Director, Clinical Pharmacy Stars Performance

Director, Clinical Pharmacy Stars Performance A bit about this role: As Director, Clinical Pharmacy Stars Performance, you are the tactical owner of every clinical pharmacy-related measure in our Medicare Advantage and Part D Star Ratings portfolio. Your job is to drive our clinical pharmacy Stars enterprise strategy into daily reality, measure by measure, member by member, week by week. This is the most consequential set of measures we own. You will be the enterprise clinical subject matter expert on pharmacy quality: the person Medical Directors call before they call anyone else, the person who reads the Technical Notes the day they drop, and the person who can tell us in February where a cut point is going to land in October and what we need to do about it now. You will also be the person building the tracker, setting the objectives and key results, and personally auditing whether the outreach was actually effective. You will report directly to the AVP, Pharmacy, carrying the portfolio into executive meetings, leading cross-functional escalations, and owning outcomes. Responsibilities and Impact will include: Performance Management & Insight Generation. Own the performance trajectory of the full clinical pharmacy Star portfolio, including the triple-weighted medication adherence measures (Diabetes, RAS Antagonists, Statins), Statin Use in Persons with Diabetes (SUPD), Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH), and Concurrent Use of Opioids and Benzodiazepines (COB). Forecast measure trajectories against projected cut points, identify risk months before it shows up in a year-end score, and translate the analysis into daily, weekly, and monthly operating directives that internal teams and vendors can actually execute against. Clinical Subject Matter Expertise & Clinical Collaboration. Serve as the authoritative clinical voice on pharmacy quality. Track regulatory specification changes and clinical guideline shifts and interpret what they mean for our operations. Lead peer-to-peer dialogue with clinical leaders within Devoted and our growing provider network. Future Measure Readiness. Keep us ahead of the measure set rather than reacting to it. Track what CMS is developing, what sits on the display page, and what the measure developer pipeline is producing. Build the data and operational capability for a measure while it's still on display, so that when it enters Stars we are already performing instead of standing up a workflow. Own the read on every Advance Notice, Proposed Rule, and Final Rule, translate them into what specifically changes for Devoted, and bring us a point of view. Strategy & Innovation. Design organization-wide strategies across the portfolio of clinical pharmacy measures to deliver 5-Star performance at scale. You will identify innovative opportunities to eliminate friction points along members’ healthcare journeys, empowering them to achieve their healthiest lives. Excellent Cross-Functional Execution. Manage performance against operating KPIs and clinical outcomes metrics by partnering with internal Devoted teams and external partners, including our PBM, to design and implement solutions that improve clinical and care coordination interventions. You will translate goals into actionable strategies and guide initiatives from pilot phase through full-scale implementation across our member population as well as our provider and pharmacy networks. Market Awareness. Keep a pulse on the vendor landscape: who is doing credible work in adherence stratification, pharmacist-led intervention, and pharmacy network engagement, what those platforms actually deliver versus what the sales deck promises, and whether there's a case for bringing one in. We build rather than buy by default. We expect you to have an informed opinion on when that calculus should change, and to be able to defend it either way. Servant Leadership. Drive execution through a blend of