Medical Policy Manager jobs in Saint Petersburg, FL

Founded in 2003, Mail-Meds Clinical Pharmacy is an industry leader and the authority in Adherence Pharmacy. We are committed to delivering a clinical practice that optimizes patient medication adherence while providing state-of-the art services that empowers patients to manage otherwise difficult medication regimen effectively, efficiently, and safely, thereby, improving a patient’s health and quality of life.

We are seeking highly motivated and skilled candidates to make an important difference every day in the quality of life of others.

Why work for us?

We believe in a healthy work / life balance. You'll find our culture provides ongoing opportunities:

• Competitive Salary
• Outstanding health, dental and vision benefits
• Company funded H SA
• Flex Spending Accounts
• 401k with matching contribution
• Company Paid Life and Disability Plans
• Holiday Pay (12)
• Generous Paid time off
• Monday through Friday 8:30am to 5:30pm schedule (No weekends)
• Our commitment to providing you with the resources you need that enable you to be the best you can be.

This is a full-time position based out of St. Petersburgh, FL. The Pharmacy Manager at the assigned location oversees the day-to-day processing, dispensing and delivery of medications. The Pharmacy Manager coordinates management of complex medication regimens for patients throughout the continuum of care. Provides pharmacy services to patient and medical practitioners. Verifies prescriptions, fills prescriptions and dispenses medicines, counsel’s patients and medical practitioners regarding the nature and use of drugs.

Provides leadership to and serves as role model for the pharmacy team and other JTJ Medical Supply, Inc. employees. Receives clinical oversight and supervision from the Senior Director of Clinical Services. This is an exempt position that reports directly to the Operations Manager assisting in supporting the mission, vision, and values of Mail-Meds Clinical Pharmacy.

Duties and Responsibilities:

• Ensure that pharmacy standards and quality are met and maintained by developing detailed and timely work plans, schedules, and status reports as requested. Maintain Pharmacist license in each state where medications are delivered outside of Florida as required by the state’s Board of Pharmacy.
• Ensure adherence to JTJ Medical Supply, Inc. Continuous Quality Improvement Projects and performance measures goal attainment. Serves as a member of the Clinical Oversight Committee/Body to aide in clinical decision making regarding the Patient Management Program.
• Ensure controls are designed, implemented, and applied as a response to specific risks and their causes and consequences.
• Works to improve Medication Dispensing Accuracy to include quality and error management and to implement and assist with patient safety Quality Improvement projects (QIP).
• Manage the day-to-day dispensing performance of the pharmacists/technicians including their performance, staffing, customer service, prescription turn-around time, dispensing, scheduling, policies and procedures adherence, and quality assurance. Provide for maintenance of appropriate records to assure that the quality, quantity, and timeliness of work done is documented.
• Supervision, review and appraise work of staff pharmacist; keeps supervisor informed of the location operations, challenges, opportunities/problems, and any significant factors affecting assigned responsibilities of pharmacy employees inclusive of but not limited to staff pharmacists, pharmacy technicians, and delivery personnel.
• Completes weekly on-call pharmacist schedule. Monitors response time and serves as a member of the on-call services rotation.
• Pharmacist/technician s training manual up to date. Ensure competency assessment is completed for all new pharmacist at 90-day review period. Provide staff development and training within the pharmacy and branch locations as requested.
• Ensures Pharmacy follows all accreditation standards (URAC and ACHC) and staff at each location are knowledgeable of all standards and location and work is meeting said standards. Assist with accreditation as requested and ensuring location is meeting accreditation standards.
• Assures adherence and compliance with HIPAA, safety, infection control, and security policy and procedures and ensure that work areas are kept clean and clutter-free. Responds to sensor network notifications in the pharmacy when required. Documents and follows up on non-compliance as needed.
• Provide exceptional customer service to all patients, partnering facilities/practices, members of their clinic and support staff by ensuring they feel welcome, respected and valued by both words and actions.

Knowledge, Skills, and Abilities:

• Thorough knowledge of the principles and practices involved in the dispensing of prescriptions, inventory control and record keeping related to the work.
• Clinical Problem Solving, Judgment, and Decision Making
• Therapeutic knowledge base of sufficient breadth and depth to effectively promote rational medication use.
• Medical Information Evaluation and Management.
• Management of Patient Populations: analyzing drug utilization evaluations, composing protocols for disease state management, and developing organizational policies and procedures that improve patient care and resource utilization
• Knowledge of laws governing drugs, pharmacy products, and third party plans.
• Knowledge of training and supervisory techniques. At least 2 years direct supervisor experience.
• Familiar with labor relation, equal employment opportunity and employee policies and procedures.
• Ability to instruct, coach, guide, mentor and objectively evaluate employees.
• Self-motivated with the ability to complete work with a minimum of supervision under tight time frames.
• Demonstrated practice of and high-level skill in multi-tasking, championing change, initiative, customer service, interpersonal relations including building relationships and resolving conflict, decision making, problem solving, teamwork, and verbal and written communication.
• Maintains honesty, integrity, and high levels of efficiency and accuracy at all time.
• Ability to work a variety of schedules to include some evenings
• Proficient with Microsoft Office and pharmacy-related software.

Physical Demands:

The usual and customary methods of performing the job's functions require the following physical demands with or without accommodations: some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Pick and pinch small tablets with fingers, and seize, hold, grasp or turn objects with hands. Perceive the size, shape, temperature, or texture of objects by touching them with fingertips. See objects at close vision and be able to identify and distinguish colors. Viewing computer monitor and using keyboard for long periods. Lift and push or pull up to 10 pounds. Lift and push or pull up to 15 pounds. Generally, the job requires 40% sitting, 10% walking, and 60% standing.

Work Environment:

This job is performed in a generally clean and healthy environment. This job is performed in a generally clean and healthy environment. Work is performed primarily in a production-like setting.

The noise level in the work environment is usually quiet.

JTJ Medical Supply Inc. is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Requirements

• Graduate from an accredited pharmacy college recognized by the American Council of Pharmaceutical Education (ACPE) with a Doctoral in Pharmacy (PharmD). Must have a current, active, and unrestricted pharmacist license in state(s) of practice with all held licenses in good standing (as required by each States Board of Pharmacy).
• Three (3) year of post graduate clinical experience in patient care and two (2) years supervisory and management experience in a pharmacy setting (leadership experience and years of organizational service may be substituted for supervisory and management experience). Ability to travel to each of the branch pharmacy facilities as needed and when assigned. Bilingual is preferred.
• To perform this job successfully, an individual must have the ability to work independently and effectively in a team environment. Is responsible to ensure the JTJ Medical Supply, Inc. Orlando FL pharmacy location provides optimal and timely services, meets all legal, licensure and certification requirements and complies with all applicable policies, procedures, codes and standards of JTJ Medical Supply, Inc. and Board of Pharmacy for all pharmacy licenses held by JTJ. Medical Supply Inc.