Manager Health Outcomes Pharmacy - Highmark Health
Nashville, TN
About the Job
Company :
Highmark Inc.
Job Description :
JOB SUMMARY
This job manages a team of Population Health Pharmacists and support 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. Determines team deployment plan and maintains 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 supportoverall 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
+ Doctorate in Pharmacy
Substitutions
+ None
Preferred
+ None
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
Preferred
+ None
LICENSES or CERTIFICATIONS
Required
+ Registered Pharmacist
Preferred
+ None
SKILLS
+ Analysis of business problems/needs
+ Analytical and Logical Reasoning/Thinking
+ Building and Leading Teams
+ Business Process Management
+ Coaching
+ Communication Skills
+ Management
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Frequently
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
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. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
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. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252800
Highmark Inc.
Job Description :
JOB SUMMARY
This job manages a team of Population Health Pharmacists and support 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. Determines team deployment plan and maintains 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 supportoverall 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
+ Doctorate in Pharmacy
Substitutions
+ None
Preferred
+ None
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
Preferred
+ None
LICENSES or CERTIFICATIONS
Required
+ Registered Pharmacist
Preferred
+ None
SKILLS
+ Analysis of business problems/needs
+ Analytical and Logical Reasoning/Thinking
+ Building and Leading Teams
+ Business Process Management
+ Coaching
+ Communication Skills
+ Management
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Frequently
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Frequently
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
_Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
_Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
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. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
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. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( _https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf_ )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J252800
Source : Highmark Health
