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Director, Clinical Pharmacy
Director, Clinical PharmacyCareMore Health • San Diego, CA, US
Director, Clinical Pharmacy

Director, Clinical Pharmacy

CareMore Health • San Diego, CA, US
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  • [job_card.full_time]
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Job Description

CareMore Health is a physician-founded and physician-led organization that has been transforming care delivery since 1992. With 25 clinics, 65,000+ members and partnerships with 30+ health plans, we’ve built a reputation for delivering exceptional, integrated healthcare experiences to Medicare, Medicaid, and group or private plan members.

Our mission is simple : to improve health outcomes by delivering a transformative and integrated healthcare experience impacting physical, social and emotional well-being. Cultivating life-long relationships with patients, grounded in compassion and unwavering dedication to excellence in care, we’ve built care teams around our patients’ needs — including doctors, nurse practitioners, case managers, community health workers, social workers, pharmacists and specialists, all working together to produce the best outcomes possible.

This people-first, value-based model ensures physicians can practice medicine the way it was meant to be practiced — with time to connect, collaborate, and truly care for patients.

Position Summary :

The Director, 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.

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.
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