Director, Pharmacy

Location US-CA-Los Angeles
Job ID


This position is jointly responsible, along with the Chief Medical Officer for the strategic planning, development, implementation, and operational oversight of pharmacy-related initiatives at AltaMed. The Pharmacy Director develops and implements strategies that positively impact quality, cost and revenue streams associated with pharmaceutical utilization from a member and a Company perspective. Major areas of responsibility include: oversight of the contract pharmacy vendor program and services; 340b oversight and compliance, and; expansion of the clinical pharmacy initiatives at AltaMed and in conjunction with pharmacy academic partners. Additionally, this position will participate in AltaMed committees including, but not limited to: Clinical Quality Committee, Pharmacy & Therapeutic (P&T), Infectious Disease, Medical Leadership Council, and Medical Management/Managed Care Committees. This position also interacts with physicians (contracted and employed), staff, health plan staff, staff Medical Directors, members of Clinical Leadership Council (regional IPA advisory council), PODS (local IPA advisory councils) and health plan members for leadership when a clinical pharmacist’s input is needed or required



  1. Works in collaboration with the Chief Medical Officer and other Medical Directors of Medical Management, IPA, Quality, Innovation and Medical Informatics in all aspects of the job.
  2. Provides oversight and monitoring of the contract pharmacy vendor program inclusive of vendor management, contract review and if applicable managing a competitive bid process to confirm market competitive services and rates.
  3. Responsible for all aspects of the 340b program inclusive of program regulatory compliance, reporting, auditing, and optimizing 340b program revenue.
  4. Develops and implements 340B regulatory compliance policies and procedures and other necessary approaches to ensure a high level of regulatory compliance and readiness for HRSA and/or drug manufacturer audits.
  5. Remains informed of changes in 340B related legislation, guidance, and other industry document briefs/articles/whitepapers that could affect the 340b program structure and makes recommendations to corporate leadership as a result of such changes.
  6. In collaboration with the Chief Medical Officer, manages the P&T Committee activities including but not limited to establishing meeting agendas, minutes, pharmaceutical and therapeutic category reviews, utilization management protocols, program impact reviews, policy & procedure reviews, and other applicable committee activities.
  7. Create and maintain a Medication Therapy Management (MTM) program that is in compliance with health plan requirements.
  8. Optimizes the clinical pharmacy model and programs at AltaMed inclusive of expansion of clinical pharmacy partnerships with academic pharmacy programs.
  9. Monitors pharmaceutical utilization trends, designs and implements programs to address the trends and communicates program outcomes to corporate leadership, IPA leadership and physicians.
  10. Provides feedback and education to IPA physicians regarding pharmaceutical utilization management initiatives and opportunities to improve prescribing patterns.
  11. Establishes a program to track and reduce medication errors and medication-related adverse events.
  12. Participates in corporate initiatives to improve quality and patient satisfaction scores particularly as it relates to pharmaceutical utilization.
  13. Acts as an advisor to the Medical Management and Managed Care teams for contracting and ARU.
  14. Oversees the specialty drug programs including ADP.
  15. Works collaboratively with the Chief Medical Officer and other corporate leadership to evaluate and implement programs to address pharmaceutical utilization in Infusion Centers.
  16. Participates as the pharmaceutical utilization expert on all required committees, including but not limited to: Clinical Quality, Infectious Disease, Medical Leadership, and Medical Management/Managed Care. This includes meetings before and after customary business hours to accommodate schedules of providers.
  17.  Oversee the identification of clinical initiatives or projects as appropriate, including, but not limited to, Appropriate Resource Use Work Groups (ER utilization, Ambulatory Surgical Center Use, Generics).
  18. Develops and ensures ongoing educational programs for the physician network to improve the cost-effective and safe utilization of pharmaceuticals.
  19. Perform all other related duties as assigned.


  1. A valid, unrestricted license to practice pharmacy in the State of California.
  2. Doctor of Pharmacy degree preferred.
  3. A minimum of three years of experience as a clinical pharmacist in a managed care, IPA, medical group, HMO, or health plan setting.
  4. A minimum of three years of experience managing 340b programs in a retail pharmacy or similar setting preferentially inclusive of oversight of contracted pharmacy vendors. Demonstrated knowledge of 340B program regulatory and compliance procedures as well as program issues, trends and challenges.
  5. Experience with analyzing and reporting data in order to identify issues, trends, or exceptions to drive improvement of results and find solutions.
  6. Knowledge of managed care operations processes and managed care contracting, including Capitation and Risk Pool Management also required.


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