General Manager, Pharmacy Operations — NJ Onsite & Growth

Clover Health; New Jersey; Hybrid; USD 317,000 - 375,000; Full time

Benefits offered by this job

Base salary

Equity opportunities

Bonus program

401k matching

Medical/dental/vision coverage

Remote-first culture

Job summary

Clover Health is reinventing health insurance by using data and human empathy to keep members healthier. This role, General Manager, Pharmacy, places you at the helm of Clover’s growing pharmacy business with end-to-end accountability for performance, growth, and experience while upholding strict quality and compliance standards.

You will lead a strategic transformation, with onsite presence at our New Jersey pharmacy operations, and collaborate across Strategy, Clinical leadership, and Care

Qualifications

• Led a dispensing, specialty, mail-order, or digital pharmacy business through scale or transformation.
• Owned a P&L or equivalent accountability for a substantial business line.
• Proven enterprise leadership with ability to set strategy and build an org.
• Understanding of pharmacy operations, licensing, fulfillment, workflow, automation, quality.
• Experience in regulated, metrics-rich environments balancing growth and compliance.

Responsibilities

• Own the pharmacy P&L, operating plan, growth agenda, and staffing.
• Lead evolution and scaling of Clover's pharmacy platform.
• Set long-term strategy including facilities, licensing, technology, and organization design.
• Build and lead a high-performing management team with clear decision rights.
• Establish cadence and metrics for volume, unit economics, turnaround time, quality, and compliance.
• Drive growth across Medicare Advantage membership through provider engagement and member experience.
• Oversee licensing, credentialing, regulatory readiness, and compliance.
• Strengthen relationships with wholesalers, manufacturers, and vendors.
• Collaborate with Strategy, Clinical leadership, and Care Initiatives teams to improve outcomes.

Skills

P&L ownership

Strategic leadership

Healthcare/pharmacy experience

Operational excellence

Job description

Build the pharmacy business that powers the next generation of Medicare Advantage.

Clover is building more than a dispensing operation. We are building a strategic healthcare business that can improve access, medication experience, and outcomes for Medicare Advantage members.

As the General Manager, Pharmacy, you will assume end-to-end accountability for the build, licensing, performance, evolution, and long-term growth of Clover's pharmacy business. You will own the P&L, 0 to 1 pharmacy build plan, ongoing operating plan, growth agenda, organization, scaling roadmap, and member experience while ensuring that quality and compliance remain foundational.

This position requires frequent and meaningful onsite presence in New Jersey through development, launch, and ongoing operations.

As General Manager, Pharmacy, you will:

• Own the pharmacy P&L, annual operating plan, capital priorities, and a balanced scorecard spanning quality, growth, service, and financial performance.
• Own the end-to-end pharmacy build, assembling the internal team and selecting and managing external partners for facilities, technology, licensing, fulfillment, and launch as appropriate.
• Design and launch the pharmacy operating model, converting a fact-based assessment into a practical operating plan and clear accountabilities.
• Set the long-term business strategy and scaling roadmap, including capacity, facilities, licensing, technology, automation, staffing, and organizational design.
• Build and lead a high-performing management team, including the Pharmacist-in-Charge and pharmacy operations leadership; clarify decision rights between enterprise leadership and daily floor management.
• Establish a rigorous operating cadence and metrics across prescription volume and capture, unit economics, turnaround time, quality, compliance, member experience, and workforce performance.
• Drive pharmacy growth across Clover's Medicare Advantage membership through provider engagement, referral pathways, and a consistently strong member experience.
• Oversee licensing, credentialing, regulatory readiness, and operational compliance through appropriately qualified leaders and partners.
• Strengthen relationships with wholesalers, manufacturers, technology vendors, and other strategic partners.
• Partner with Pharmacy Strategy, Clinical leadership, and the Part D Stars Strategy & Care Initiatives team to execute adherence interventions and improve member outcomes without owning Clover's overall Part D strategy.
• Identify opportunities to extend the platform's capabilities and serve additional populations over time.

Success in this role looks like

First 90 days

• Establish an approved build plan, budget, leadership and partner model, regulatory critical path, and launch milestones.
• Align leaders on the operating plan, key performance indicators, and a sequenced 12- to 18-month scaling roadmap.

First 6 months

• Deliver measurable progress against quality, service, productivity, growth, and financial priorities.
• Strengthen provider referral and member-engagement infrastructure.
• Advance the facilities, systems, automation, staffing, and licensing work required for the next stage of scale.
• Build a durable management cadence and a leadership team capable of running the operation without dependence on the GM for daily floor decisions.

Long term

• Deliver profitable, compliant growth and increase prescription capture among Clover members.
• Build a scalable, resilient dispensing platform with strong quality and member outcomes.
• Establish the pharmacy as a strategic asset that supports Clover's broader care model and long-term growth.

You should get in touch if

• You have demonstrated experience launching a pharmacy or comparable regulated dispensing operation or program from concept through go-live.
• You have led a dispensing, specialty, mail-order, rare-disease, oncology, or digital pharmacy business through material scale, transition, or transformation.
• You have owned a P&L or carried clear accountability for the performance of a substantial business line—not only a single function.
• You are a proven enterprise leader who can set strategy, build an organization, and manage through other leaders while remaining hands-on when the situation requires it.
• You understand pharmacy operations, licensing, fulfillment, workflow, automation, quality, and provider engagement well enough to make integrated business decisions.
• You have operated successfully in a regulated, metrics-rich environment and know how to balance growth, economics, member experience, and compliance.
• Experience in an integrated payer, provider, and pharmacy environment—or in business integration, transition, and scaling—is strongly preferred.
• You can travel frequently to New Jersey and establish credibility with on-site teams.

Benefits Overview:

• Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
• Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
• Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
• Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
• Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
• Reimbursement for office setup expenses
• Monthly cell phone & internet stipend
• Remote-first culture, enabling collaboration with global teams
• Paid parental leave for all new parents
• And much more!

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.

We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.

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Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

A reasonable estimate of the base salary range for this role is:

$317,000 - $375,000 USD

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