Manager, Clinical Pharmacy Float at ArchWell Health in Nashville, TN

Manager, Clinical Pharmacy (FLOAT)

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary:

Reporting to the Senior Director of Clinical Pharmacy, the Manager, Clinical Pharmacy (Float) will be managing clinical programs, providing patient care, and collaborating cross-functionally in a virtual environment to optimize the pharmaceutical care for our members. The Clinical Pharmacy Manager will be responsible for delivering virtual direct patient care for various initiatives around STARS pharmacy measures, overseeing the Central Pharmacy Refill Service, and assisting with other clinical initiatives, including Medication Therapy Management or electronic Prior Authorization, as needed. The individual will interface with various internal teams. An ideal candidate will have a deep understanding of Medicare Advantage prescription benefits, possess strong clinical knowledge, and be driven by a passion for improving medication access for seniors.

Duties/Responsibilities:
• Complete virtual/telephonic outreach with members regarding STARS Statin measures and other clinical initiatives
• Monitor CMS STARS Medication Adherence measures/Statin measures over several health plans
• Oversee and optimize Central Pharmacy Refill Service workflow as needed
• Complete virtually direct patient care with MTM services
• Hire and provide oversight of Pharmacy Technicians, including maintaining training and periodic competency evaluation
• Develop relationships with various internal teams throughout program execution
• Develop provider education on pharmacy topics as needed
• Assist with other pharmacy departmental initiatives, including MTM and ePA, as they become available
• Additional duties, as assigned

Required Skills/Abilities:

• Medicare Advantage experience in CMR STARs pharmacy measures
• Experience with Electronic Medical Records
• Advanced knowledge of ICD-10, CPT, and HCPCS codes
• Proficient with Microsoft Office Suite products including Word, Outlook, PowerPoint, and Excel
• Experience in developing and maintaining policies and Standard Operating Procedures
• Ability to work effectively and respectfully with various seniorities and diverse populations including members, staff, providers, and family members
• High degree of emotional intelligence and integrity, resilient and focused work ethic, with adaptability to handle frequent changes with a positive attitude
• Self-starter with the ability to think creatively and work effectively
• Ability to travel to various markets on occasion for company meetings and/or provide clinical education

Education/Experience:
• Bachelor’s Degree from an accredited college of Pharmacy required, PharmD preferred
• A valid, active pharmacy license in state of employment, required
• A minimum of 1 year of experience in clinical pharmacy (managed care or clinic setting)
• PGY-1 residency, especially in managed care, preferred
• Experience with medication protocols, preferred
• Embodies and serves as a role model of ArchWell Health’s Values:
◦ Be compassionate
◦ Strive for excellence
◦ Earn trust
◦ Show respect
◦ Stay resilient
◦ Always do the right thing

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.