Director, Prior Authorization & Clinical Operations

TrueScripts Management Services, LLC; Washington (IN); On-site; USD 150,000 - 210,000; Full time

Benefits offered by this job

Health insurance

Strong bonus program

401k with company match

ESOP

Employee Assistance Program

Wellness program with incentives

Dream Manager Program

Family-based culture

Charitable contributions & volunteer

Job summary

TrueScripts Management Services, LLC is seeking a Director of Prior Authorization to lead our strategic, operational, and clinical efforts in utilization management. You will partner with Clinical Programs, Member Care, Client Services, Operations, Technology, and Leadership to ensure efficient, scalable and compliant prior authorization services that align with client needs and business growth.

The role requires pharmacy leadership, strong analytical skills, and a track record of process

Qualifications

• Active pharmacist license in good standing.
• 7–10 years of pharmacy/clinical operations, utilization management, or related healthcare experience.
• 3–5 years of leadership experience overseeing teams and performance.
• PBM experience or prior authorization leadership is preferred.

Responsibilities

• Provide strategic leadership and direction for the Prior Authorization department.
• Set goals, metrics, and priorities aligned with organizational objectives.
• Develop leaders and mentor team members within the department.
• Oversee daily Prior Authorization operations for quality and timely service.
• Monitor KPIs, SLAs, and operational dashboards.
• Manage clinical review vendors and external partners.
• Collaborate with Clinical Programs, Client Services, Operations, Technology, and Leadership.
• Ensure regulatory compliance and quality across activities.
• Drive continuous improvement and data-driven decision making.

Skills

Analytical skills

Problem-solving

Communication skills

Leadership

Education

BSPharm or PharmD

Job description

TrueScripts Management Services, LLC is seeking a Director of Prior Authorization to lead our strategic, operational, and clinical efforts in utilization management. You will partner with Clinical Programs, Member Care, Client Services, Operations, Technology, and Leadership to ensure efficient, scalable and compliant prior authorization services that align with client needs and business growth.

The role requires pharmacy leadership, strong analytical skills, and a track record of process