22
MDH Office of Pharmacy Services, Clinical Services Division, Baltimore MD
This position will supervise and direct all clinical pharmacy services for the Clinical Services Division provided to Office of Pharmacy Services (OPS) participants through fee-for-service, managed care, long term care, or other service delivery models. It will serve as a subject matter expert for the Clinical Services in the Program, including oversight of the implementation and operation of the Preferred Drug List, cost containment ideas, review of each managed care organization’s (MCOs) Drug Use Management Program, Retrospective drug use review, compliance functions, operation of boards and committees, procurements for Clinical Services Division.
Essential Job Functions include, but are not limited to:
- Contract monitor for the PDL (Preferred Drug List) vendor. Oversee the development, implementation, operation, and management of the preferred drug list and supplemental rebate program within the OPS. Provide clinical expertise for review of medications recommended for the preferred drug list.
- Contract monitor for the retrospective DUR (Drug Utilization Review) vendor. Oversee retrospective DUR review analyses and, and management of a participant lock-in program. Analyzes data from multiple sources to determine the level of compliance with regulations and to perform drug utilization review, detect instances of potential over-utilization, under-utilization, ineffectiveness of treatment, contraindications, abuse and fraud in clinical pharmacy practices under the OPS. Request records or conduct on-site performance audits when required.
- Oversee, review, and approve each HealthChoice MCO’s Drug Use Management Program including CMS annual reports, program policies and procedures, formulary review, and access issues.
- Supervise and train Clinical Services Division staff, including Clinical Pharmacist, as needed. Maintain documentation for staff activities, personnel issues, meeting activity summaries, periodic project status reports and other necessary documentation.
- Oversee Boards, Committees, and special group meetings including the Drug Use Review Board, Pharmacy and Therapeutics Committee, etc. including recruitments. Ensure materials are prepared, approved, and shared with members prior to the meeting. Interpret federal and state laws and regulations that pertain to prescribing drugs and practice of clinical pharmacy under the OPS to adhere to program reporting requirements.
- Participate in preparation, issuance, review and evaluation Requests for Proposals, contract modifications, and option renewals.
- Maintain current on emerging new drugs and treatments utilizing pipeline reports and other resources.
Qualified candidates must possess the following:
A Doctorate degree (Pharm D) in Pharmacy from an accredited college or university. Five (5) years of professional management experience including at least three (3) years of experience supervising other professional staff. Overseeing and coordinating the general operation and management of a unit.
Three (3) years of professional experience in clinical pharmacy, and one (1) of the following: a. Applying rules and regulations, OR b. Exercising responsibility for the development of policies and procedures.
Qualified candidates must also possess two (2) years of experience developing clinical criteria for coverage and prior authorization reviews and two (2) years of experience performing data analysis, monitoring drug utilization trends, analyzing cost effectiveness of therapies, and reviewing national/regional policies related to clinical services.
Desired candidates should possess experience managing a Drug Utilization Board/Committee and/or a Pharmacy and Therapeutic Committee.
Applicants must possess a valid Maryland Pharmacist license from the Maryland Board of Pharmacy. Please upload license to application.
This is a Management Service position and serves at the pleasure of the Appointing Authority. A resume must be uploaded to the application.
Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview).
Complete applications must be submitted by the closing date. Information submitted after this date will not be added. Incorrect application forms will not be accepted.
Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
STATE OF MARYLAND BENEFITS
Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.
If additional information is required, the preferred method is to upload. If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.
For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.
If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or [email protected].
Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.
We thank our Veterans for their service to our country.
People with disabilities and bilingual candidates are encouraged to apply.
As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.
