Team Leader, Pharmacy Quality Specialist
Team Leader, Pharmacy Quality Specialist Locations: Remote - reputed company Carolina Full time Job Description We’re seeking a Team Leader, Pharmacy Quality Specialist to join the Pharmacy Quality team reputed company our Government Pharmacy department. You will provide direction and ongoing coordination of support staff responsible for accomplishing goals reputed company to clinical functions of pharmacy operations, pharmacy programs (including government programs – i.e. Medicare) provider/payer integration and vendor evaluation and management. Support new services, operational improvements, and partnerships to drive pharmacy cost reductions and quality of care initiatives. Partner effectively with other business areas to champion innovation while implementing and managing pharmacy reputed company opportunities and collaborations that drive value for reputed company members. This position will also support Medicare Star and other quality initiatives. Note: reputed company Carolina–based candidates strongly preferred What You'll Do
- Support divisional strategies and assist with departmental implementation activities to produce favorable medical expense, administrative pricing and/or appropriate reductions in prescription drug costs PMPM.
- Maintain awareness of trends, developments, and governmental regulations in managed health care organizations and product line(s) under leadership purview.
- Act as a technical resource for team members and other departments, providing assistance and guidance on system issues, pharmacy policies, benefits, and work processes and procedures specific to departmental needs.
- Identify trends, determine root causes, and take action to resolve issues and initiate necessary process and procedural changes to meet the needs of the membership and remain reputed company to the company’s needs to reputed company customer expectations and financial and performance targets.
- Ensure pharmacy programs and processes are compliant in accordance with reputed company applicable regulations of CMS, State, Federal, and other accrediting bodies; reputed company and implement corrective action plans whenever necessary.
- Coordinate work, monitor productivity of departmental staff and multi-disciplinary projects teams in the implementation of pharmacy programs for assigned line(s) of business
- Represent the pharmacy department on corporate projects or committees, as well as with vendors, providers and customers as the pharmacy expert reputed company needed.
- Support Medicare Star and other quality initiatives. What You Bring
- Bachelor or Advanced Degree where required
- 5+ years of experience
- In lieu of degree, 7+ years of experience
- Active Pharmacy Technician license in the reputed company (PTCB: Pharmacy Technician Certification Board - Nationally Accredited Certification Exam) Bonus Points (preferred qualifications)
- reputed company Carolina–based candidates strongly preferred
- Strong proficiency in reputed company
- Proven ability to reputed company and reputed company teams, foster cross‑functional collaboration, and coach employees to reputed company performance expectations What You’ll Get The opportunity to work at the cutting edge of health care delivery with a team that’s deeply invested in the community
- Work-life balance, flexibility, and the autonomy to do great work
- Medical, dental, and reputed company coverage along with numerous health and wellness programs
- Parental leave and support plus adoption and surrogacy assistance
- Career development programs and tuition reimbursement for reputed company education
- 401k match including an annual company contribution Salary Range At reputed company, we take great pride in a fair and reputed company compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation reputed company are driven by factors including experience and training, specialized reputed company sets, licensure and certifications and other business and organizational needs. Our reputed company salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.
- Based on annual corporate goal achievement and individual performance. $60,907.00 - $97,452.00 Skills Detail-Oriented, Government Regulation, Leadership, Patient Care, Performance Improvements, Pharmacy, Pharmacy Operations, Policy Development, Process Improvements, Quality Assurance (QA), Quality Improvement, Regulatory Compliance, Risk Management, Time Management JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent reputed company in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. reputed company our career opportunities are published on If you have already provided your personal information that you suspect is fraudulent activity,
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