Stellus Rx

Pharmacist

• Develop, implement, and evaluate population health initiatives centered around medication management, adherence, and optimizing therapeutic outcomes.
• Utilize health data analytics to identify trends, gaps in care, and opportunities for intervention to improve medication-related outcomes for the target population.
• Collaborate with healthcare providers to ensure appropriate medication selection, dosing, and monitoring, considering population-specific needs and evidence-based guidelines.
• Design and implement programs to educate patients about their medications, ensuring understanding, adherence, and management of potential side effects.
• Work closely with healthcare teams, including physicians, nurses, social workers, and other healthcare professionals, to coordinate care plans and interventions for improved patient outcomes.
• Participate in quality improvement projects aimed at enhancing medication-related outcomes, reducing adverse events, and promoting evidence-based practices.
• Stay updated with pharmaceutical regulations, ensuring compliance with relevant laws, policies, and guidelines.
• Provide leadership within the pharmacy team, mentorship to junior staff, and contribute to departmental goals and initiatives.

Population Health Pharmacist

Manager

• Develop, implement, and evaluate population health initiatives centered around medication management, adherence, and optimizing therapeutic outcomes.
• Utilize health data analytics to identify trends, gaps in care, and opportunities for intervention.
• Collaborate with healthcare providers to ensure appropriate medication selection, dosing, and monitoring.
• Design and implement programs to educate patients about their medications.
• Work closely with healthcare teams to coordinate care plans and interventions.
• Participate in quality improvement projects aimed at enhancing medication-related outcomes.
• Provide patient care in an appointment-based model for both dispensing and non-dispensing patients.
• Stay updated with pharmaceutical regulations, ensuring compliance.
• Responsible for hiring, training, and managing a team of Pharmacy Care Coordinators.

Associate Manager, Engage Pharmacist

Director

• Develop comprehensive strategies to optimize relationships with payors, including negotiating contracts, rates, and terms.
• Monitor industry trends, regulatory changes, and competitor activities to inform payor negotiation strategies.
• Collaborate with senior leadership to align payor strategies with organizational goals and objectives.
• Lead negotiations with payors to secure favorable contract terms, reimbursement rates, and payment methodologies.
• Evaluate proposed contracts and amendments to ensure alignment with organizational priorities and financial targets.
• Manage contract compliance, including monitoring performance metrics, resolving disputes, and implementing corrective actions when necessary.
• Oversee the credentialing and enrollment process for healthcare providers, ensuring timely and accurate submissions to payors.
• Maintain up-to-date knowledge of credentialing requirements, regulations, and accreditation standards.
• Coordinate with internal departments (e.g., provider relations, revenue cycle) to streamline credentialing workflows and minimize delays.
• Collaborate with revenue cycle management teams to identify opportunities for improving billing processes, claims submission, and reimbursement efficiency.
• Analyze revenue cycle data and performance metrics to identify trends, root causes of denials, and opportunities for revenue enhancement.
• Implement best practices and process improvements to optimize revenue cycle performance and reduce revenue leakage.
• Cultivate and maintain strong relationships with key stakeholders at payor organizations, including executives, contracting representatives, and network managers.
• Serve as the primary point of contact for payors regarding contract negotiations, issue resolution, and strategic initiatives.
• Advocate for the organization's interests while fostering collaborative partnerships with payors to achieve mutual goals.

Population Health Pharmacist

Associate Manager, Engage Pharmacist

Director, Payer Relations