This job manages a team of Population Health Pharmacists and supports the team in the implementation and execution of the Population Health Pharmacy Strategy. Manage team efforts to improve provider performance under value-based reimbursement contracts, STARs performance, HEDIS performance, Risk Adjustment documentation, and any other risk-based contracts developed by Highmark, Inc. The incumbent will report to the Director of Value-Based and Population Health Pharmacy.
ESSENTIAL RESPONSIBILITIES
- Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.
- Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as necessary; may have budgetary responsibility and authority.
- Develop and execute employee engagement plan for team including assessment of team skills and performance.
- Determine continuous improvement and training programs for team. Maintain team performance dashboards and development performance improvement efforts when necessary.
- Implement the team's strategy under the direction of department Director for improving provider scores on metrics related to pharmacy under the VBR contracts.
- Determine team deployment plan and maintain team provider assignments.
- Serve as business lead for assigned department initiatives including but not limited to department C2V efforts, development and execution of population health pharmacy playbook, and management of pharmacy students.
- Work in a matrixed fashion with Highmark, Inc's pharmacy department to support overall health plan pharmacy and VBR efforts. Includes coordination, collaboration, and communication with other enterprise pharmacy departments on correlating initiatives.
- Other duties as assigned.
EDUCATION
Required
EXPERIENCE
Required
- 5 - 7 years in a Pharmacy role
To Include:
- 3 - 5 years with Payer and/or Provider
- 3 - 5 years in a Management role
LICENSES or CERTIFICATIONS
Required
SKILLS
- Analysis of business problems/needs
- Analytical and Logical Reasoning/Thinking
- Building and Leading Teams
- Business Process Management
- Coaching
- Communication Skills
- Management
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Teaches / trains others regularly: Frequently
Travel regularly from the office to various work sites or from site-to-site: Occasionally
Physical work site required: No
Lifting: up to 10 pounds: Frequently
Lifting: 10 to 25 pounds: Occasionally
Lifting: 25 to 50 pounds: Rarely
Pay Range Minimum:
$92,300.00
Pay Range Maximum:
$170,800.00
Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law.
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