Supervisor Pharmacist
Company: CalOptima
Location: Villa Park
Posted on: February 27, 2026
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Job Description:
Supervisor Pharmacist CalOptima Join Us in this Amazing
Opportunity The Team You'll Join We are a mission driven
community?based organization that serves member health with
excellence and dignity, respecting the value and needs of each
person. If you are ready to advance your career while making a
difference, we encourage you to review and apply today and help us
build healthier communities for all. More About the Opportunity We
are hoping you will join us as a Supervisor Pharmacist and help
shape the future of healthcare where you'll be an integral part of
our Pharmacy Management team, helping to strive for excellence
while we serve our member health with dignity, respecting the value
and needs of each of our members through collaboration with our
providers, community partners and local stakeholders. This position
has been approved to be Full Telework . If telework is approved,
you are required to work within the State of California only and if
Partial Telework, also come in to the Main Office in Orange, CA, at
least two (2) days per week minimum. The Supervisor Pharmacist for
Pharmacy Clinical Programs will assist the manager and pharmacy
staff with the ongoing development and implementation of targeted
drug utilization and disease state management strategies to improve
the quality of care and outcomes of health care provided to
members. You will supervise pharmacy staff involvement with
clinical programs such as Medication Therapy Management (MTM),
Interdisciplinary Care Team (ICT), Pharmacy & Therapeutics
(P&T) committee, Drug Utilization Review (DUR) and pharmacy
quality, and supports the Pharmacy residency and internship
programs. You will promote clinically appropriate prescribing
practices by continuously researching and developing drug
management intervention strategies. Together, we are building a
stronger, more equitable health system. Your Contributions To the
Team: 50% ? Supervisory Functions Participates in a mission?driven
culture of high?quality performance, with a member focus on
customer service, consistency, dignity and accountability. Assists
the team in carrying out department responsibilities and
collaborates with others to support short? and long?term
goals/priorities for the department. Supervises day?to?day
activities of the department to ensure compliance with company
policies and regulatory requirements. Resolves complex matters,
ensures team members are directed to the appropriate resources and
manages escalated situations. Supervises, advises, trains and
facilitates the ongoing development and education of department
staff. Develops, establishes and maintains a work priority system
to ensure Clinical Programs staff workloads are fulfilled. Develops
and maintains contacts and relationships with key providers to
interaction and intervention activities. Updates and maintains
protocols and criteria for clinical and quality programs. Works
with the Manager Clinical Pharmacist (Clinical Programs) to
implement changes in regulations; updates CalOptima Health pharmacy
policies and develops new policies and procedures when needed.
Collaborates with the Manager Clinical Pharmacist (Clinical
Programs) to recommend, develop and implement targeted drug
utilization intervention programs and other DUR/DUE activities.
Works with the Manager Clinical Pharmacist (Clinical Programs) and
within Medical Management (e.g., with data manager, case managers,
etc.) on various data integration and disease management and
outcomes projects. Supports the pharmacy residency and internship
programs and ensures successful completion of annual residency
research projects. 45% ? Program Support Collaborates with
regulatory compliance and audit teams to ensure the pharmacy
clinical programs meet expectations, develops processes, program
and training materials exceed established standards and works with
Manager Clinical Pharmacist (Clinical Programs) to improve or
implement new Centers for Medicare & Medicaid Services (CMS)
guidance, Department of Health Care Services (DHCS) and/or National
Committee for Quality Assurance (NCQA) regulations into operations
and workflow. Reviews members' medication profiles to meet various
clinical and quality program requirements; makes recommendations to
health care providers based on evidence?based medicine and national
guidelines for disease management. Collaborates with PBM to
implement and address formulary, systems and other member drug
benefit?related programs. Serves as point of contact for clinical
programs that address member drug utilization or CMS programs such
as MTM, ICT, DUR, Healthcare Effectiveness Data and Information Set
(HEDIS) & Star, and other targeted clinical programs based on
department initiatives. Assists in the preparation of drug
monographs and utilization reports for the Pharmacy & Therapeutics
Committee. Represents Pharmacy Management in interdepartmental
meetings. Participates with work groups to provide pharmacy subject
matter expertise. 5% ? Completes other projects and duties as
assigned. Do You Have What the Role Requires? Doctor of Pharmacy
(PharmD) degree from a fully accredited university required. 3
years of experience in managed care clinical programs required.
Current knowledge and expertise in clinical pharmacology and
disease states are required. Demonstrated proficiency in pharmacy
data analytics required. Basic working knowledge of Medicare Part D
and Medi?Cal required. You'll Stand Out More If You Possess the
Following: Supervisory experience. CMS, Department of Managed
Health Care (DMHC) and/or NCQA audit experience. Bilingual in
English and in one of CalOptima Health's defined threshold
languages (Arabic, Farsi, Chinese, Korean, Russian, Spanish,
Vietnamese). Pharmacy Residency in managed care or pharmacy
practice. What the Regulatory Agencies Need You to Possess? A
current, valid and unrestricted California state registered
pharmacist license. Your Knowledge & Abilities to Bring to this
Role: Develop rapport and establish and maintain effective working
relationships with CalOptima Health's leadership and staff and
external contacts at all levels and with diverse backgrounds. Work
independently and exercise sound judgment. Communicate clearly and
concisely, both orally and in writing. Work a flexible schedule;
available to participate in evening and weekend events. Organize,
be analytical, problem?solve and possess project management skills.
Work in a fast?paced environment and in an efficient manner. Manage
multiple projects and identify opportunities for internal and
external collaboration. Motivate and lead multi?program teams and
external committees/coalitions. Utilize computer and appropriate
software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint)
and
Keywords: CalOptima, Vista , Supervisor Pharmacist, Healthcare , Villa Park, California