Job description
Plays a key role in various multi-functional projects critical to the company achieving clinical and operational goals and objectives. Responsible to develop, implement and monitor clinical specialty programs in the field. Primarily responsible to serve as the clinical liaison for assigned contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks the appropriate metrics to monitor the quality and care cost impact of the client`s program. Requires communication across all departments, an understanding of the strategic impact of the program(s) for the company, knowledge of how the specialty programs integrate with other clinical initiatives, and expertise with data management.
Project management experience and knowledge of health plans required.
Provider experience preferred.
Proven ability to plan, organize, schedule, direct, control and monitor project activities.
Well developed interpersonal skills. Ability to perform basic financial analysis.
- Leads the development of clinical program enhancements and better practices. Assists with development, enhancement, and maintenance of operational functions, policy and clinical support and provider education.
- Develops, implements, and monitors project plan requirements and timelines, ensures all necessary support, tools and technology are available, and follows up as needed. Meets with business process owners and other appropriate personnel to identify the project`s goals, objectives, critical success factors, and success measures.
- Works closely with teams to ensure consistent delivery of approved programs to their client. Ensures operations are standardized at the fullest extent possible. Provides overall project coordination for the contract`s clinical and operational functions.
- Oversees and coordinates implementation of new specialty programs and serves as liaison between the company and customers as needed.
- Assists in modifying implementation approaches within budget and operational framework.
- Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed.
- Develops strong relationships with key contacts at client level.
- Develops strong relationships and contacts within the company that are supportive of the achievement of increased revenue goals.
- Supports other functions as requested throughout the program development lifecycle including finance, outcomes, communications and IT.
- Communicates frequently, either by phone or in person, with client to report program progress, establishes priorities and maintains positive client relationship. Responds to client`s requests for information. Assesses, investigates and resolves difficult issues to achieve customer satisfaction.
- Responsible for oversight of all program reporting. Ensures standard and ad hoc reports are provided accurately and on time.
Other Job Requirements
Responsibilities
5+ years of experience in clinical operations, quality, network, pharmacy or project management.
Project management experience and knowledge of health plans required.
Provider experience preferred.
Proven ability to plan, organize, schedule, direct, control and monitor project activities.
Well developed interpersonal skills. Ability to perform basic financial analysis.
General Job Information
Title
Specialty Clinical Project Pharmacist, remote
Grade
30
Work Experience - Required
Clinical, Project/Program Management
Work Experience - Preferred
Education - Required
Bachelors - Pharmacy
Education - Preferred
License and Certifications - Required
RPH - Registered Pharmacist - Pharmacy
License and Certifications - Preferred
Salary Range
Salary Minimum:
$105,230
Salary Maximum:
$178,890
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
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