Director Pharmacy Operations

The Elevance Health Companies, Inc.

Atlanta (GA)

Hybrid

USD 155,000 - 280,000

Full time

10 days ago

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Benefits offered by this job

Comprehensive benefits
Incentive programs
Equity stock purchase
401k contribution
Paid holidays
Paid Time Off
Medical insurance
Dental insurance

Job summary

Elevance Health seeks a Director of Pharmacy Operations to lead the development and implementation of clinical pharmacy programs. This hybrid role requires in-office presence and strategic oversight of regional initiatives, budgets, and performance metrics.

The candidate will direct teams, manage policies, and drive MTM/CMR initiatives while coordinating with finance and operations to ensure successful program outcomes.

Qualifications

  • Requires PharmD or RPh or other health-related advanced degree and minimum 5 years in managed care.
  • Current unrestricted RPh license in applicable state(s) required.

Responsibilities

  • Directs activities related to development of clinical pharmacy programs.
  • Directs regional clinical program implementations and tracks call stats and interventions.
  • Establishes guidelines and facilitates policy creation and adherence.
  • Develops and defines procedures and systems to support clinical pharmacy program implementations.
  • Facilitates process enhancements to improve overall effectiveness of clinical pharmacy programs.
  • Oversees budget planning and forecasting.
  • Monitors and evaluates program implementations.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Skills

Medicare experience
MTM experience
CMR experience
Workforce management
Call center experience
PBM experience
Team leadership

Education

PharmD
RPh license

Job description

Anticipated End Date: 2026-08-28

Position Title: Director Pharmacy Operations

Job Description

Director Pharmacy Operations.

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidate resides within a commutable distance from an office.

How you will make an impact
  • Directs activities related to development of clinical pharmacy programs.
  • Directs regional clinical program implementations and tracks call stats and interventions.
  • Establishes guidelines and facilitates policy creation and adherence.
  • Develops and defines procedures and systems to support clinical pharmacy program implementations.
  • Facilitates process enhancements to improve the overall effectiveness of clinical pharmacy programs.
  • Oversees budget planning and forecasting.
  • Monitors and evaluates program implementations.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements
  • Requires a PharmD, RPh or other advanced degree in a health related field and minimum of 5 years of experience in managed care; or any combination of education and experience, which would provide an equivalent background.
  • Current unrestricted Registered Pharmacist (RPh) license in applicable state(s) required.
  • Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting pharmacy review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the United States, unless they are command-sanctioned activities.
Preferred Qualifications
  • Medicare experience preferred.
  • Medication Therapy Management (MTM) experience preferred.
  • Comprehensive Medication Review (CMR) experience preferred.
  • Workforce management, call center, telephony, or outbound campaign experience preferred.
  • PBM experience preferred.
  • Experience overseeing large initiatives and teams preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $155,440.00 to $279,792.00.

Location(s): California, Columbus, OH, Illinois, Maryland, Massachusetts, Nevada, New Jersey, NewYork, and Washington State

Benefits
  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution (all benefits are subject to eligibility requirements)
Additional Total Rewards
  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs (unless covered by a collective bargaining agreement)
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k)+match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job Level: Director

Workshift: 1st Shift (United States of America)

Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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