Medicaid Pharmacy Policy Lead

State of Iowa - Executive Branch; Des Moines (IA); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Health, Dental, and Vision Coverage

Paid Time Off (96+ hours to start)

IPERS Retirement Plan

Flexible Spending Accounts

Life Insurance & Disability

Employee Assistance Program

Employee Discount Programs

Job summary

The State of Iowa - Executive Branch is seeking a policy-focused professional to guide and strengthen pharmacy benefit operations for PAD and OPD. This role serves as a policy and program expert, ensuring compliant implementation of federal and state requirements while coordinating with legal, finance, data, and other internal partners.

You will analyze claims, support 340B and Drug Rebate compliance, and draft essential administrative rules.

Qualifications

• Seven years of full-time work experience in administration or operation/execution of a program.
• Graduate/alternative combinations of education and experience may apply per the listed options.
• Graduation from an accredited school of law is required or strongly preferred.
• Current, continuous experience in the state executive branch with specific Program Planner history is noted.

Responsibilities

• Guide and strengthen pharmacy benefit operations for PAD and OPD benefits.
• Manage policy functions, evaluate MCO pharmacy performance and reviewer deliverables.
• Analyze claims and utilization trends; support 340B and Drug Rebate compliance.
• Draft administrative rules and communications; coordinate complex inquiries and regulatory requests.
• Prepare leadership briefings and collaborate with legal, finance, data, and program integrity teams.

Skills

Policy analysis

Cross-functional coordination

Regulatory compliance

Attention to detail

Education

Law degree

Job description

The State of Iowa - Executive Branch is seeking a policy-focused professional to guide and strengthen pharmacy benefit operations for PAD and OPD. This role serves as a policy and program expert, ensuring compliant implementation of federal and state requirements while coordinating with legal, finance, data, and other internal partners.

You will analyze claims, support 340B and Drug Rebate compliance, and draft essential administrative rules.