enterprise pharmacy government programs of Medicare with a focus on PDE Stars
Collaborating with management and professional staff within HCSC and with external health care providers to improve quality of healthcare, optimize health outcomes and improve the cost of care.
Requirements
Registered Pharmacist in the state
Corporate Pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, Pharmacoeconomics; or pharmacy quality improvement processes/techniques
Knowledge of medication use evaluation principles
Drug information skills
Analytical skills
Experience using window-based word processing, spreadsheets and relational database software
Verbal and written communications skills
Ability to remain at a workstation and perform computer entry for long periods of time, as required
Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.
Extensive knowledge of the CMS Star Rating System, including Part D Measures
Extensive knowledge of pharmacy claims data, along with a working knowledge of other health plan data, such as eligibility and medical claims
Strong project management, organizational, analytical, communication, and relationship management skills
Must be able to manage ambiguity and work in fast-paced environment