Provides strategic leadership and direction for the Pharmacy Trend Oversight & Reporting, Clinical Program Maintenance, and Pharmacy Mandate Execution & Client Implementation functions
Establishes and executes clinical intervention and pharmacy strategy programs
Evaluates, maintains, and implements clinical programs
Oversees pharmacy trend analysis, reporting, and performance insights to support business and clinical decision-making
Provides leadership for client implementation of pharmacy mandates, drug list updates and clinical program changes while partnering with operational and client-facing teams to ensure successful execution
Supports enterprise accreditation processes
Collaborates with Care Management and other cross-functional partners to improve medication compliance, clinical outcomes, and reduce avoidable healthcare utilization
Provides Request for Proposal (RFP) support and contributes to business growth and client retention
Manages departmental budget and supports clinical product growth and operational efficiency
Hires, develops, coaches, counsels, and evaluates performance of direct reports and team leads while fostering collaboration across multiple functional areas
Requirements
Requires a PharmD, RPh or MPh and minimum of 5 years of managed care experience
Current unrestricted Pharmacist license in applicable state(s) required
Requires BS in Pharmacy
Experience leading cross-functional pharmacy strategy, reporting, and implementation teams
Experience with pharmacy trend analytics, clinical program governance, and performance reporting
Experience leading pharmacy client implementations, formulary or mandate execution, and operational readiness activities
Strong executive communication, stakeholder management, and strategic planning skills