Senior Manager, Clinical Pharmacy Operations

United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health Insurance, Healthcare, BiotechnologyIndustries

Requirements

The candidate should possess at least 4 years of experience in driving operational performance improvement within complex, regulated, or high-stakes environments using data-driven approaches. This includes experience in developing metrics and targets, analyzing trends, driving performance improvement, and reporting outcomes, preferably within the healthcare sector.

Responsibilities

The Senior Manager, Clinical Pharmacy Operations will lead medication optimization interventions to improve health outcomes and reduce costs for Medicare Advantage members. This role involves being the operational architect for an AI-enabled program, building systems and processes for healthcare innovation at scale, and managing performance against KPIs and clinical/financial outcomes. Responsibilities include partnering with clinical teams to design and implement pharmacy interventions, guiding initiatives from pilot to full-scale implementation, leveraging data analysis to identify root causes of medication therapy problems, owning a portfolio of pharmacy initiatives to improve efficiency, partnering with leadership on strategic planning for pharmacy programs, and ensuring the Part D Medication Therapy Management program meets industry standards for compliance and member experience.

Skills

Clinical Pharmacy Operations

Medication Optimization

Population Health

Healthcare Innovation

Regulatory Compliance

Technology

Process Improvement

Performance Management

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters

2017Year Founded

$2,194.5MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Comprehensive health plan

401(k) retirement plan

Generous vacation and holiday time

Lyra mental health resources

Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.

Potential regulatory changes affecting Medicare Advantage plans by CMS.

Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.

The company emphasizes preventive care with its Devoted Dollars rewards program.

Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.

The company expanded Medicare Advantage plans to eight new states in 2023.

Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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