Description du poste
This position is located within Pharmacy Service and is responsible for planning, directing, and coordinating the medical center's Clinical Outcomes and Formulary Management (COFM) program. The incumbent supervises staff responsible for the adjudication of prior authorization drug requests (PADRs) and works in conjunction with VISN leadership to optimize the use of pharmaceutical products for patients served at the Medical Center, with emphasis on producing better outcomes at a lower cost.
PRINCIPALES MISSIONS :
The incumbent promotes implementation of locally established guidelines, clinical practice guidelines, and serves as the point of contact, as needed, in specialty clinics as needed to provide comprehensive medication management services for patients on biologic medications. The incumbent is also responsible for maintaining and evaluating scopes of practice for direct reports and forwarding recommendations regarding staff clinical privileges to the Associate Chief. Duties may include, but are not limited to the following: Supervisory Functions: Oversees staff training, competency documentation, onboarding, scopes of practice, and recommendations for clinical privileges. Conducts quality assurance reviews; identifies medication errors, near misses, and deficiencies; and develops corrective and sustainment plans. Provides clinical oversight, education, and consultation for patient drug therapy, PADR adjudication, formulary management, monitoring, and outcomes. Manages staffing, schedules, workload shifts, program coverage, time-and-attendance changes, morale, and burnout-reduction initiatives. Develops policies, procedures, and long-range plans for PADR and formulary operations. Ensures compliance with OPPE/FPPE, VA clinical-privileging policy, and regulatory or accreditation requirements. Completes administrative projects and reports on time and serves on hospital, departmental, VISN, and Pharmacy & Therapeutics committees. Designs and implements clinical and program activities requested by the facility or VACO. Supports audits, records management, Medication Use Evaluations, defensible data collection, and reporting of program metrics. Develops business plans to expand clinical services and collaborates with pharmacy managers on cross-program impacts. Leads process-improvement projects and evaluates performance against national, VISN, and local measures. PADR Adjudication and Clinical Duties: Review and adjudicate PADRs using clinical criteria, evidence, and provider consultation; enter approved orders and complete appeals. Evaluate laboratory results, diagnostic studies, and medication regimens for safety, effectiveness, dosing, interactions, and outcomes. Communicate recommendations to prescribers and document adverse reactions, allergies, and adherence concerns. Support national, VISN, and local formulary compliance. Provide weekly comprehensive medication management for patients receiving biologic and high-cost specialty medications. Manage specialty clinic visits, coordinate patient scheduling, and educate staff on cost-effective, safe treatment algorithms. Assist with EHRM supply favorites management. Program Management: Serves on the Pharmacy & Therapeutics Subcommittee as needed and submits quarterly cost-savings reports on time. Evaluates annual national cost-saving initiatives, develops plans with pharmacy leadership to meet goals, and monitors progress quarterly. Participates in VISN formulary management and PBM committees and meetings. Supports electronic health record updates that facilitate medication ordering and appropriate access to formulary agents. Promotes and monitors compliance with established drug-therapy policies. Education and Training: Provides staff with accurate orientation to program policies and procedures. Trains and in-services pharmacists, pharmacy technicians, students, residents, and other assigned staff; serves as a preceptor in accordance with established policies. Trains staff to