Sr. Specialist-Pharmacy Contracts – Sharp System Pharmacy Services – Day Sh at Sharp Healthcare
San Diego, California, USA -
Full Time


Start Date

Immediate

Expiry Date

26 Oct, 25

Salary

81.33

Posted On

26 Jul, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Health Insurance, Ambulatory Care, Medicare Part D, Medicaid, Managed Care

Industry

Pharmaceuticals

Description

WEEKEND REQUIREMENTS:

As Needed

REQUIRED QUALIFICATIONS

  • 3 Years experience in a hospital, ambulatory care and/or managed care pharmacy environment.
  • California Pharmacist License - CA State Board of Pharmacy -REQUIRED

PREFERRED QUALIFICATIONS

  • 3 Years experience with managed care, PBM and/or Medicare Part D, Medicaid, Commercial Health Insurance.
  • Experience with Oncology drugs
Responsibilities

WHAT YOU WILL DO

Lead and manage enterprise initiatives that support pharmaceutical contracting, procurement, distribution, utilization and reimbursement in the hospital and ambulatory care settings resulting in cost savings to the system.

ESSENTIAL FUNCTIONS

  • Leadership and CollaborationConsistently demonstrates self-motivation, cooperation, teamwork, initiative and flexibility toward the fulfillment of system and departmental goals by:Leading by example. Self-motivated. Self-starter. Creating and fostering a positive work environment to support system goals, while striving continually to find emerging opportunities for organizational, departmental, professional, and personal growth.working well with others; productive working relationships with internal and external constituents; promotes system collaboration.Representing department and Sharp HealthCare in a professional and competent manner.Seeking relevant opinions of key stakeholders; respectful; proactive; offering constructive input; exhibiting outstanding interpersonal skills.Providing timely response to e-mails and voice messages; communicates and meets established deadlines, requests, and commitments.Providing leadership support and performance improvement recommendations for Sharp’s Patient Assistance Program.Assisting Management with supervisory responsibilities such as hiring, terminating, coaching, training, scheduling and evaluations of the Medication Recovery and Assistance Specialists.
  • System IntegrationSets goals and proceeds with projects taking into account the principles of interdisciplinary integration and alignment with system goals.Leads and facilitates interdisciplinary workgroups and committees to support the development and implementation of drug cost savings initiatives.Collaborates with stakeholders across different disciplines to create standard protocols and guidelines for cost effective drug utilization based on site of care.
  • ContractingCollaborates with Contract’s team to evaluate on-going Payer contract changes that may have implications to drug reimbursement and net revenue, across all ambulatory care settings.Assists Contract’s team with DOFR contracting related to drug utilization for medical groups and hospitals.Negotiates pharmaceutical contracts for high cost and high use medications to assist with formulary decisions and optimize cost savings.Reviews and evaluates pharmaceutical contracts prior to enactment by the Vice President of Pharmacy Services.Works with Pharmaceutical Wholesalers, GPOs and other pharmacy vendors to ensure Sharp HealthCare is receiving accurate pharmaceutical pricing based on contracts.
  • Cost Savings InitiativesWorks with pharmaceutical vendors, GPO and pharmacy networks to evaluate, implement and validate drug cost savings initiatives in collaboration with System Clinical team and entity pharmacy leadership.Participates in advisory groups, focus groups, professional organizational meetings, or other designated activities to further identify cost savings and revenue enhancement opportunities for the system.Provides drug cost and savings analysis as needed to assist with pharmacy budgeting, formulary decisions and/or projects.Reviews and tracks new and emerging high cost medications for risk stratification, pharmacy budgeting, contracts and formulary management decisions across Sharp HealthCare.Evaluates, tracks and presents savings opportunities and initiatives utilizing, medication use evaluations, SBARs and dashboards.
    Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class.

    FJ

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