Pharmacist (VISN PBM PADR Program Manager)

<p>The VISN 21 Prior Authorization Drug Request (PADR) Program is a centralized clinical service that ensures safe, appropriate, and cost-effective medication use for Veterans across the Sierra Pacific Network. VISN 21 serves Veterans in Northern and Central California, Nevada, Hawaii, the Philippines, and U.S. Territories in the Pacific Basin.</p><h3>Major Duties</h3><p>Under the direction of the VISN 21 Pharmacy Executive, the VISN Pharmacy Benefits Management (PBM), Prior Authorization (PA) Coordinator/Program Manager is responsible for leading the VISN-level PADR program and team. Duties: Leadership, Oversight, and Personnel Management Provide operational leadership and direction for the VISN-level PADR program, ensuring consistent, timely adjudication of all medication requests. Develop and maintain VISN-wide SOPs, criteria for use, and standardized review processes in alignment with national PBM standards and regulatory requirements. Serve as the primary liaison with VISN committees, facility leadership, and pharmacy stakeholders. Oversee staffing, workload alignment, and performance management for PADR pharmacists and technicians. Lead recruitment, onboarding, training, and professional development of PADR personnel, coordinating with Human Resources on necessary personnel actions. Supports the team by adjudicating PADRs and providing program and staff leadership, while exercising initiative and collaborating effectively with all stakeholders to promote safe, evidence-based care for Veterans. Quality Assurance, Education, and Strategic Planning Develop annual business and operational plans aligned with VISN leadership priorities, monitoring program costs and resource needs to ensure efficient operations. Support PBM formulary and utilization initiatives to promote safe, cost-effective medication use. Provide education and training on PADR processes, formulary guidance, and standardized competencies for PADR staff. Lead quality assurance efforts to ensure consistency, regulatory readiness, and adherence to national standards across all participating facilities. Strengthen consistency and transparency in adjudication processes, while contributing subject matter expertise to enhance program impact. Track key metrics and share data with leadership to inform decision-making and program improvement. Work Schedule: Monday-Friday, 7:30am - 4:00pm PST (Subject to Change to meet organization needs) Telework: Ad-hoc per policy. Virtual: This is not a virtual position. Functional Statement #: 09263-F Relocation/Recruitment Incentives: Not authorized Permanent Change of Station (PCS): Not authorized</p><h3>Requirements</h3>You must be a U.S. Citizen to apply for this job. All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA. Selective Service Registration is required for males born after 12/31/1959. Must be proficient in written and spoken English. Subject to background/security investigation. Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Complete all application requirements detailed in the "Required Documents" section of this announcement.<h3>Education</h3>Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.