Henry Ford Health System

Sr Manager - Pharmacy Quality & Medicare Stars

Henry Ford Health System$110K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Doctor of Pharmacy (PharmD) degree required.
  • Residency training preferred.
  • Minimum of 7 years of progressive experience in integrated health systems or health plans.
  • Experience with Medicare populations and pharmacy quality measures.
  • Proven experience in leading Part D Stars and MTM programs.
  • Strong vendor management experience preferred.
  • Exemplary oral and written communication skills.

Responsibilities

  • Develop and implement strategies for pharmacy quality measures and programs.
  • Monitor and enhance performance of CMS Stars and HEDIS metrics.
  • Engage and collaborate with key stakeholders across the organization.
  • Lead quality improvement initiatives in pharmacy services.
  • Oversee the Part D Stars and MTM Programs to ensure compliance and effectiveness.

Benefits

  • Health insurance options including medical, dental, and vision.
  • Retirement savings plan with company match.
  • Generous paid time off and holiday schedule.
  • Continuing education reimbursement for professional development.
Full Job Description
GENERAL SUMMARY: Reporting to the Vice President, Outpatient Pharmacy Services, the Senior Manager-Pharmacy Quality and Medicare Stars is responsible for the overall strategy, performance, and continuous improvement of our health plan's pharmacy-related quality measures and programs, including CMS Stars and HEDIS. Requires advanced knowledge of CMS Stars measures, demonstrated strategic planning capabilities, and the ability to effectively engage key stakeholders across the enterprise.

EDUCATION/EXPERIENCE REQUIRED: Doctor of Pharmacy (PharmD) degree required. Residency training preferred. Minimum of seven (7) years of professional experience with progressively more responsibility in an integrated health system and/or health plan and experience meeting the unique needs of various health plan populations including Medicare. Demonstrated experience leading Part D Stars, MTM Program, and pharmacy quality initiatives required. Vendor management experience preferred. Exemplary oral and written communication skills as evidence by prior examples of effective implementation of strategies with a variety of system personnel and patients.

CERTIFICATIONS/LICENSURES REQUIRED: Licensed to practice pharmacy in the State of Michigan.

About Henry Ford Health System

Henry Ford Health System is a non-profit healthcare organization based in Detroit, Michigan. The organization was founded in 1915 by automotive pioneer Henry Ford and has since grown to include hospitals, medical centers, and other healthcare facilities throughout Michigan. Henry Ford Health System provides a wide range of healthcare services, including primary care, specialty care, and emergency care. The organization is also involved in medical research and education, and operates the Henry Ford Health Sciences Center. In 2019, Henry Ford Health System was ranked as the 5th largest healthcare system in Michigan by Crain's Detroit Business.
Learn more about Henry Ford Health System
Size
33,000 employees
Industry
Founded
1915

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