Director, Specialty Clinical Solutions — Remote Impact

Prime Therapeutics; Columbus (OH); Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics is seeking a Director of Specialty Clinical Solutions. The role leads clinical services and strategies for Medical Pharmacy & Specialty programs, driving utilization management, analytics, and regulatory compliance for customers.

Responsibilities include guiding clients on medical pharmacy strategies, partnering with account teams, and developing innovative program solutions. Remote work is available for this senior leadership position.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree
• 7 years of work experience in medical pharmacy or at Health Plan with multiple lines of business
• 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
• Strong interpersonal & communication, consultation, organizational, tracking and follow-up skills
• Ability to research, obtain, coordinate, and integrate feedback from diverse operational groups
• Excellent verbal and written communication skills
• Strong presentation skills who exude high confidence in project output and production

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
• Coloborate 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
• Other duties as assigned

Skills

Interpersonal communication

Leadership

Presentation skills

Analytical thinking

Education

PharmD or B.S. Pharmacy

Job description

Prime Therapeutics is seeking a Director of Specialty Clinical Solutions. The role leads clinical services and strategies for Medical Pharmacy & Specialty programs, driving utilization management, analytics, and regulatory compliance for customers.

Responsibilities include guiding clients on medical pharmacy strategies, partnering with account teams, and developing innovative program solutions. Remote work is available for this senior leadership position.