Director, Population Health Pharmacy; Full Time; Days

Mount Sinai is one of the largest non-profit health systems in the U.S. with a strong reputation for quality of care and research and education. Our health system has over 43,000 employees working together to provide billions of dollars in high-quality care for millions of patients each year.

Mount Sinai Health Partners (MSHP) is the health system's value-based care business unit, leading our transition toward greater accountability and risk for patient outcomes. The population health team within Mount Sinai encompasses payer contracting, population health analytics and operations, care management, clinical integration, and population-based quality and efficiency management. The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise.

MSHP is a fast-growing business unit within Mount Sinai and is looking for team members who:

• Are comfortable "playing up" and "playing down" as needed to accomplish business objectives

• Work productively amidst ambiguity

• Thrive in fast-paced work environments

• Seek to improve the status quo

Within MSHP and System Pharmacy, the pharmacy population health function drives value-based contract performance through medication optimization, utilization management, quality measure achievement, and care transition programs across a large and complex patient population. The Director, Population Health Pharmacy, will help provide strategic leadership for this portfolio, and will oversee all relevant operations, including clinical teams. . She/he will report to SVP and Chief Medical Officer of Population Health and will also work closely with Ambulatory Lead for System Pharmacy.

Mount Sinai Health Partners seeks a Director, Population Health Pharmacy who will:

Pharmacy Quality Programs

• Oversee pharmacy quality initiatives including medication adherence, SUPD/ SPC and other pharmacy- related quality measures including day-to-day operations oversight, staffing, clinical operations, analytics and technology optimization and strategic planning

• Prepare and oversee performance updates to senior leadership

• Represent pharmacy in payer joint operating committees

   

Remote Patient Monitoring – Condition Management Program

• Co-lead clinical design, strategy, and ongoing evaluation of condition management programs across the health system, with SVP/CMO of Population Health. 

• Oversee program financial performance and operational KPIs, directing mitigation strategies as needed.  Develop and maintain relationships with key internal and external stakeholders to advance program goals and support clinical workflow integration.  Govern vendor relationships, technology infrastructure, and analytics tools to maintain efficient and scalable program operations.  Assess program impact on populations served, with emphasis on high-risk populations aligned to value-based care goals

Pharmacy Utilization Management

• Oversee and drive equal-cost lower-efficacy initiatives

• Oversee disease-state drug utilization programs including but not limited to PPIs, opioids, anti-VEGF agents, and antifungals

• Oversee of site-of-care optimization strategy for high-risk ACO populations

• In partnership with SVP/CMO, Population Health, support value-based care partnership arrangements with payer and VBC partners on pharmacy cost and quality

• Possibly support benefit utilization management work and contribute to pharmacy benefit strategic initiatives for employee patients (i.e. PBM) 

• Possibly implement and oversee pharmacy technology solutions including real-time-benefits tracker optimization

High-Risk ACO & Transitions of Care

• Oversee strategic design of polypharmacy review and medication reconciliation programs for high-risk ACO populations

• Support enterprise pharmacy TOC strategy including discharge planning integration and building high-risk patient reviews prior to admission

Education and Experience

• PharmD from an ACPE-accredited institution required

• Active pharmacist licensure required

• 5+ years of relevant pharmacy experience required, including preferred 2+ years in a population health, managed care, ambulatory care, health plan, or health system leadership role

• Experience leading teams

• Expertise in pharmacy utilization management, HEDIS/Star Ratings quality performance, and value-based care program design preferred

• Experience translating data analysis into operational, clinical, and business strategy preferred

• Board certification (BCPS, BCACP, or relevant specialty) preferred

• CDCES or other chronic disease management credential preferred

Additional Key Skills and Attributes

• Professional maturity to manage executive and system-impacting programs and deliverables

• Ability to get smart quickly across new clinical, operational, and financial domains

• Comfortable working in a fast-paced, dynamic environment with shifting priorities

• Superior work ethic and persistence to achieve challenging goals

• Strong relationship and influencing skills across clinical, administrative, and payer audiences

• Experience with remote patient monitoring platforms or digital health a plus