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Supervisor, Pharmacy Benefits Management Services
US-OR-Beaverton
Job ID: 2025-34316 Type: Regular Full-Time # of Openings: 1 Category: Pharmacy Beaverton, OR
Overview
Responsible to provide all clinical duties as outlined in the PBM pharmacist position description including but not limited to being the primary point of contact for staff support and escalated issues from members and providers, prior authorization review, formulary management including drug class reviews/executive summaries, response/resolution to clinical inquiries from members and providers, coordination with claims processor to implement clinical edits and benefit updates. Supervision of Staff: Recruit, hire, train, develop, schedule, and supervise assigned staff, develop performance standards, conduct performance appraisals (PE); and recommend salary increases consistent with Hospital policy and procedures. Program Design & Development: Develop programs, strategies, facilities and systems for service improvement. Assist in formulary management activities, prior authorization criteria, DUR Board activities, benefit builds and testing support. Develop and monitor performance and quality metrics related to service goals. Participate in the development and implementation of the Department of Pharmacy's strategic plan in alignment with the organization's mission, vision, and values. Prepare and review policies and procedures as necessary to meet or exceed regulatory requirements and operational efficiencies. Process Improvement: Develop new and improved services through constant evaluation and innovation to enhance pharmacy services. Establish best practices to improve outcomes. Identify and resolve inefficient work processes and opportunities for value analysis. Departmental Interdisciplinary Coordination: Coordinate services in assigned areas with other Pharmacy areas, nursing areas, other Hospital departments, and external agencies to facilitate service line requirements. Teaching: Coordinate the education and training of pharmacists, technicians, pharmacy students and residents as applicable. Direct the work of students/residents and monitors and evaluates their performance.
Responsibilities
BS or PharmD in PharmacyTwo years or more of pharmacy leadership experience or residency trainingState of Oregon Board of Pharmacy licensureProficiency in an area of clinical pharmacy practice Communication, written, and verbal Contemporary Practice of Pharmacy Qualifications
Managed care residency, advanced degreeManaged care, PBM or health plan experience applicable to practice Equal employment opportunity, including veterans and individuals with disabilities.
