Martin's Point Health Care

Pharmacist

• Provides strategic and operational leadership for the Pharmacy division
• Directs the full scope of pharmacy operations, including formulary management, prior authorizations, formulary exceptions, medication adherence, patient accounting, billing practices, vendor billing oversight, and daily systems operations
• Ensures Pharmacy division readiness for payer, regulatory, contractual, and accreditation requirements
• Prepares for the CMS Medicare Advantage bid process and ensures compliance with vendor, payer, federal, state, and accreditation standards
• Establishes and oversees pharmacy performance metrics, data analysis, and quality improvement initiatives
• Ensures pharmacy-related policies are clinically sound with EBM criteria and appropriate utilization management activities
• Partners across Pharmacy, Finance, Nursing, Medicine, Population Health, Practice, and other divisions
• Provides leadership for pharmacy technology, systems optimization, and workforce planning
• Oversees technology assessment, software testing and implementation, operational system enhancements, staffing model development, and recruitment planning
• Serves as primary representative and spokesperson for the Pharmacy division
• Builds internal and external relationships with patients, members, providers, and other stakeholders
• Provides guidance on pharmacy market trends, legislative and regulatory developments, and consultant deliverables

VP Pharmacy Services