Director, Pharmacy Strategy

The Why Behind Wellvana:

The healthcare system isn’t designed for health. We’re designed to change that. 

We’re Wellvana, and we help doctors deliver life-changing healthcare. Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it. 

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors. 

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing. 

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by?Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.
 

Clarity on the Role

The Director of Pharmacy Strategy is responsible for assuring the coordination, quality, and cost effectiveness of operations provided by Wellvana affiliated practices optimizes pharmacotherapy. This individual works with all Clinical team members including Quality, Care Management, and other business units to ensure optimal health outcomes and medication effectiveness while managing the total spend related to medications. This individual is responsible for driving the process of optimizing condition specific medication use and will lead functions under the direction of the SVP of Clinical Care Strategy. The Director will partner with Dialysis organizations and collaborate with nephrologists to ensure patients with kidney disease have the support and resources needed to optimize care. This individual will also collaborate with other medical organizations and specialists such as but not limited to oncology, cardiology, etc. to advance the clinical strategy and vision of the organization.

Serve as a national spokesperson to represent, communicate, and promote Pharmacy Services including Specialty Pharmacy to other providers, administrators, legislators, researchers, and others as needed.

Educate team members, practices, and providers regarding pharmaceutical public policy. This role will also be asked to facilitate collaboration amongst internal and external stakeholders.

What’s expected:

Administration

• Interact with payers, insurance companies, pharmaceutical manufacturers, and other stakeholders in order to create programs to manage pharmacy products, services and utilization.
• Provide oversight of specialty pharmacy network applications.
• Work in collaboration with providers to manage and coordinate operations in all areas where pharmacy services are provided.
• Provide support to Ambulatory Care personnel in provider offices and the care management team at Wellvana in order to assure consistency of pharmacy services.
• Assure quality, timely and efficient pharmacy services that meet the needs of outpatients.
• Develop and maintain policies and procedures for pharmacy services in order to assure high quality pharmaceutical care.
• Comply with rules and requirements of all legal and regulatory agencies.
• Cost-justify, develop, implement, and assure the quality of new and innovative pharmacy services for specialty pharmacy or other pharmacy solutions.
• Own, maintain, and drive results related to patients with specialty chronic conditions like chronic kidney disease including end stage kidney disease, oncology, cardiovascular or cardiometabolic conditions. Focus on medication related optimization of these health conditions.

Planning

• Collaborate with internal and external stakeholders to develop and continually maintain a strategic plan for pharmacy services that is compatible with the mission of Wellvana.
• Identify and analyze the strengths, weaknesses, opportunities, and threats related to the provision of pharmaceutical care.
• Identify and implement strategies to overcome the weaknesses and threats and capitalize on the strengths and opportunities to assure optimal care for patients.

Quality Assurance/Improvement

• Identify, develop and analyze quality assurance/improvement indicators for pharmacy services.
• Develop, implement and evaluate an integrated care management program that assures optimal health outcomes and ongoing quality improvement.

Education and Training:

• Must be a Pharmacist, or Physician, or Advanced Practice Provider (Nurse Practitioner / Physician Assistant), or Nurse with advanced training in ambulatory and managed care settings.
• The incumbent must be licensed or eligible for licensure by a state in the US. The license must be in good standing.

Experience and Knowledge

• Have a global understanding of pharmaceutical public policy.
• Prior experience in presentation of results.
• Be creative in developing and integrating innovative pharmaceutical care services.
• Be proficient in verbal, written and persuasive communication.
• Be knowledgeable about the principles and methods of cost justification of pharmacy services.
• Be knowledgeable about laws, regulations, principles, standards and practices related to the provision of pharmaceutical care.
• Have a philosophical understanding and knowledge of Value Based Car