Director, Medical Pharmacy Solutions (Remote)

Prime Therapeutics; Cheyenne (WY); Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience to lead clinical services and strategies for our medical pharmacy and specialty programs delivered to customers.

You will oversee medical pharmacy programs, utilization management, and contribute to analytical insights, policy development, and client-facing materials, while mentoring peers and cross-functional partners in a remote role.

Qualifications

• PharmD or BS Pharmacy degree.
• Current pharmacist license to practice in the applicable state(s).
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Responsibilities

• Serve as the lead clinical consultant and subject matter expert for assigned clients, providing strategic guidance on medical pharmacy and specialty programs.
• Partner with account management and business development teams to support client retention, growth opportunities, financial analyses, and new business initiatives.
• Develop and advance innovative medical pharmacy strategies through data-driven insights, clinical solution design, and program enhancements.
• Evaluate emerging therapies, market trends, and medical benefit drug management opportunities to improve clinical outcomes, affordability, and client value.
• Oversee client-facing medical pharmacy programs and utilization management solutions, including fee schedule management, prior authorization, post-service claim edits, and related programs.
• Identify opportunities to expand existing programs and recommend new solutions that address evolving client and market needs.
• Colloborate with cross-functional teams to evaluate program performance, develop business rules, deliver actionable insights, and drive continuous improvement through enhanced reporting and operational efficiencies.
• Lead the development of client-facing clinical materials, strategic presentations, thought leadership content, and industry-facing publications.
• Represent the organization as a clinical expert and mentor through industry engagement, enterprise initiatives, conference presentations, and guidance to peers and cross-functional partners.

Education

PharmD / BS Pharmacy degree

Job description

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience to lead clinical services and strategies for our medical pharmacy and specialty programs delivered to customers.

You will oversee medical pharmacy programs, utilization management, and contribute to analytical insights, policy development, and client-facing materials, while mentoring peers and cross-functional partners in a remote role.