Pharmacy Operations Specialist V, Pharmacy Care Services

Job Summary:

In addition to the responsibilities listed below, this position is also responsible for reviewing and escalating recommendations for the development of and modeling implementation of regional strategic pharmacy multi-faceted and complex initiatives to enhance organizational goals and cost effectiveness; ensuring alignment of the location pharmacys quality, service, and fiscal goals and performance to adhere to national strategy; serving as a escalated point of contact for collaborations with Pharmacy, Health Plan and/or Medical Group Leadership from the National/Region/Service Area/Medical Center/Medical Offices to lead achievement of Regional goals (e.g., developing programs, playbooks, and strategic plans); creating dashboards and metrics, gaining buy-in from front-line teams for implementation of new strategies and communications to directors; guiding others review and suggest improvements to based on established guidelines the effectiveness of system infrastructures and business processes to enable achievement of strategic objectives; understanding, applying, ensuring compliance with, and communicating information about contracts related to labor union accountability and labor relations; reviewing and leading implementation of operational playbooks to ensure gaps are covered in patient care, assisting in communications of new strategies and improvements with front-line stakeholders, and evaluating small-scale improvements for feasibility of improvements; and interpreting rules to manage risk in adherence to Board of Pharmacy regulations; supporting collaborations and consultations with Pharmacy Controls and Legal for complex regulations.

Essential Responsibilities:

• Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams.
• Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others.
• Plans for the effective development and implementation of patient care activities to pharmacy and healthcare professionals by: guiding the usage of analytics and informatics to track prescription use data and support patient-facing teams and professionals; closely collaborating with and engaging in meetings committees to gain support of front-line operations; and role modelling a patient focus throughout ones work and guiding others on how to identify patient related issues, challenges, possible improvements and championing action and change that directly impacts patient safety.
• Supports a wide array of functions within operations and looks across the entire pharmacy landscape to ensure consistency and best practices by: leading and orchestrating across interdisciplinary teams to implement and evaluate pharmacotherapy safety practices and initiatives; identifying and overseeing pharmacy operations initiatives and programs that directly support the day to day functioning across pharmacies and orchestrates across relevant groups on the rollout, staffing, education, etc. requirements; and overseeing a broad set of operational needs (e.g., workflow management, policy management, systems improvement, etc.), ensuring and developing policy compliance standards, and identifying and creating recommendations regarding possible process or system improvements.
• Contributes to service, affordability, people, quality of care, and regulatory pharmacy goals by: driving efforts to create, design, and help implement strategic plan to support improvements to service, quality, people, affordability, and regulatory initiatives; evaluating data trends from and contributing to the creation of tools and dashboards to enable implementation of new programs and initiatives; interpreting and applying moderately complex new laws and rules from regulatory agencies and ensures application into operations (e.g., FAQs to markets); building and socializing new tools to ensure awareness and use; influencing the strategic direction and evolution of accountability dashboard to ensure rules are followed; and designing and contributing to the implementation of key affordability metrics in alignment with pharmacy operational goals.
• Serves as a subject matter expert for quality improvement processes and regulations within assigned area by: providing consultation on the interpretation and interaction of current policies, and how they interact with the current climate, and potential changes to regulations and legislation; serving as a technical subject matter expert on committees and coordinating more impactful sub-projects to drive improvement within various areas of specialty; leading large scale quality and safety related projects by developing, conducting, coordinating plans and activities, and regularly identifying quality improvements related to medication safety; independently reviewing innovative research and creating complex reports; and anticipating issues and weighing practical and technical considerations in addressing issues and coordinating with the appropriate stakeholders to develop resolutions; guiding and mentoring other team members on the proper usage of drug management; guiding members, patients and/or healthcare providers to understand appropriate use and application of prescribed medication and proactively provides drug information to relevant healthcare providers to challenge conventional thinking; driving application of strategies to ensure achievement of member financial and therapeutic objectives; and analyzing, tracking, and reporting detailed member data to help assess plan outcomes.