Career Center

Position Summary:

The Director of Pharmacy is responsible for leading the success and oversight of strategic pharmacy programs and operations for the organization.  This role leads and oversees all health plan pharmacy related activities (USFHP and Part D), the development and ongoing monitoring of clinical pharmacy programs, and ongoing operations and the development and execution of the comprehensive strategic plan for the outpatient and mail order pharmacies.  Additionally, the Director manages the integration of clinical programs; management of plan pharmaceutical expenditures; and compliance with contractual and accreditation obligations.  This position works collaboratively with several other departments across the organization, including the Martins Point Health Care practices and the health plan.

Key Outcomes:

• Ensures Pharmacy department goals and strategies align with the organization’s vision and strategy
• Leads programs, reporting, and outcomes monitoring that lead to the management of pharmacy expenses critical to health plan success
• Leads development and ongoing management and monitoring of programs that optimize the way pharmaceuticals are used throughout the organization with respect to both clinical and cost effectiveness goals
• Develops and implements pharmacy clinical programs to address patient safety, over-/under-utilization, and applicable Star Rating measures in-house and/or in conjunction with PBM
• Responsible for management of the relationship with and oversight and monitoring activities with contracted Pharmacy Benefits Manager (PBM)
• Responsible for USFHP and Part D formulary management and oversight activities with PBM
• Coordinates with internal clinical departments (e.g. Case Management) to ensure coordination of care and provides clinical support for pharmacy information
• Establish management reports about the department’s clinical and financial performance for the Pharmacies, Health Plan and Practice leadership
• Pharmaceutical supply-chain management – working effectively with manufacturers, wholesale distributors, and GPO’s to bring value through the purchase of medications, while increasing the number of turns and utilizing appropriate inventory management practices.
• Pharmacies meet all contractual and legal obligations with all vendors, payers, federal and state agencies and accreditation entities.
• Provides leadership in pharmacy technology assessment where required.
• Serves as the strategic point of contact for the organizations relationships with School’s of Pharmacy
• Ensure compliance with all applicable accreditation standards, regulatory entities and contract obligations
• Provide timely, constructive performance feedback and coaching to ensure staff members meet performance expectations.
• Serve as key member of necessary committees and or work groups to achieve required results.
• Develop, implement and ensure continuous quality improvement and process improvement to deliver effective and efficient programs and services
• Develops and manages budgets that align with MPHC strategic objectives..

Experience/Education:

• Doctor of Pharmacy (Pharm.D.) or B.S. Pharmacy with equivalent clinical experience
• Valid State of Maine Pharmacist License or ability to sit for licensure within an agreed upon time frame
• 4+ years Medicare Part D program experience preferred
• 5+ years Managed Care and Pharmacy Benefits Management (PBM) experience required
• 10+ years relevant pharmacy experience (pharmacy operations experience preferred)
• 5+ years Management/Leadership experience required
• Experience in clinical program development and formulary management , data analysis, and report development required

Skills/Knowledge/Competencies (Behaviors):

• Demonstrates an understanding of and alignment with Martin’s Point Values.
• Excellent customer services skills
• Superior written and verbal communication skills
• Solid analytical skills
• Strong mathematical ability
• Knowledge of medical terminology and drug therapeutic classes
• Knowledge of PBM third party billing, pharmacy claims processing, and pharmacy data management
• Knowledge of clinical pharmacy programs and formulary management strategies
• Expert knowledge of Medicare Part D regulations
• Ability to reconcile financial reports and data
• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint)
• Strong organizational skills (ability to prioritize and multi-task while maintaining focus on objectives).
• Strong interpersonal skills and the ability to collaborate with internal and external clients
• Ability to function independently with sound judgment in decision making
• Take appropriate initiative while soliciting input/advice appropriately
• Ability to handle confidential and sensitive information in a discreet and professional manner.

 In compliance with MPHC’s Department of Defense government contract, any/all persons hired for this position will need to verify their US citizenship and complete the required employment eligibility verification upon hire. ?

Please note that all Martin's Point Health Care employees must be fully vaccinated against COVID-19 as a condition of employment. 

We are an equal opportunity/affirmative action employer.