Manager, Pharmacy Care Delivery - KPWA Mail Order

In addition to the responsibilities listed below, this position is responsible for overseeing centralized services including mail order, fulfillment, prescription processing and/or contact center functions; proactively monitoring and ensuring there is performance standards are met in pharmaceutical care, service, and operations across outpatient pharmacies; driving the implementation of strategies and initiatives to improve member experience and promote home delivery adoption in accordance with business goals; addressing issues related to program development, implementation, and communication flow with the Pharmacy Clinical division and with outside departments; removing obstacles to facilitate integration of centralized support services and technology into pharmacy operations and workflows; addressing and making recommendations for centralized pharmacy space needs; and overseeing and proactively monitoring the operation of the departments equipment, including the provision of preventative maintenance, and all other engineering activities relates to the equipment and technology used in the department.

• 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.


• 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.


• 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.


• 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.


• 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.


• 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.