Senior Clinical Pharmacy Strategist
Not Disclosed•Full-TimeOn-site
location_on201, West Wall Street, Idaho City, Boise County, Idaho, 83631, United States
About PacificSource
PacificSource is an equal opportunity employer committed to creating a work environment where individual differences and diversity are appreciated, respected, and utilized to their full potential. We value the diversity of our community, including those we hire and serve, and are dedicated to fostering a culture where every person's talents and strengths are developed.
Our culture is driven by seven core values that guide how we do business: doing the right thing, working as one team toward a common goal, taking responsibility for customer service, practicing open communication, actively participating in community improvement, advancing social justice and equity, and encouraging creativity and innovation.
About the Role
The Senior Clinical Pharmacy Strategist is a pivotal role designed to help improve, develop, and implement initiatives that execute PacificSource's Clinical Pharmacy strategies and management priorities. You will partner directly with the Vice President of Pharmacy Services to drive enterprise cost-of-care strategies, strategic roadmaps, and quality initiatives that directly impact STARS ratings, HEDIS measures, and overall quality performance.
This position is essential for aligning pharmacy services with enterprise-wide goals regarding cost containment, regulatory compliance, and member outcomes. Your day-to-day work involves analyzing performance data, streamlining processes, and collaborating cross-functionally to design and implement infrastructures that elevate clinical quality and optimize medication use. You will lead the creation of clinical program strategies that advance STARS and HEDIS metrics while ensuring all programs comply with regulatory requirements and quality standards.
Hiring Process
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information, or age.
Work Environment
This role is based in a general office setting with ergonomically configured equipment. Travel requirements are minimal, estimated at less than 5%.
Work location
Work model: On-site
201, West Wall Street, Idaho City, Boise County, Idaho, 83631, United States
Idaho City, Idaho
Similar Job Opportunities
Skills, education and keywords
Skills: Hedis, Stars, Ncqa, Cahps, Icd-10, HCPC, Hipaa, MTM, Medicare Part D, Data Analytics.
Education: Bachelor's degree required; Post-graduate degree preferred in any field.
Frequently asked questions about Senior Clinical Pharmacy Strategist at PacificSource Health Plans
What does a Senior Clinical Pharmacy Strategist at PacificSource Health Plans do?expand_more
Day-to-day, the Senior Clinical Pharmacy Strategist at PacificSource Health Plans will track, analyze, and interpret quality metrics to identify gaps in care and improve outcomes; partner cross-functionally to design and deploy integrated quality performance programs; lead the creation and execution of clinical program strategies to advance stars and hedis metrics; and design dashboards and reporting tools to monitor quality metrics and pharmacy impact on stars.
What are the requirements for this Senior Clinical Pharmacy Strategist role?expand_more
PacificSource Health Plans is looking for candidates who meet the following requirements: Minimum of 5 years of clinical program management experience; Bachelor's degree required; Knowledge of CMS Stars, NCQA, HEDIS preferred; Experience with medical billing, claims processing systems, data analytics, and health care information preferred; and Knowledge of healthcare regulations and clinical performance metrics.
Where is the Senior Clinical Pharmacy Strategist role at PacificSource Health Plans located?expand_more
Senior Clinical Pharmacy Strategist at PacificSource Health Plans is based in 201, West Wall Street, Idaho City, Boise County, Idaho, 83631, United States. This is a on-site role.