Clinical Programs Lead — Pharmacy & Medical Benefits

Capital Rx; Denver (CO); Hybrid; USD 135,000 - 145,000; Full time

Job summary

Judi Health in Denver is seeking a Clinical Programs Manager to develop and optimize clinical programs for pharmacy and medical benefits, overseeing the lifecycle, ensuring value, quality, and outcomes for clients. You will collaborate with analytics, product, finance, marketing, client services, sales, operations, and vendors.

Responsibilities include program development across drug utilization, adherence, disease management, cross‑functional planning, resource maintenance, pharmacist input,

Qualifications

• Active, unrestricted pharmacist license.

Responsibilities

• Develop, implement, and maintain clinical programs across all lines of business.
• Partner with cross-functional teams for planning, implementation, execution, and ongoing management.
• Maintain and update clinical program resources including drug lists, clinical rules, SOPs, training materials.
• Provide pharmacist expertise for program workflows, outreach strategies, prescriber communications, and clinical decision‑making.
• Oversee third‑party vendors to administer clinical programs with emphasis on disease management.
• Support go‑to‑market strategy of clinical products including pricing, marketing, and implementation.
• Assist with RFI and RFP submissions.
• Support program launches, workflow enhancements, reporting initiatives, client implementations, and clinical projects.
• Monitor program performance, claims activity, and reporting requirements; ensure effective communication.

Skills

Excellent communication

Organizational skills

Independent work

Problem solving

Clinical analytics

Large data sets

Education

Active pharmacist license (unrestricted)

Tools

Confluence

Jira

Tableau

Salesforce

Job description

Judi Health in Denver is seeking a Clinical Programs Manager to develop and optimize clinical programs for pharmacy and medical benefits, overseeing the lifecycle, ensuring value, quality, and outcomes for clients. You will collaborate with analytics, product, finance, marketing, client services, sales, operations, and vendors.

Responsibilities include program development across drug utilization, adherence, disease management, cross‑functional planning, resource maintenance, pharmacist input,