Manager, Clinical Program Pharmacy (UM leadership exp required)

3 hours, 7 minutes ago
Full-time
Lead
Operations
Quantum Health

Quantum Health

Quantum Health is an award-winning care coordination and consumer navigation company based in Columbus, Ohio. Since 1999, they have been providing a uniquely powerful solution to drive healthcare benefits performance, focusing on cost savings, utilizat...

Professional Services
1001-5000
Founded 1999

Description

  • Lead and develop pharmacists, nurses, Pharmacy Leads, and support staff through hiring, coaching, performance management, and succession planning.
  • Establish and maintain pharmacy onboarding, training, competency, quality, and development standards.
  • Oversee workforce planning, resource allocation, service levels, productivity targets, and daily clinical workloads.
  • Provide strategic direction and operational oversight for the Pharmacy program, including performance and continuous-improvement initiatives.
  • Serve as the primary escalation point for complex clinical, operational, client, and member issues.
  • Build client relationships and collaborate with TPAs, PBMs, vendors, Client Executives, and internal leadership to address plan and member needs.
  • Support client implementations, meetings, site visits, advocacy reviews, and clinical audits as the pharmacy clinical representative.
  • Provide clinical consultation to specialty teams, Pod Leadership, and Client Engagement Group teams on escalated cases.
  • Communicate workflow expectations, performance metrics, client expectations, and member satisfaction insights across the department.
  • Ensure high-quality, compliant pharmacy services and member and provider support.

Requirements

  • Doctor of Pharmacy (PharmD).
  • Active, unrestricted, unencumbered pharmacist license in good standing; RN or another independently licensed clinician authorized to conduct clinical assessments may also qualify.
  • Maintain a multistate license where applicable or obtain and maintain additional state licenses as needed within 90 days of hire.
  • At least 5 years of pharmacy experience.
  • At least 3 years of pharmacy leadership, management, or supervisory experience.
  • 3-5 years of experience managing a pharmacy team (preferred).
  • Experience mentoring, coaching, and developing clinical professionals in a healthcare environment (preferred).
  • Expertise in managed care, specialty pharmacy, utilization management, PBM operations, analytics and reporting, performance coaching, and client relationship management.
  • Strong leadership, workforce planning, organizational, communication, presentation, and operational performance-analysis skills.
  • Legal authorization to work in the United States permanently without current or future sponsorship.

Benefits

  • Competitive base salary and incentive compensation.
  • Health, dental, vision, life, legal, identity protection, EAP, Teladoc, and adoption-assistance coverage.
  • 401(k) with up to a 4% employer match and day-one vesting.
  • PTO, 7 paid holidays, parental leave, volunteer days, and paid sabbaticals.
  • Up to $5,250 annually in tuition reimbursement, plus certification and continuing-education reimbursement.
  • Paid training, leadership development, and discounted higher-education partnerships.
  • On-site amenities including a 24/7 fitness center, group classes, dining, free snacks and drinks, walking paths, and game room.

Interested in this position?

Apply directly on the company website

Apply Now

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