Director, Clinical Pharmacy

Job Description Summary ‎ The Director of Clinical Pharmacy provides strategic and operational leadership for pharmacy medical management initiatives that improve healthcare quality, cost-effectiveness, and outcomes. This role ensures pharmacy programs align with the organization’s mission to optimize medication use and support value-based care. The Director collaborates with internal and external stakeholders—including physicians, nurses, pharmacists, and leadership—to drive clinical, financial, and operational performance through evidence-based medication management and innovative pharmacy models. ‎ How will you make an impact & Requirements ‎ With nearly 30 years of experience in providing advanced primary care, CareMore APC delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient’s unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it – in our care centers, at home or virtually – to improve their health outcomes and quality of life. Key Responsibilities: Clinical Strategy & Program Leadership Develop and execute clinical pharmacy strategy aligned with value-based care and population health. Integrate pharmacy programs into workflows across primary care, specialty care, care management, and utilization management. Lead initiatives such as chronic disease management, medication therapy management (MTM), transitions of care, site of care, deprescription, and comprehensive medication reviews. Establish evidence-based protocols, formulary strategies, and quality improvement programs. Collaborate with providers to optimize prescribing and reduce medication-related adverse events. Provide input on pharmacy payment integrity initiatives Operations & Compliance Manage clinical pharmacy staff: hiring, training, performance, and development. Ensure compliance with state/federal regulations, accreditation standards, and payer requirements. Oversee departmental budgets, performance metrics, and operational reporting. Monitor quality of care and regulatory compliance. Data, Analytics & Performance Use EMR, pharmacy analytics, and population health tools to guide decisions and measure impact. Support value-based contracts and quality metrics (e.g., HEDIS, STAR, CMS). Collaborate with IT and analytics teams to enhance clinical decision support and medication data integration. Identify high-risk pharmacy claims and trends through data systems. Stakeholder Engagement & External Relations Serve as liaison between pharmacy services, care teams, and administrative departments. Represent pharmacy leadership on committees focused on quality, formulary, and patient safety. Build relationships with external partners: payers, PBMs, suppliers, and academic institutions. Qualifications: Education & Licensure BS in Pharmacy and PharmD required. Active pharmacist license in good standing (state-specific). Postgraduate training preferred. Board certification (e.g., BCPS, BCACP, BCGP) strongly preferred. Experience 8–10 years of progressive pharmacy experience, including 3–5 years in clinical leadership. Proven success in developing pharmacy programs within health systems, ACOs, or integrated care organizations. Experience with population health, value-based care, and pharmacy analytics. Skills & Competencies Expertise in clinical therapeutics, formulary management, and quality improvement. Strong leadership and change management skills. Excellent communication, collaboration, and data-driven decision-making. Strategic thinker with operational excellence and innovation mindset. Performance Metrics Improvement in medication adherence and clinical outcomes. Reduction in total cost of care and medication-related utilization. Achievement of quality metrics (e.g., HEDIS, STAR, CMS). Provider and patient satisfaction. Budget and productivity targets met or exceeded. Compensation: $176,000K - $198,000K annual salary & bonus eligible ‎ Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at recruiting@apree.health. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn more about apree health Learn more about Carelon Health Learn more about Elevance Health

Salary : $176,000 - $198,000