What are the responsibilities and job description for the Manager, Clinical Pharmacy for Prior Authorization- Remote position at Sentara?
Sentara Health Plans is hiring for a Manager, Clinical Pharmacy for Prior Authorization- Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is fully remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY!
Job Description Summary
This position will manage and coordinate clinical pharmacy programs, including formulary and utilization management, reporting, outcomes assessment, and regulatory requirements.
This position will report to the VP, Pharmacy- Sentara Health Plans and will require close collaboration with other management in the pharmacy department, as well as coordination with the health services team.
This position will also be required to analyze systems, programs, and resources to maximize their effectiveness.
This position will lead our clinical prior authorization operations workflows including electronic prior authorization build and staff management of 15 direct reports (Clinical Pharmacists)
Education
BLD - Bachelor's Level Degree in Pharmacy REQUIRED
Certification/Licensure
Licensed in VA REQUIRED
Experience
Pharmacist- 5 years experience REQUIRED
Health Plan- 4 years experience REQUIRED
Managed Care- 4 years experience REQUIRED
Management- 1 year experience REQUIRED
Pharmacy Benefit Manager- 4 years experience REQUIRED
Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services—all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-72641
#LI-PM1
Talroo – Health Plan
Pharmacy, Managed Care, PharmD, Licensed Pharmacist, Virginia, MCO, Health Plan, Healthcare, Remote, Prior Authorization, Pre Auth,
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming
Salary : $1,000 - $1,000,000
