Pharmacy Administrator

Recruitment #101922-MDJZ02-350200

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Introduction

Make a Difference with DHSS

Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas.

We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession.

For more information, please visit https://dhss.delaware.gov/dhss/ today!

Summary Statement

The Director of Pharmacy is the Division’s primary source of clinical pharmaceutical expertise. The director oversees policy and processes around clinical editing tools, prior authorizations and clinical edits, Preferred Drug List edits, and performs evidence-based therapeutic class reviews. The director provides oversight of the managed care organization (MCO) pharmacy programs, working closely with pharmacists at each MCO to ensure consistency across the program where appropriate. The director works closely with other clinical staff, especially the Chief Medical Officer and quality department, to ensure that pharmaceutical policy aligns with other clinical policies. The Director of Pharmacy interacts with key stakeholders on a regular basis, representing DMMA at public meetings, the legislature, state and national committees/boards, and others as appropriate.

Essential Functions

ESSENTIAL FUNCTIONS

• Lead the division’s policy management with regard to pharmacy, and assist with related programs such as durable medical equipment.
• Ensure clinical best practices are met in the development and application of clinical criteria. 
• Work closely with division personnel as well as contracted clinical personnel and vendors.
• Ensure Quality Assurance and Clinical Appropriateness of Services in both fee-for-service (FFS) and MCOs.
• Provide general direction and oversight of the FFS pharmacy program via the contracted fiscal agent.
• Remain informed of current clinical best practices.
• Ensure compliance with CMS pharmaceutical policy.
• Management and oversight of PDL development and supplemental rebate acceptance as part of a multi-state negotiating consortium.
• Create and Implement Medicaid Initiatives Designed to Create a Best in Class Medicaid Program that Provides Needed Services to the State’s Most Vulnerable Population in a Sustainable Fashion. 
• Act as the primary Division delegate responsible for presentation of clinical recommendations at Pharmacy Program advisory group meetings.
• Offers pharmacy program updates for budget and clinical initiatives, as well as specific edit criteria to the Pharmacy & Therapeutics Committee and Drug Use Review Board for discussion and adoption by vote.
• Performs evidence-based therapeutic class reviews which are incorporated into the Division recommendations for the Preferred Drug List and Clinical Edit programs. 

Job Requirements

JOB REQUIREMENTS for Pharmacist Administrator

1. Possession of a Pharmacist license in any state.

Additional Posting Information

Please attach a resume with your online application or use the resume tab in DEL to provide a detailed description of how your education, training and/or experience meets each job requirement including employer, experience/responsibilities and dates (month/year) of employment/training.

Due to a new requirement from the Centers for Medicare & Medicaid Services (CMS) the following mandate is effective January 27, 2022: As a condition of employment, employees providing health care services and/or support services in covered facilities must show proof that they have received the dose of a single J&J dose or the 1st dose of Moderna/Pfizer two-dose vaccine effective date January 27, 2022, and proof of the single J&J dose or the 2nd dose of Moderna/Pfizer two-dose vaccine by February. 28, 2022. Employees may not provide any care, treatment, or other services until proof is provided.  Based on CMS guidance, the date for compliance may extend into March due to the health care facilities high vaccination rate of staff.  If you accept a position with the facility, your Human Resources representative can provide more guidance.  The only exception to these requirements is for those employees granted medical or religious exemptions from the COVID-19 vaccine as recommended by the Centers for Disease Control and Prevention, which may require weekly COVID-19 testing. This will be in effect until further notice.  More information can be found here. 

Conditions of Hire

Applicants must be legally authorized to work in the United States. The State of Delaware participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our Job Seeker Resources.

DHSS does not provide employment-based sponsorship.

Benefits

To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

Selection Process

The resumes are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position.  It is essential that you provide complete and accurate information on your application and the resume to include dates of employment, job title and job duties.  For education and training, list name of educational provider, training course titles and summary of course content.   Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

Once you have submitted your application on-line, all future correspondence related to your application will be sent via email.  Please keep your contact information current.  You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.

Accommodations

Accommodations are available for applicants with disabilities in all phases of the application and employment process.  To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.

The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.