{"id":1480611,"url":"https://alion.io/job/quantum-health-manager-clinical-program-pharmacy","title":"Manager, Clinical Program Pharmacy","company":{"id":1930760,"name":"Quantum Health","domain":"quantum-health.com","url":"https://alion.io/company/quantum-health","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Lever","truth_index":null},"role":"HR","role_family":"HR","seniority":"senior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":86000,"max_usd":175000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":382},"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-09-14T14:18:21Z","employer_posted_date":"2026-09-14","last_verified_at":"2026-10-13T17:07:44Z","board_verified":true,"closed_at":null,"days_open":29,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":29},"description":"Summary\nThe Manager, Clinical Program - Pharmacy supports the Vice President, Pharmacy Services by providing leadership, strategic direction, and operational oversight for the Pharmacy program. This role is responsible for people leadership, program performance, client engagement, workforce planning, and continuous improvement initiatives while ensuring high-quality pharmacy services and optimal member outcomes.\nThe Manager provides leadership and guidance to Pharmacy Leads and clinical staff and serves as the primary escalation point for complex clinical, operational, and client-related issues.\nResponsibilities\nPeople & Culture\nSupport recruiting and retention efforts, including participation in new hire selection.\nProvide direct leadership and management of pharmacists, nurses, and support staff.\nDevelop Pharmacy Leads and other leadership-level team members while ensuring consistent application of coaching frameworks across the department.\nDeliver performance feedback and provide performance management and coaching to support employee development and maximize team success.\nFoster a collaborative, community-oriented culture that recognizes and rewards innovation, enhancing both member and employee satisfaction.\nEstablish onboarding, training, competency, and quality standards for the Pharmacy program and ensure Pharmacy Leads execute development plans consistently across teams.\nConduct regular one-on-one meetings and quarterly performance reviews with assigned staff, utilizing data and insights provided by the Clinical Quality team.\nLead succession planning and Individual Development Plan (IDP) processes to support professional growth and identify high-potential talent.\nOversee workforce planning, service levels, productivity targets, and resource allocation across the Pharmacy program.\nFacilitate department-wide communications, strategic planning sessions, leadership meetings, and organizational initiatives impacting Pharmacy Services.\nPromote a culture of camaraderie, partnership, and collaboration.\nEnsure accountability and shared responsibility for delivering high-quality member and provider support.\nClient Experience\nBuild and maintain effective client relationships while ensuring alignment with client expectations.\nCollaborate with external plan partners, including Third-Party Administrators (TPAs), Pharmacy Benefit Managers (PBMs), and vendor partners, to support client plans and address member concerns.\nIdentify and resolve issues to maintain exceptional client and member service, escalating trends and risks to leadership as appropriate.\nPartner with organizational leadership to support successful client implementations and keep Client Executives informed of emerging issues and trends.\nParticipate as a clinical leader during prospective and current client meetings and site visits.\nProvide clinical consultation and support to Pod Leadership and Client Engagement Group (CEG) teams for escalated client cases.\nServe as the primary clinical representative during advocacy reviews and clinical audits by:Presenting audit materials and findings.\nResponding to stakeholder questions.\nIdentifying and summarizing key themes and improvement opportunities.\nCollaborating with Clinical Quality & Accreditation, Clinical Training, Clinical Program Leadership, Clinical Delivery Leadership, and Pod Leadership teams.\n\nClinical Leadership & Subject Matter Expertise\nReinforce expectations related to workflows, processes, protocols, and program design.\nServe as an accessible resource for staff, answering questions and clarifying expectations.\nAssist with resolution of escalated issues and complex clinical or operational challenges.\nCommunicate client expectations, business performance metrics, member satisfaction insights, and team culture initiatives.\nSupport specialty clinical teams by:Triaging Patient Service Representative (PSR) inquiries.\nProviding clinical guidance and consultation.\nReviewing and resolving clinical questions or delegating as appropriate.\nServing as a clinical resource for leaders and specialty team staff.\n\nMonitor and adjust daily clinical workloads to ensure operational effectiveness.\nMaintain a comprehensive understanding of clinical workflows, policies, and procedures.\nSupport team members in resolving issues, obtaining necessary information, and improving the overall member healthcare experience.\nQualifications\nLicensure & Credentialing\nMust hold an active, unrestricted, and unencumbered professional license in good standing with the applicable state licensing board in one of the following disciplines:\nPharmacist (R.Ph. or PharmD) or Registered Nurse (RN) holders\nOther independently licensed healthcare professional authorized to conduct clinical assessments\n\nWhere applicable, clinicians must maintain a Multi-State License (MSL) issued through the appropriate licensure compact (for example, the Nurse Licensure Compact for RNs).\n\nFor clinicians residing in states that do not offer an MSL, or disciplines without an established multistate licensure program, individuals must be willing and able to obtain and maintain additional state licenses as required to support members served by the organization.\n\nAll required licenses, including MSLs and additional state licenses, must be obtained within 90 days of hire.\n\nOngoing maintenance, timely renewal, and compliance with all licensure requirements and state board regulations are conditions of employment.\n\nEducation, Skills & Experience\nRequired\nDoctor of Pharmacy (PharmD).\nMinimum of 5 years of pharmacy experience.\nMinimum of 3 years of pharmacy leadership, management, or supervisory experience.\nPreferred\n3 to 5 years of experience managing a pharmacy team.\nExperience mentoring, coaching, and developing clinical professionals in a healthcare environment.\nKnowledge & Skills\nExpertise in:\nManaged care\nSpecialty pharmacy\nUtilization management\nPharmacy Benefit Manager (PBM) operations\nPerformance coaching\nAnalytics and reporting\nClient relationship management\n\nExcellent verbal, written, and presentation communication skills.\n\nProven ability to drive results in a high-service healthcare, insurance, or managed care environment.\n\nStrong leadership, organizational, and workforce planning skills.\n\nKnowledge of interdisciplinary clinical operations and healthcare delivery models.\n\nAbility to analyze operational performance and implement continuous improvement initiatives.\n\nCommitment to protecting confidential company and member information and operating in accordance with organizational ethics, compliance standards, and data security policies.\n\nKey Competencies\nStrategic Leadership\nPeople Development & Coaching\nClient Relationship Management\nPharmacy Operations Management\nWorkforce Planning\nClinical Expertise\nPerformance Management\nProcess Improvement\nQuality & Compliance\nCommunication & Collaboration\nProblem Solving & Decision Making\nMember-Centered Service 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