• Collaborate with practice leadership to develop and implement clinical pharmacy services • Lead clinical review processes for medication use and patient-specific practice needs • Report clinical interventions to practice leadership meetings

• Lead and manage a team of Patient Support Associates • Provide coaching, performance management, and development • Support hiring, onboarding, and training • Motivate team members in both remote and onsite environments • Ensure medication access through refills, prior authorizations, and financial assistance • Manage support across hospitals/clinics to ensure timely patient care • Maintain service level goals and quality standards • Oversee pharmacy workflows (claims, deliveries, coordination of care) • Conduct system audits and manage workflow efficiency • Partner with hospital stakeholders through regular meetings • Lead team meetings, track performance, and identify improvements • Collaborate cross-functionally on projects and process enhancements • Manage PTO, timekeeping, and reporting • Coordinate training and system access • Maintain confidentiality of sensitive healthcare data

Title: Pharmacy Supervisor - Sterile and Non-Sterile Compounding Operations Location: Madison, WI, United States Job Description: Work Schedule: 100% FTE, Monday &ndash; Friday with hours beginning between 6:00 am and 9:30 am. Rotating 25% evening coverage of 12:00 pm &ndash; 8:30 pm. Hours may vary based on the operational needs of the department. Rotating remote pager coverage required. You will work at University Hospital in Madison, WI. Be part of something remarkable Join the #1 hospital in Wisconsin as a leader on our pharmacy team! We are seeking a Pharmacy Supervisor to: - Lead and supervise pharmacy technicians, provide day-to-day operational oversight, staffing coordination, and performance management. - Oversee onboarding, training, and competency development to ensure staff readiness and regulatory compliance. - Monitor performance metrics and lead continuous improvement efforts to enhance efficiency, quality, and service delivery. - Plan, implement, and evaluate operational projects and process improvements in collaboration with pharmacy leadership and interdisciplinary teams. - Maintain and optimize workflow systems, automation, and technology to support safe and efficient medication-use processes. - Ensure compliance with policies and regulatory standards (e.g., TJC, DEA, USP), while supporting medication safety initiatives and providing operational support as needed. - Oversee sterile and non-sterile compounding operations, ensuring compliance with USP <795>, <797>, and <800> standards. - Support environmental monitoring, cleaning and disinfection programs, and related quality assurance activities. - Collaborate on implementation and optimization of compounding technologies, equipment, and workflow processes. At UW Health, you will have: - An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance. - Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being. - Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement. - The opportunity to earn a referral bonus for referring friends, former colleagues or others to apply for open, posted positions. Education - Bachelor of Science in Pharmacy or Doctor of Pharmacy degree. Required - Residency training: PGY2 in pharmacy specialty area of oversight. Preferred - Degree: Master of Science in Pharmacy Administration, Master of Health Care Administration, Master of Business Administration, or other relevant graduate degree. Preferred Work Experience - Three years of relevant work experience, or PGY1 plus one year of relevant work experience, or PGY2. Required - PGY2 in specialty area of oversight plus at least two years of relevant work experience in an academic medical center. Preferred Licenses and Certifications - Licensed as a pharmacist in Wisconsin or eligible (must be licensed by start date). Required - Board certified through the Board of Pharmacy Specialties in specialty are of oversight and/or certification in pharmacy informatics or applicable Epic&reg; applications required to perform job functions. If not certified upon hire, must be certified by 18 months of start date if applicable certification exists. Preferred Our commitment to Social Impact and Belonging: UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. University Hospital in Madison is a Magnet&reg;-designated facility that&rsquo;s ranked Wisconsin&rsquo;s #1 hospital and considered one of the nation's leading hospitals, teaching institutions and referral centers. Job Info - Job Identification47563 - Legal EmployerUniversity of Wisconsin Hospitals and Clinics Authority - Locations 600 Highland Ave, Madison, WI, 53792, US - Job CategoryManagement - Job FunctionPharmacy - Regular or TemporaryRegular - FTE1 - Pay Range$154619.00 - $216467.00 / year

Title: Clinical Utilization Management Pharmacist remote type Hybrid locations Canton, MA time type Full time job requisition id R9236 Job Description: Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We&rsquo;ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it&rsquo;s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Job Summary Job Summary Under the direction of the Pharmacy Utilization Management (UM) Supervisor, the Clinical Pharmacist is responsible for reviewing, processing and managing the daily caseload of pharmacy prior authorization (PA) requests for coverage determinations (CD), and exceptions. The Clinical Pharmacist ensures timely disposition of reviews for CD and exceptions by adherence to established timeframes. The Clinical Pharmacist consults as required with THP Medical Directors (MD) on prior authorization that fails to meet drug prior authorization (PA) criteria for coverage. Job Description &bull; Performs case reviews in automated prior authorization (Auto PA) tools and guides the case through the entire process to either approval or denial to ensure all coverage determinations and notices are consistent with applicable regulatory and accreditation requirements and turnaround times &bull; Provides all aspects of clinical support needed to perform drug prior authorization (PA) requests and consults as required with THP Medical Directors (MD) on cases that fail to meet coverage criteria &bull; Communicates daily with members, providers and other external customers regarding status and disposition of cases &bull; Oversees and addresses any quality issues with pharmacy technicians and confer with other clinical pharmacist on review questions &bull; Communicate with UM staff and providers when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage determinations within timelines developed by all accrediting and regulatory guidelines &bull; Facilitates communication between Pharmacy UM department and other internal Tufts Health Plan departments by acting as a liaison or committee member on the development or implementation of new programs &bull; Performs other roles/duties and projects as assigned by the Pharmacy UM Supervisor or Manager Requirements EDUCATION: (Minimum education & certifications required) &bull; A minimum of a Bachelor of Science degree in Pharmacy or PharmD &bull; Current registration and good standing with the Board of Pharmacy EXPERIENCE: (Years of experience) &bull; A minimum of 3 years full-time experience as a pharmacist, preferably PBM and/or managed care setting &bull; Expert knowledge of the principles and practices of pharmaceutical science. Working knowledge of Federal and state controlled substance and pharmacy laws, rules and regulations &bull; Knowledge of drug coding (NDC, GCN, GPI and USC) and NCPDP claims adjudication systems &bull; Previous working knowledge of MedHOK, RxClaim, CCMS and CAS system a plus &bull; Knowledge of or experience with Medicare Part B & D, Medicaid and Drug Utilization Management &bull; Prior authorization experience, including reviewing drug use criteria for medication approval SKILL REQUIREMENTS: &bull; Requires analytical ability to independently research/ summarize data on drug utilization and spend &bull; Excellent written and verbal communication skills &bull; Strong PC skills with MS Office (Word, Excel, PowerPoint & Access) and ability to learn/use new database and reporting applications &bull; High degree of professionalism and confidence &bull; Ability to recognize politically sensitive issues and utilize diplomacy &bull; Ability to interact effectively with all levels of management &bull; Must be self-motivated and capable of working independently with minimal supervision &bull; Must be capable of organizing, facilitating and managing several projects simultaneously &bull; Must be flexible and able to constantly review and reset priorities; often daily Job Description Key Responsibilities/Duties &ndash; what you will be doing (top five): - Provides subject matter expertise for the integrated team and supports the member&rsquo;s medication management needs - Provides clinical pharmacy services and support to members and providers - Manages members with complex pharmaceutical needs in collaboration with the care team - Completes medication review and reconciliation for members with complex medication regimen - Serves as the medication expert for patients, providers, and care team members - Works closely with other members of the care team, members&rsquo; family, and caregivers - Collaborates with care team in care management, coordination of care and care planning in the transitions of care - Works closely with other members of the care team, members&rsquo; family, and caregivers - Documents appropriately and timely in the care management information system - Participates in risk management activities, including identifying and communicating issues of risk in a timely manner - Participates in case reviews and care team huddles - Serves as a liaison between members, providers, and medication management service providers - Provides administrative support and plays a key role in performance management - Collects and analyzes related data, as needed. - Participates in risk management activities, including identifying and communicating issues of risk in a timely manner - Adheres to departmental/organizational policies and procedures - Complies with established metrics for performance, adheres to documentation and workflow standards - Maintains HIPPA standards and confidentiality of protected health information - Represents Point32Health in a professional manner and participates in the ongoing development and growth of the department and overall organization - Perform other duties and projects as assigned. Qualifications &ndash; what you need to perform the job Certification and Licensure - Licensed to practice pharmacy in Massachusetts with pharmacy degree required - Current and valid Massachusetts pharmacist license - Certification by the Board of Pharmacy Specialties in a relevant area of pharmacy practice (e.g., BCACP, BCGP, BCPP, BCPS). Education - Required (minimum): Doctor of Pharmacy (PharmD) - Preferred: PharmD from an ACPE-accredited school of pharmacy strongly desired Experience - Required (minimum): 5 or greater years of progressive clinical pharmacy experience in managed care, facility, and retail setting. 2 years of related clinical experience in an ambulatory setting. Extensive knowledge of Medicare and MassHealth formularies. Care management, high-risk population, and/or transitions of care experience - Preferred: Skill Requirements - Strong interpersonal skills with ability to manage build relationships and influence member behavior - Autonomous practitioner with strong critical thinking skills - Articulate with ability to present clinical and administrative information concisely - Independent problem-solving ability with ability to manage conflict and build consensus - Organizational skills with ability to prioritize based on deliverable timelines, member needs and contract requirements - Ability to practice in an interdisciplinary team-based model Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel): - Travel to members residence and outside meetings - Must be able to work under normal office conditions and work from home as required. - Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations. - May be required to work additional hours beyond standard work schedule. Disclaimer The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time. Salary Range $110,680.66 -$166,020.98 Compensation & Total Rewards Overview The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company&rsquo;s sole discretion, consistent with the law. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes: - Medical, dental and vision coverage - Retirement plans - Paid time off - Employer-paid life and disability insurance with additional buy-up coverage options - Tuition program - Well-being benefits - Full suite of benefits to support career development, individual & family health, and financial health We welcome all All applicants are welcome and will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment.