Director, Clinical Pharmacy
hace 5 días
Fresno
CareMore Health is a physician-founded and physician-led organization that has been transforming care delivery since 1992. With 25 clinics, 65,000+ members and partnerships with 30+ health plans, we’ve built a reputation for delivering exceptional, integrated healthcare experiences to Medicare, Medicaid, and group or private plan members. Our mission is simple: to improve health outcomes by delivering a transformative and integrated healthcare experience impacting physical, social and emotional well-being. Cultivating life-long relationships with patients, grounded in compassion and unwavering dedication to excellence in care, we’ve built care teams around our patients’ needs — including doctors, nurse practitioners, case managers, community health workers, social workers, pharmacists and specialists, all working together to produce the best outcomes possible. This people-first, value-based model ensures physicians can practice medicine the way it was meant to be practiced — with time to connect, collaborate, and truly care for patients. Position Summary: The Director, Clinical Pharmacy provides strategic and operational leadership for pharmacy medical management initiatives that improve healthcare quality, cost-effectiveness, and outcomes. This role ensures pharmacy programs align with the organization’s mission to optimize medication use and support value-based care. The Director collaborates with internal and external stakeholders—including physicians, nurses, pharmacists, and leadership—to drive clinical, financial, and operational performance through evidence-based medication management and innovative pharmacy models. Key Responsibilities: Clinical Strategy & Program Leadership • Develop and execute clinical pharmacy strategy aligned with value-based care and population health., • Integrate pharmacy programs into workflows across primary care, specialty care, care management, and utilization management., • Lead initiatives such as chronic disease management, medication therapy management (MTM), transitions of care, site of care, deprescription, and comprehensive medication reviews., • Establish evidence-based protocols, formulary strategies, and quality improvement programs., • Collaborate with providers to optimize prescribing and reduce medication-related adverse events., • Provide input on pharmacy payment integrity initiatives Operations & Compliance • Manage clinical pharmacy staff: hiring, training, performance, and development., • Ensure compliance with state/federal regulations, accreditation standards, and payer requirements., • Oversee departmental budgets, performance metrics, and operational reporting., • Monitor quality of care and regulatory compliance. Data, Analytics & Performance • Use EMR, pharmacy analytics, and population health tools to guide decisions and measure impact., • Support value-based contracts and quality metrics (e.g., HEDIS, STAR, CMS)., • Collaborate with IT and analytics teams to enhance clinical decision support and medication data integration., • Identify high-risk pharmacy claims and trends through data systems. Stakeholder Engagement & External Relations • Serve as liaison between pharmacy services, care teams, and administrative departments., • Represent pharmacy leadership on committees focused on quality, formulary, and patient safety., • Build relationships with external partners: payers, PBMs, suppliers, and academic institutions. Qualifications: Education & Licensure • BS in Pharmacy and PharmD required., • Active pharmacist license in good standing (state-specific)., • Postgraduate training preferred., • Board certification (e.g., BCPS, BCACP, BCGP) strongly preferred. Experience • 8–10 years of progressive pharmacy experience, including 3–5 years in clinical leadership., • Proven success in developing pharmacy programs within health systems, ACOs, or integrated care organizations., • Experience with population health, value-based care, and pharmacy analytics. Skills & Competencies • Expertise in clinical therapeutics, formulary management, and quality improvement., • Strong leadership and change management skills., • Excellent communication, collaboration, and data-driven decision-making., • Strategic thinker with operational excellence and innovation mindset. Performance Metrics • Improvement in medication adherence and clinical outcomes., • Reduction in total cost of care and medication-related utilization., • Achievement of quality metrics (e.g., HEDIS, STAR, CMS)., • Provider and patient satisfaction., • Budget and productivity targets met or exceeded.