PharmD Licensed Senior Director

Job Summary

A company is looking for a Senior Director, PBM Clinical Operations.

Key Responsibilities

• Lead PBM Clinical Operations, focusing on formulary management, utilization management, and rebate program execution
• Define and execute a long-term clinical operations roadmap to enhance efficiency and member experience
• Oversee the Utilization Management program and formulary strategy, ensuring operational excellence and regulatory compliance

Required Qualifications

• PharmD required; MBA or related business training preferred
• 10+ years of experience in pharmacy benefit management or managed care clinical operations
• Minimum 5 years of executive or senior leadership experience in formulary and UM domains
• Strong background in Medicare and/or Medicaid program requirements is a plus
• Exceptional analytical and financial acumen, with experience managing operational KPIs