<p>Job Summary:</p> <p>In addition to the responsibilities listed below, this position is also responsible for partnering with leading physicians to develop, maintain, and implement complex clinical practice standing orders, drug therapy management protocols and guidelines (e.g., collaborative protocols with providers), with innovation and ingenuity; leading team to provide complex direct patient care, drug utilization, and educational programs related to ambulatory care to positively impact patient adherence and outcomes and provider prescribing practices; managing team/clinic and may also provide direct patient care for medication selection, dosage titration, drug monitoring, patient engagement, medication adherence counseling, side effect management, medication discontinuation in alignment with strategic priorities and mission work; regularly developing and maintaining long-term relationships with providers to align drug conversion, drug tapering, and discontinuation initiatives and determine opportunities; ensuring teams implement initiatives and leading the measurement follow up and minimization of gaps to drive implementation of processes and workflow for assigned service areas; resolving and or escalating complex formulary concerns as needed and influencing formulary adherence across multiple teams; leading initiative and clinical services development, gaining physician engagement to reduce practice variation, and monitoring progress of complex new/existing initiatives; and evaluating and developing new/existing services for a disease state or care grouping/specialty (e.g., MTM) and overseeing service area results from team and collaborators (e.g., PMG) after changes are applied.</p> <p>Essential Responsibilities:</p> <ul> <li>Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making. </li><li>Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress. Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact performance; identifies and addresses improvement opportunities; guides performance and develops contingency plans accordingly; influences teams to execute in alignment with operational objectives. </li><li>Oversees multiple teams to carry out implementation and development of drug therapy by: overseeing efforts for proper drug use management across a team, other managers and/or multiple locations; evaluating and facilitating high-impact content about utilization of medicine to senior leaders; collaborating with senior health care providers to gather relevant sources on potential changes within the market and upcoming new drugs; collaborating across teams and senior leaders to provide input and oversee complex pharmacotherapeutic drug regimen guidelines and trainings; guiding teams to use strategies to ensure member, patients and/or healthcare providers understand appropriate use, application, and interactions of prescribed medication and provides drug information to relevant healthcare providers; driving application of strategies to ensure achievement of the member financial and therapeutic objectives; and evaluating service areas reports of member data to assess overall plan outcomes and carrying out actions plans to affect change. </li><li>Oversees drug education and training efforts by: leading team to provide complex pharmacy and provider education to positively impact patient compliance and provider prescribing practices. </li><li>Provides pharmaceutical patient care and drug therapy by: managing productive relationships with care providers and members; leading teams workflow and execution of comprehensive pharmaceutical information e.g., drug therapy, adverse effects, compliance, appropriate use, and handling); supervising implementation of therapeutic regimens and/or programs applicable across patients in multiple services while integrating patient-specific disease and drug information, current practice standards, ethical issues, and quality-of-life issues, and pharmacoeconomic principles; leading development, implementation, and coordination of regional, hospital, hospital-based, or ambulatory drug initiatives, other formulary management activities, and/or KP-related drug trials; facilitating implementation process, evaluating, and reporting utilization, as appropriate, of targeted medications and medication classes to senior managers, monitoring impact of initiative and novel work to assure safe, rational and cost-effective prescribing; managing processes to understand clinicians or department-level decisions, support, and feedback, strategizing further support for the drug use process; and leading improvements to and coordination of complex pharmaceutical care and optimal utilization of resources to and from hospital, acute, and ambulatory patient-care settings. </li><li>Leads team to monitor services in compliance with state and federal laws, all regulatory bodies, established quality standards and organizational service standards by: leading adherence to all regulatory rules and regulations (e.g., Drug Enforcement Administration [DEA], State Board of Pharmacy, Health Insurance Portability and Accountability Act [HIPAA]) and relevant internal regional and national policies; driving team and self to maintain knowledge with policies and procedures and performs in accordance with applicable regulatory requirements and accreditation standards as they relate to the assigned department; managing investigation of, responses to, and resolution of complex escalated member inquiries and concerns from teams with innovation and ingenuity; and leading team to collaborate with physicians, other medical professionals, and health plan personnel to assess, resolve, and assure complex quality and process outcome measures. </li></ul>