Pharmacy Manager
Job Summary:
The Pharmacy Manager plays a pivotal role within the Fidelis Health Group multidisciplinary team, engaging directly with patients to ensure compliance, monitoring, drug histories, and product education. Responsible for overseeing drug distribution and meticulous record-keeping at Fidelis Specialty Pharmacy, the Pharmacy Manager also provides invaluable drug information and education to the staff. This role involves supervising compliance, licensing, and URAC accreditation for all Fidelis Specialty Pharmacy sites. Additionally, the Pharmacy Manager oversees daily dispensing and distribution functions, leading and guiding pharmacy technicians, interns, and other support staff.
The pharmacy manager also contributes to the day-to-day operations of the pharmacy and actively supports the quality management program.
Responsibilities:
Research Activities:
- Conduct research on the clinical, operational, and financial implications of new therapies for Fidelis Specialty Pharmacy.
- Collaborate with Marketing/Sales and the Chief Operating Officer to identify marketing opportunities and evaluate the available pipeline.
- Provide education to internal staff, including pharmacy, reimbursement, customer service, and sales.
- Attend federal and state meetings as required by management.
Patient Counseling and Interaction Responsibilities:
- Participate in weekly patient conferences with the multidisciplinary team.
- Maintain and distribute detailed patient clinic schedules.
- Engage in daily huddles and wrap-ups.
- Conduct annual comprehensive clinic visits by phone, obtaining medication histories, entering infusion log information into databases, educating patients on products, and presenting pharmacy services.
- Perform patient clinical assessments and document in patient management software.
- Discuss and document infusion compliance, bleed history, update medication profiles, allergies, disease states, and quality of life assessments with patients during contact calls and visits.
- Initiate and update care plans as necessary.
- Identify specific patient problems and notify appropriate interdisciplinary team members.
- Consult with practitioners in the field periodically, including at conferences, conference calls, and face-to-face meetings.
- Assist patients and families with manufacturer assistance programs with support from reimbursement personnel.
Pharmacy Operations, Dispensing, and Distribution Responsibilities:
- Manage daily pharmacy operations.
- Review payor contracts for the pharmacy.
- Participate in audits as requested.
- Review marketing material for clinical accuracy before distribution.
- Provide client relation manager support.
- Fill prescriptions and dispense factor products and ancillary medical supplies.
- Forecast and manage factor inventory to mitigate product shortages and prevent expired inventory losses.
- Coordinate reimbursement services with insurance coordinators.
- Ensure compliance with all pharmacy practice standards, regulations, and federal requirements.
- Review HIPAA laws, federal/state laws, and URAC updates monthly.
- Maintain accreditation standards for multiple specialty pharmacy locations.
- Assist with CPR+ maintenance, pricing updates, progress notes, quality assurance, logging unusual occurrences, and other administrative tasks.
- Conduct specific patient PK analyses for Factor products as requested.
- Prepare monthly operations reports.
- Provide necessary clinical education to pharmacy staff and train new employees.
- Maintain daily operations and oversee technician, intern, and support staff.
- Coordinate with internal staff in contract services, reimbursement, finance, sales, marketing, and operations.
- Assist the Chief Operating Officer and PIC at other locations as assigned.
- Maintain professional licensure in all states where the pharmacy operates.
- Oversee Board Inspections for the Nevada pharmacy.
- Respond to insurance audits.
- Ensure timely payment by contract pharmacies, where applicable.
- Manage and renew state licenses for the Nevada pharmacy and obtain licenses in other states as requested.
- Provide guidance and oversight for clinical decision-making and clinical operational aspects, with support from the senior clinical pharmacist.
- Supervise pharmacy staff.
- Participate in the recruitment and evaluation of clinical staff as requested.
- Complete job description revisions.
- Negotiate contracts with contracted out-of-state pharmacies to expand the footprint.
- Lead URAC accreditation processes.
- Lead quarterly quality meetings and compliance and clinical meetings.
- Document meeting minutes for quality, clinical, and compliance meetings.
- Gather data for quality improvement projects as required by URAC.
- Oversee policy and process development to incorporate accreditation standards into daily operations.
- Develop new policies as standards change and implement them.
- Work with staff to determine annual training needs for URAC accreditation.
- Gather and report data to data validation company annually as required by URAC.
- Provide annual pharmacy assessments and conduct patient satisfaction surveys.
- Analyze responses from patient satisfaction surveys and present data to URAC.
Fidelis Pharmacy Audit Committee:
- Monitor all requests from State or Federal Agencies and notify the Compliance Officer.
- Manage the audit process with Fidelis staff to ensure timely responses.
- Provide clinical/product training for employees.
- Present Fidelis’ service models to Hemophilic treatment center staff when requested.
- Ensure optimal services, legal compliance, and adherence to all organizational policies, procedures, codes, and standards.
Drug Information Responsibilities:
- Provide drug information to patients and other healthcare providers.
- Attend relevant pharmacy practice seminars and meetings.
- Maintain personal professional skills related to pharmacy practice.
- Develop and maintain bleeding disorder pharmacy best practice guidelines as required.
- Provide clinical guidance with the assistance of the senior clinical pharmacist.
- Document clinical oversight committee meeting minutes.
Qualifications:
- Current unrestricted license in several states including California, Nevada, Kansas, Iowa, and Arkansas, with a willingness to test for other states, as needed.
- At least 5 years of experience as a pharmacist preferred, with at least 3 years in a leadership role.
- Pharm D. degree required.
- MPH Highly Desirable .
- Specialty pharmacy experience and licensure preferred.
- Business management experience preferred.
- Ability to work independently and be a self-starter.
- Skill set to procure new revenue streams and therapies for the pharmacy.
Job Type: Full-time
Pay: $132,344.00 - $149,971.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
Work Location: In person