Navitus Health Solutions

Supervisor, Pharmacy Quality

Navitus Health Solutions  •  $54k/yr  •  United States (Remote)  •  2 hours ago
Apply
AI can make mistakes so check important info. Chat history is never stored.

Job Description

Company

Lumicera

About Us

Lumicera - Lumicera Health Services Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the “new norm” in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. ._____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ______________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.

Pay Range

USD $54,236.41 - USD $64,567.05 /Yr.

STAR Bonus % (At Risk Maximum)

10.00 - Pharm, Supvr, AsMgr, SrCSEII, PrgMgr, SrPrgMgr, SrProdMgr

Work Schedule Description (e.g. M-F 8am to 5pm)

M-F 8am to 5pm CST

Remote Work Notification

ATTENTION: Lumicera is only able to offer remote work to residents of Arizona, Alabama, Arkansas, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin

Overview

Lumicera Health Services is seeking a Supervisor, Pharmacy Quality to join our team!

The Supervisor, Pharmacy Quality, is responsible for managing the effectiveness of the Specialty Pharmacy Quality Management Program. The Supervisor, Pharmacy Quality identifies, assigns, and supervises the work of the quality analysts and will monitor the performance of the Quality team and individual analysts to make improvements where necessary. The Supervisor, Pharmacy Quality will oversee the evaluations performed by the analysts and collaborate to create improvement plans for agents. The Supervisor, Pharmacy Quality will be responsible for creating project plans for improvements and seeing them through to resolution including reports that support the improvement and outcome-based evaluations after improvements occur.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Recommend quality metrics for the specialty pharmacy, including benchmarks, specific action plans to achieve/maintain metrics, and data analysis to support these metrics
  • Request, review, and assess quality monitoring data on a routine basis
  • Monitor internal and external customer insights to remain current with the process and to evaluate the performance of quality analysts and pharmacy personnel
  • Track, trend, and analyze escalations and data outliers for root cause and improvement
  • Responsible for a robust calibration process that ensures consistency across all parties involved in Quality Management Program
  • Facilitate improvements including writing business requirements and testing enhancements
  • Create and present assessments of current state and recommendations to improve, people and processes to leadership by using data to base assessments
  • Other duties as assigned

Qualifications

What our team expects from you?

  • Minimum associate degree or at least 2 years relevant experience
  • Supervisory experience or experience as a quality analyst
  • Experience using data to make assessments /derive recommendations to impact change
  • Experience developing and executing on improvements
  • Demonstrated excellence in a customer service role
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Lumicera?

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

#LI-Remote

Location : Address

Remote

Location : Country

US

Navitus Health Solutions

About Navitus Health Solutions

Navitus Health Solutions is a pioneering pharmacy solutions provider, having launched one of the first transparent PBMs over 20 years ago. Unlike traditional PBMs that profit from opaque pricing, Navitus passes 100% of negotiated rebates and discounts directly to health plans and plan sponsors. Its clinical model is built to manage spend from the start, making key decisions that support member health while lowering costs. This in turn drives both immediate value and long-term savings, by managing trend over time.

Navitus Health Solutions delivers a range of services through portfolio brands including Navitus, Lumicera and Archimedes. Owned by SSM Health and Costco Wholesale Corporation, the company serves over 18 million members across 800 clients, including public and private sector employers, unions, health plans and health systems. For more information, please visit www.navitus.com.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Madison, WI
Year Founded
2003
Social Media