Pharmacy Director, NC Medicaid
The North Carolina Medicaid program is seeking a dynamic Pharmacy Director who has a strong business acumen, operations and clinical program experience.
The Pharmacy Director provides oversight and management to the Medicaid Direct (Fee-for-Service) Pharmacy Benefit Management and the Managed Care Pharmacy Benefit. This position will also manage and oversee the Medicaid Program Services (Pharmacy, Durable Medical Equipment and Supplies and Prosthetics and Orthotics, Specialized Therapies, Independent Practitioners and Local Education Agencies).
Job responsibilities include, but are not limited to, the following:
- Direct the prescription drug and medical drug benefits for the NC Medicaid Direct, in compliance with both Federal and State regulations to meet the goals, objectives and priorities of the Department and the Division.
- Provide oversight of the prescription drug and medical drug benefit offered by the managed care health plans.
- Provide direction and oversight to departmental and division staff and multi-disciplinary project teams, with the oversight of the managed care prescription drug and medical drug benefit for each of the managed care health plans.
- Identify clinical and financial initiatives and necessary modifications to current programs and processes intended to produce positive clinical and financial outcomes; trend and direct the implementation and operational oversight of these initiatives and modifications into the managed care pharmacy benefit design.
- Lead in the assessment of value-based pharmacy programs and alternative payment models to continually enhance the performance of associated clinical and financial performance metrics (e.g. medication adherence, pharmacy provider network access, PMPM, etc.).
- Direct and oversee the development and ongoing process to maintain the NC Medicaid and NCHC Preferred Drug List (PDL).
Minimum Education and Experience Requirements: Able to obtain license to practice pharmacy in the State of North Carolina and two years of experience as a licensed Pharmacist.