Director, Pharmacy - Drug Quality Program
Key Skills for This Role
Full Job Posting
Your Role
- The Clinical Pharmacy Programs team within the Pharmacy Strategy & Operations department is a team of pharmacy professionals responsible for defining and executing strategies to address clinical quality and affordability of prescription medications used by Blue Shield of California (BSC) members. The Director, Pharmacist - Drug Quality Program, will report to the Senior Director, Clinical Pharmacy Programs. In this role, you will be responsible for performance on quality measures that address medication-related safety, health outcomes, and member experience related to accessing needed prescription drugs.
- Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
- Your Work In this role, you will:
- Collaborate with enterprise business partners to continuously improve upon the strategy to address drug related quality and member experience measures, including Part D measures in the Medicare Star Ratings system, and those that apply for non-Medicare members
- Oversee assessment of factors that impact quality performance and health outcomes using a results- and data-driven approach; monitor and report on program performance to enterprise stakeholders and executives
- Oversee a multi-lever, multi-channel roadmap and workplan of programs, initiatives, and tactics that are aligned to BSC’s clinical strategy, that meet enterprise quality and member experience goals, and that comply with regulatory and accreditation requirements
- Drive technology and vendor capabilities that improve operational efficiencies and enable program performance at the highest levels
- Network with industry leaders to identify best practices and innovations that improve outcomes for BSC members
- Lead according to BSC leadership behaviors and implement action plans that support employee engagement and high performing teams across the business unit and for your team
- Serve as a key leadership stakeholder in Pharmacy operations, benefit & formulary design, and drug utilization management
- Your Work
- In this role, you will:
Qualifications
- Your Knowledge and Experience
- Requires Doctor of Pharmacy (PharmD) degree from an accredited school of pharmacy in the U.S.
- Requires a current active and unrestricted California Registered Pharmacist (RPH) license
- Requires 10 years of prior relevant experience
- Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports
- Knowledge of national and California state quality rating systems; and applicable state, federal, and quality accreditation standards
- Excellent written and verbal communication skills
- Advanced clinical pharmacy practice and experience in managed care or health plan pharmacy business functions
- Advanced proficiency in data analytics, including use of pharmacy claims data, and designing key performance metrics
- Advanced proficiency in computer skills including but not limited to Microsoft applications
- Hybrid
- This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
- This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.
- Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.
About BSC
Nonprofit California health plan providing insurance coverage to individuals, families, employers, and public-program members.
Visit company websiteApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at BSC
Product Manager - Principal, Stellarus
Oakland, USA
Your Role The Product Management team drives the strategy and delivery of digital solutions that empower members to make informed healthcare decisions. Your work will shape how millions of members access and understand t
Product Manager, Associate, Stellarus
Oakland, USA
Your Role The Product Management team drives the strategy and delivery of digital solutions that empower members to make informed healthcare decisions. Your work will shape how millions of members access and understand t
Director, Product Management, Personalization
Oakland, USA
Your Role Reporting to the Senior Director, the role of Director, Product Management, Personalization is critical to advancing Blue Shield of California’s member engagement, personalization, and digital transformation go
Sr. Manager, Program and Project Management (Pharmacy Operations and Stabilization)
Long Beach, USA
Your Role The Pharmacy Operations and Stabilization team provides management and end to end oversight of all Pharmacy benefit intent, quality assurance, testing, and production stabilization activities ensuring benefit c
Contingent Workforce Management, Principal
Oakland, USA
Your Role This role supports the Ascendiun Family of Companies. The People & Engagement Strategy & Planning team advances the enterprise strategy for being a great place to work, human capital planning, financial managem
Actuarial Analyst, Consultant
Oakland, USA
Your Role The Pharmacy Finance Analytics team provides analytics and actuarial support for pharmacy pricing, trend, forecasting, rebate analysis, formulary strategy, and financial performance. The Actuarial Analyst, Cons
Pharmacist, Principal
Long Beach, USA
Your Role The Formulary Strategy and Pharmacy & Therapeutics team is responsible for formulary development, clinical evaluation of drugs, and support of the Pharmacy & Therapeutics (P&T) process to advance clinically app
Sr. Manager, Medical Informatics - Utilization Management Analytics
Long Beach, USA
Your Role The Healthcare Quality Affordability (HQA) Analytics team plays a key role in discovering information hidden in vast amounts of data that can lead to smarter decisions and deliver better service for our custome
Product Manager - Principal, Stellarus
Oakland, USA
Product Manager, Associate, Stellarus
Oakland, USA
Director, Product Management, Personalization
Oakland, USA
Sr. Manager, Program and Project Management (Pharmacy Operations and Stabilization)
Long Beach, USA
Contingent Workforce Management, Principal
Oakland, USA
Actuarial Analyst, Consultant
Oakland, USA
Pharmacist, Principal
Long Beach, USA
Sr. Manager, Medical Informatics - Utilization Management Analytics
Long Beach, USA