NEOGOV · 23 hours ago
Supervisor Pharmacist
United States
Full-time
Remote
Mid, Senior Level
$133K/yr - $213K/yr
3+ years expCalOptima is a mission-driven community-based organization focused on member health. They are seeking a Supervisor Pharmacist to oversee pharmacy staff and clinical programs, ensuring compliance with regulations and promoting quality care for members.
GovTechHuman ResourcesInformation TechnologySoftware
Responsibilities
Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability
Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department
Supervises day-to-day activities of the department to ensure compliance with company policies and regulatory requirements
Resolves complex matters, ensures team members are directed to the appropriate resources and manages escalated situations
Supervises, advises, trains and facilitates the ongoing development and education of department staff
Develops, establishes and maintains a work priority system to ensure Clinical Programs staff workloads are fulfilled
Develops and maintains contacts and relationships with key providers to interaction and intervention activities
Updates and maintains protocols and criteria for clinical and quality programs
Works with the Manager Clinical Pharmacist (Clinical Programs) to implement changes in regulations; updates CalOptima Health pharmacy policies and develops new policies and procedures when needed
Collaborates with the Manager Clinical Pharmacist (Clinical Programs) to recommend, develop and implement targeted drug utilization intervention programs and other DUR/DUE activities
Works with the Manager Clinical Pharmacist (Clinical Programs) and within Medical Management (e.g., with data manager, case managers, etc.) on various data integration and disease management and outcomes projects
Supports the pharmacy residency and internship programs and ensures successful completion of annual residency research projects
Collaborates with regulatory compliance and audit teams to ensure the pharmacy clinical programs meet expectations, develops processes, program and training materials exceed established standards and works with Manager Clinical Pharmacist (Clinical Programs) to improve or implement new Centers for Medicare & Medicaid Services (CMS) guidance, Department of Health Care Services (DHCS) and/or National Committee for Quality Assurance (NCQA) regulations into operations and workflow
Reviews members' medication profiles to meet various clinical and quality program requirements; makes recommendations to health care providers based on evidence-based medicine and national guidelines for disease management
Collaborates with PBM to implement and address formulary, systems and other member drug benefit-related programs
Serves as point of contact for clinical programs that address member drug utilization or CMS programs such as MTM, ICT, DUR, Healthcare Effectiveness Data and Information Set (HEDIS) & Star, and other targeted clinical programs based on department initiatives
Assists in the preparation of drug monographs and utilization reports for the Pharmacy & Therapeutics Committee
Represents Pharmacy Management in interdepartmental meetings
Participates with work groups to provide pharmacy subject matter expertise
Completes other projects and duties as assigned
Qualification
Required
Doctor of Pharmacy (PharmD) degree from a fully accredited university required
3 years of experience in managed care clinical programs required
Current knowledge and expertise in clinical pharmacology and disease states are required
Demonstrated proficiency in pharmacy data analytics required
Basic working knowledge of Medicare Part D and Medi-Cal required
A current, valid and unrestricted California state registered pharmacist license
Preferred
Supervisory experience
CMS, Department of Managed Health Care (DMHC) and/or NCQA audit experience
Bilingual in English and in one of CalOptima Health's defined threshold languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish, Vietnamese)
Pharmacy Residency in managed care or pharmacy practice
Benefits
CalPERS pension program and additional retirement packages.
A generous PTO program
A quality work life balance
Various wellness programs
Tuition Reimbursement
Professional development opportunities
Career development opportunities
Flexible scheduling
Company
NEOGOV
NEOGOV is the leading provider of workforce management software uniquely designed for the public sector, education, and public safety.
501-1000 employees
H1B Sponsorship
NEOGOV has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (13)
2024 (10)
2023 (10)
2022 (18)
2021 (14)
2020 (16)
Funding
Current Stage
Late StageTotal Funding
$700MKey Investors
Warburg Pincus
2025-07-28Secondary Market· $700M
2025-07-28Acquired
2021-06-02Private Equity
Leadership Team
Shane Evangelist
CEO
Brandon McDonald
Head Of Marketing
Recent News
Canada NewsWire
2025-11-14
2025-11-14
Government Technology US
2025-10-31
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