Director, Clinical PharmacyCareMore Health • San Francisco, CA, US
Director, Clinical Pharmacy
CareMore Health • San Francisco, CA, US
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- [job_card.full_time]
[job_card.job_description]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. 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. 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. 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. 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. 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. 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.
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
Data, Analytics & Performance
Stakeholder Engagement & External Relations
Qualifications :
Education & Licensure
Experience
Skills & Competencies
Performance Metrics
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