American Health Partners · 1 month ago
Vice President, Pharmacy
Franklin, TN
Full-time
Onsite
Director/Executive
10+ years expAmerican Health Partners is seeking a Vice President of Pharmacy to lead their health services team. The role involves developing objectives, managing clinical programs, and ensuring financial performance while maintaining quality care standards.
Elder CareHealth CareHome Health CareNursing and Residential Care
Responsibilities
Develop and communicate health services team objectives
Establish performance goals for health services staff; ensure continuous feedback regularly, throughout the year
Implement and manage cost-effective and high-quality utilization, care, disease management and other clinical programs, including health plan performance reviews, corrective actions, and plans
Set performance standards and implement processes to measure qualitative performance regularly and consistently
Implement processes to identify developmental needs of team members and a mean of addressing areas of improvement
Manage cost of care and utilization to achieve the most effective financial performance while ensuring appropriate quality of care
Manage financial performance on a unit cost and operating basis
Develop and manage clinical operating budget; participate in strategic planning and clinical model and policy development as requested by leadership
Avoid payment of performance penalties and optimize opportunities to earn incentives
Other duties as assigned
Qualification
Required
10+ years minimum experience in a management position in managed care, post-degree. Experience with State and external accreditation managed care audits and reviews required
Experience with writing and implementing program level policy and procedures required
Track record of strong clinical utilization and care program management, general management, supervisory, team building and leadership skills
Excellent writing and communication skills
Direct clinical experience in multiple settings and levels of care, including post-acute care settings
Knowledge of relevant federal and state regulations pertaining to managed care and insurance products
Proficient with computer and software programs (e.g.; Microsoft Word, Excel) and the Internet required
Experience applying medical management treatment guidelines, such as InterQual / McKesson, Milliman, or other practical management guidelines required
Company
American Health Partners
American Health Partners provides home health care, senior living, and rehabilitation services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jeff Bogle
CFO
Recent News
Modern Healthcare
2024-10-30
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