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Pharmacy Quality Project Manager II

Job Category:  Clinical
Department:  Pharmacy & Formulary

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  9322

Salary Range:  $77,265.00 (Min.) - $94,425.00 (Mid.) - $123,625.00 (Max.)


Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

The Pharmacy Quality Project Manager will be responsible for the day-to-day and longitudinal management of projects surrounding the quality of pharmacy care and pharmacy quality metrics for Medicare, Medi-Cal, and commercial lines of business. This position will report to the Manager of Clinical Programs in the Pharmacy & Formulary Department.

The Pharmacy Quality Project Manager would track the growing repertoire of interventions targeting these metrics, which will continuously adapt and evolve over time in order to maintain high scores. This position will continuously monitor on a frequent and regular basis the overall performance in all pharmacy metrics in order to promptly and efficiently pivot or modify any existing interventions or implement new interventions. Interventions carried out by internal staff will need regular assessment upon completion for successful outcomes, and interventions carried out by external vendors must be assessed for return on investment (ROI). Furthermore, new interventions initiated with external vendors would require coordination of contracting with other internal departments and, if necessary, be vetted through a request for proposal (RFP) process. 


Help design and implement strategic projects. Conduct research and analysis and coordinate projects in support of Health Services. Assume a lead project management role for new initiatives or lines of business for Health Services.

Conduct feasibility study, cost benefit analysis, and program plan for new initiatives or activities consistent with the strategic goals of the organization to meet organizational goals and objectives.

Facilitate dialogue between both internal staff and external stakeholders regarding process and quality improvement activities. Develop and implement process improvements within Health Services and between Health Services and other key departments within L.A. Care. This involves direct engagement and interaction with designated staff in the respective departments.

Develop and maintain identified program documentation required to operationalize projects and
key initiatives (e.g. charters, project scope, business requirements, detailed work plans, evaluation tools, program evaluations, etc.); maintain organized documentation systems to manage the assigned projects. Ensure projects adhere to work plans and associated timelines.

Actively identifies opportunities and makes recommendations to health services leadership to improve the quality effectiveness and efficiency of health services functions and organization-wide functions. Independently recommend innovative and thoughtful process improvement solutions.

Work with Health Services to develop and refine metrics relevant to the department; work closely with Health Services business analysts and staff to develop effective data collection methodology and tracking to evaluate effectiveness of projects; track and report on project outcomes. Ensure that Department is in compliance with State, Federal, and NCQA regulations.

Duties Continued

Vendor management: Lead RFP development, execution and completion including contract negotiations, vendor management, and oversight. Responsible for the extensive writing of memos and motions to assure approval by L.A. Care's Board. Monitoring contract and budget amount of invoices to ensure money spent is within budget and contract amount.

Responsible for writing white papers, manuscripts, grant applications, and other relevant  materials/communications pertinent to the Department; assist in designing Health Services training and outreach efforts for both internal staff and external stakeholders.

Perform other duties as assigned. 

Education Required

Bachelor's Degree in Health or Business related field
In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred


A minimum of 3-5 years experience in successful project management.

Experience with pharmacy health care program design, implementation, and evaluation. 
Knowledge and experience with project management software (e.g., Jira/Atlassian). 


Strong qualitative and quantitative analytic skills. 

Excellent written and verbal communication skills. Strong interpersonal communication skills with the ability to effectively work with staff at all levels of the organization.

Proficiency with Microsoft Office tools including Word, Excel, PowerPoint and Project databases (Access, etc.). 

Must be detail-oriented, energetic, self-motivated and be able to collaborate well within teams.

Ability to lead project team, meet or exceed deadlines and work with other dependencies outside the department related to the project. 

Knowledge of regulatory requirements for Medicaid, Medicare, and NCQA standards.

Licenses/Certifications Required

Licenses/Certifications Preferred

Project Management Certificate

Required Training

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.


L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)


At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, it's expected that all employees wear a mask in areas where physical distancing cannot be managed.

Nearest Major Market: Los Angeles

Job Segment: Pharmacy, Medicare, Medicaid, Healthcare

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