ProvidenceRecruiter Since 2001
the smart solution for Providence jobs

Manager Pharmacy Services

Company: Blue Cross Blue Shield of Rhode Island
Location: Providence
Posted on: January 16, 2020

Job Description:

Job Description
Manage daily operations of pharmacy benefit programs; act as an expert on clinical pharmacy issues. Oversee the development and maintenance of cost-effective pharmacy management programs. Respond to internal questions concerning plan coverage and policies for specific pharmaceuticals, research appropriateness of drug therapies, and provide feedback on state regulatory and legislative issue. Manage the development, implementation, and maintenance of departmental policies, procedures and programs.


  • Provide direction and technical guidance to staff. Set goals, review and evaluate work, and prepare performance reviews.
  • Manage daily operations of pharmacy benefit programs; oversee the development and maintenance of cost-effective pharmacy programs that increase medication compliance and ensure appropriate member care.
  • Act as an expert on clinical pharmacy issues within the organization and to external companies including the company Pharmacy Benefit Manager. Respond to clinical questions regarding prescription medications including those utilized by members.
  • Collaborate with internal departments and physicians to improve prescription and clinical practices to ensure high quality, cost-effective care.
  • Review prescriptions issued by physician or other authorized prescriber to ensure appropriateness of therapy and compliance with the formulary.
  • Assist in the development of physician educational interventions.
  • Analyze prescription data, identify areas for improvement, and provide recommendations to physicians.
  • Educate internal departments on plan policies, benefits, and any other administrative matters related to pharmacy.
  • Perform other duties as assigned.
    Minimum Education and Experience:
    • Bachelor's degree in Pharmacy or related field; or an equivalent combination of education and experience.
    • Current pharmacist license in the state of Rhode Island.
    • Five or more years clinical pharmacy experience.
    • Three to five years management experience or experience leading a team.
    • Managed care experience and specific knowledge and training in prescription drugs, pharmacy benefits, utilization review, cost containment strategies, and emerging technology.
      Required Knowledge, Skills, and/or Abilities:
      • Knowledge of formularies, rebate contracts, and pharmacy benefit design.
      • Knowledge of cost containment and utilization review strategies.
      • Knowledge of state and federal laws as applicable to the health insurance industry.
      • Knowledge of health care plans and benefits.
      • Ability to coach and motivate to maximize performance.
      • Ability to effectively communicate goals and business objectives to employees.
      • Strong and effective decision-making skills.
      • Strong organization and time management skills.
      • Proficiency with Microsoft Suite of products (i.e., Word, Excel, PPT, etc.).
      • Ability to effectively interact with all levels of the organization.
      • Ability to effectively delegate work and manage project tasks.
      • Excellent verbal and written communication skills, with ability to convey complex or technical information in an effective manner.

        At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, age, national origin or ancestry, disability, veteran status, sexual orientation, genetic information, sex, gender identity or expression, and any other personal attributes protected by federal, state, or local law. For more information about our commitment to diversity and inclusion, please see our Diversity Report at .

        The law requires an employer to post notices describing the Federal laws prohibiting job discrimination based on race, color, sex, national origin, religion, age, equal pay, disability, veteran status, sexual orientation, and genetic information and gender identity or expression. Please visit to view the "EEO is the Law" poster.

        BCBSRI is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a disability, you need a reasonable accommodation for any part of our application process, please contact us at (see application details) for assistance.

        During the application process, please allow a minimum of five business days before you contact our office to inquire about the status of your application. If you have any questions regarding your application or during the process, please contact Human Resources by phone at (see application details) or by email at (see application details) .

        Southern New England, Boston, MA, Hartford, CT, Health Data Analyst, RI Health Insurer, Healthcare, Wellness, Provider, Network, Rhode Island, RI, Pharmacist, Pharmacists, Pharmacy, Dosage, Dispensary, Medication, Pharmaceutical, Pharmacotherapy, Plan, Insurance

Keywords: Blue Cross Blue Shield of Rhode Island, Providence , Manager Pharmacy Services, Executive , Providence, Rhode Island

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Project Manager
Description: The Project Manager will be responsible for all NPD projects and will work cross-functionally with process quality engineering and management
Company: Michael Page
Location: Fall River
Posted on: 01/26/2020

Office Services Manager
Description: Job Details Job Title Office Services Manager Description POSITION PROFILE Supervises day-to day operations and staff of MS sites. Office services support includes copy production, receiving, mail and (more...)
Company: Ricoh USA
Location: Pawtucket
Posted on: 01/26/2020

Production Manager Plastic Injection Molding
Description: Major plastic injection molding company Essential Duties and Responsibilities Manage the overall activities of the molding department including but not limited to production, processing, machine maintenance (more...)
Company: Professional Search of the Carolinas
Location: Springfield
Posted on: 01/26/2020

Manager Expense Accounting Banking
Description: Position located in the financial district. Banking experience is ideal. Manager Expense Accounting Knowledge and Experience Bachelor 039 s degree and a minimum of 7 years of job-related experience. (more...)
Company: Professional Search
Location: Worcester
Posted on: 01/26/2020

VP International Science - Part Time
Description: Overview Are you ready to join an organization where you can make an extraordinary impact every day Imagine all Americans enjoying ideal cardiovascular health free of heart disease and stroke. At the (more...)
Company: American Heart Association
Location: Worcester
Posted on: 01/26/2020

WW Vice President, Quality Management
Description: Job Description Summary Job Description The WW Vice President, Quality Management VPQM will oversee the worldwide Surgical Quality organization across all manufacturing sites, design centers, and headquarters (more...)
Company: CareFusion
Location: Warwick
Posted on: 01/26/2020

Strategic Sourcing Manager
Description: Millstone Medical Outsourcing is looking for an energetic individual to join its Purchasing Department Team as Strategic Sourcing Manager. Millstone is a fast growing, fast paced medical service provider (more...)
Company: Millstone Medical
Location: Fall River
Posted on: 01/26/2020

Private Company Services Tax - Seasonal Manager - Boston
Description: A career in our Flexibility Talent Network practice will focus on directly supporting our client engagement teams by attracting qualified candidates for short term or defined period opportunities. This (more...)
Company: PricewaterhouseCoopers
Location: Boston
Posted on: 01/26/2020

Assistant Property Manager
Description: The Peabody Companies seeks an experienced Assistant Property Manager for a property in Brockton. Duties include, but not limited to, collections, correspondence with residents, annual and interim recertification's, (more...)
Company: Peabody Companies
Location: Brockton
Posted on: 01/26/2020

Director Network and Unified Communications
Description: WittKieffer is partnering with UMass Memorial Health Care to find Director, Network and Unified Communicationsfor the largest healthcare system in Central and Western Massachusetts. Located in Worcester, (more...)
Company: UMass Memorial Medical Center
Location: Worcester
Posted on: 01/26/2020

Log In or Create An Account

Get the latest Rhode Island jobs by following @recnetRI on Twitter!

Providence RSS job feeds