VP, Clinical Operations & Administration

Salary depends on experience
Posted on 05/15/18
Kansas City, MO
Salary depends on experience
Posted on 05/15/18

Job Description:

Organizational Overview

DST Pharmacy Solutions is a DST Company promoting better health outcomes for consumers through clinical and technological innovations. We accomplish this by leveraging the robust technology foundation and powerful analytic resources that are the core of DST, with industry leading clinical expertise and strategic pharmacy and healthcare solutions. This unique scope and strength allows Argus to address challenges across the entire health continuum and deliver greater value for all of our customers.

Role Overview

The Vice President of Clinical Operations is a key leadership position in the organization and is responsible for the development, implementation, oversight and coordination of Utilization Management, Pipeline and Drug Safety, Prior Authorizations, P&T Committee, Formulary Management, Drug Information, Rebate Administration and Clinical Product Development and Management. This position collaborates with members of the company’s Executive and leadership Teams to develop, monitor, and provide oversight for policy and procedure development, lead continuous quality improvement efforts, participate in accreditation and auditing processes and develop professional relationships with the organization’s customers. This position requires a strong clinical background and experience in either Pharmacy or Healthcare Operations. Requires experience and a proven track record of success in clinical program development, implementation, and management.

Responsibilities

  • Provides leadership in program development, utilization management, process improvement, implementation and measurement.
  • Interprets and implements quality assurance standards.
  • Creates, develops and implements policies and procedures in accordance with industry and regulatory standards and requirements.
  • Acts as a key contact in accreditation processes.
  • Improves quality of care and services, work performance and departmental processes.
  • Assures timely identification of problems and correction of deficiencies.
  • Participates in special projects as assigned by the Chief Operating Officer.
  • Assures compliance with state and Federal utilization requirements. 
  • Participates as thought leader for clinical and quality innovations and programs 
  • Interviews, manages, evaluates, and develops departmental staff. 
  • Works collaboratively with key health care professionals toward identification of opportunities for improvement, trend analysis, education and development of appropriate action plans for problems resolution. 

Qualifications

  • Bachelor’s degree and broad clinical knowledge base along with broad knowledge of the pharmacy and health care delivery systems required.
  • Doctor of Pharmacy (Pharm D) strongly preferred.
  • Experience in Care Management/Disease Management methodologies and Program development preferred.
  • Knowledge and experience in developing and managing formularies and P&T processes are preferred.
  • Experience and/or knowledge in rebate administration.
  • Excellent problem solving skills; Refines and modifies processes and procedures to support change. 
  • Excellent written and verbal communication skills. The ability to establish relationships with key customer representatives through face-to-face and telephonic meetings as well as the identification of proactive business solutions is a critical success factor.
  • Strong understanding of Medicare, Medicaid, and Commercial Plan populations required.
  • Strong understanding of statistical analysis, clinical study methodologies, and outcome-based measurement required.
  • Able to inspire others to grow.
  • Supports innovation in employees
  • Travel is required (15% to 20%).

R233671

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