Pharmacist

SH 911 Pharmacist, Washington, DC

Position Overview

This position is located within the Department of Health Care Finance (DHCF), Office of the Medical Director (OMD). The mission of DHCF is to improve health outcomes by providing access to comprehensive, cost-effective and quality healthcare services for residents of the District of Columbia. The incumbent serves as a Pharmacist responsible for leading and coordinating the Single Preferred Drug List (sPDL) activities across DHCF. The Pharmacist must be able to perform the essential functions of the job, with or without reasonable accommodation.

Key Responsibilities

• Develop a project management plan and tools to monitor implementation of the Single Preferred Drug List (sPDL).
• Track communication and tasks across DHCF, stakeholders, managed care plans (MCPs), and vendors to ensure cohesive project execution.
• Identify implementation milestones necessary for on-time implementation and monitor the completion of project tasks.
• Identify and engage relevant stakeholders, including enrolled members, MCOs, prescribers, and enrolled pharmacies.
• Assist in the drafting or reviewing of MCO contract language regarding the sPDL to ensure alignment with program goals.
• Review therapeutic classes with input from MCP stakeholders to inform drug list decisions.
• Summarize and analyze switches between MCP PDLs and Fee-for-Service (FFS) PDLs.
• Develop grandfathering policies for drug switches to manage patient transitions effectively.
• Set PDL adherence targets for managed care plans to measure and drive performance.
• Outline and document the coordination process for authorizations upon transition between plans or drug lists.
• Analyze data (in coordination with other DHCF vendors) to determine an appropriate go-live schedule for initiatives.
• Assist the CPAPS team as they work with FFS beneficiaries and providers on a daily basis with issues related to these clinical areas.
  
  

Qualifications & Requirements

• Education: Graduation from an accredited four-year college or university with a bachelor's degree. An equivalent combination of education and experience as determined by the DHCF Program Manager may be considered.
• Experience: A minimum of five (5) years of specialized experience directly related to the duties of the position. At least three (3) years of this experience must be equivalent to the CS-12 grade level in the District of Columbia government service. Specific experience must include one (1) year of professional work experience at an inpatient hospital or retail pharmacy as a Licensed Pharmacist, and three (3) years of pharmacist claims submission and Pharmacy Benefit Management (PBM) experience working with Pyxis or similar automatic dispensing systems.
• Licensure & Certifications: Must have a current, active license as a Pharmacist. Must possess a current Basic Life Support (BLS) certificate. Must have an immunization record which meets the District of Columbia Health Department recommendation.
• Skills: Strong project management and organizational abilities; proficiency in data analysis to inform strategic decisions; excellent verbal and written communication skills for interacting with diverse stakeholders, including MCPs, vendors, and prescribers; ability to work effectively within a government and healthcare regulatory environment.
• Compliance: Must adhere to all applicable District of Columbia and federal regulations and organizational standards.
  
  

Core Competencies

• Effective communication with providers, managed care plans, and beneficiaries
• Fostering collaborative interpersonal connections with internal teams and external stakeholders
• Enthusiastic collaboration in a team-oriented government environment
• Sensitive navigation of complex issues involving patient access to medications
• Proactive approach to improving the delivery of pharmacy services
• Trusted liaison with the Office of the Medical Director, MCPs, and other healthcare professionals
• Strategic adaptation of drug list policies with focus on patient-centered care
• Commitment to quality improvement, data-driven decisions, and shared learning
  
  

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer. Sitting, standing, walking, talking. Must be able to lift fifteen pounds at times. Physical Demands: Sedentary physical activity performing non-strenuous daily activities of an administrative nature.

Syra Health Corp is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment