Full Job Description
SUMMARY
The Pharmacy Clinical Program Lead provides strategic leadership and subject-matter expertise in optimizing medication management and integrating pharmacy best practices into a value-based nephrology care model. In a centralized, non--patient-facing role, the Lead advances medication therapy management (MTM) strategies, medication adherence initiatives, and champions population health programs for individuals with chronic kidney disease (CKD) and end-stage renal disease (ESRD).
This position leads collaboration with multidisciplinary care teams--including physicians, nurses, dietitians, social workers, care coordinators, and organizational leadership--to ensure that medication-related risks, costs, and barriers are systematically identified and addressed. The goal is to improve therapeutic outcomes, optimize cost-effectiveness, and enhance value-based care (VBC) performance. The role is 40% clinical program development and 60% central clinical consultative.
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Program Development and Integration
3 Partners with OCMO sponsor and Ops Excellence to design, implement, and refine pharmacy-led Initiatives, including MTM protocols, and adherence initiatives.
3 Provides insight on the integration of medication-related risk stratification tools into population health strategies.
3 Provide insight and implement population health medication strategies to address common medication-related challenges in CKD and ESRD, such as hypertension, anemia, mineral bone disorder, and diabetes management.
3 Develop enterprise-wide resources -- such as drug utilization review protocols, patient-friendly medication education materials.
Clinical Leadership & Patient Consultation
3 Serve as the organizations central expert for nephrology-related pharmacotherapy.
3 Provide case consultation and guidance to physicians, nurses, and care teams regarding complex medication regimens, potential drug-drug interactions, high risk-medication reviews, and therapy optimization.
3 Collaborate with care teams to address adherence barriers such as cost, access, literacy, and side effects.
Policy, Procedure & Compliance
3 Develop pharmacy policies, procedures, and clinical protocols aligned with VBC goals and national best practice standards (ASHP, CMS, FDA).
3 Ensure compliance with medication safety, and regulatory requirements.
Education & Capacity Building
3 Design and deliver training for care teams on pharmacotherapy in CKD and ESRD, medication safety, and adherence support techniques.
3 Create educational toolkits for clinicians and patients to support safe, and effective
Relationship Management
3 Foster effective relationships with internal USRC pharmacy partners.
3 Partner with quality and affordability teams to identify opportunities to improve clinical outcomes and reduce medical and pharmacy spend through targeted interventions.
3 Participate in provider meetings, engage Medical Directors, and contribute to quality improvement initiatives.
Quality Measurement & Program Impact
3 Partner with analytics teams to define benchmarks for medication-related outcomes (e.g., adherence rates, , medication error reduction).
3 Lead the creation of pharmacy performance dashboards and contribute to quarterly and annual VBC performance reports.
3 Monitor prescribing & adherence trends, identify gaps in medication therapy, and recommend program adjustments to improve effectiveness.
Expectations:
3 Regular and reliable attendance is essential.
3 Commitment to professional development and continuous improvement.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:
3 Doctor of Pharmacy (PharmD) degree from an accredited program.
3 Active pharmacist license in the following states upon hire or within 6 months- TX, CA, HI, AK, NY, FL, KC, MO
3 Minimum 5 years of progressive pharmacy practice experience, including 1 years in a leadership or program development role.
3 Expertise in CKD and ESRD pharmacotherapy, medication safety, and value-based care models.
3 Strong skills in formulary management, MTM, and patient education.
3 Excellent communication, collaboration, and analytical skills.