Medicare Part D Pharmacy Strategy Director

Medix Staffing Solutions, Inc.; Tampa (FL); On-site; USD 145,000 - 160,000; Full time

Job summary

Medix Staffing Solutions, Inc. is seeking a Senior Director of Pharmacy (Medicare Part D) to own the entire Part D program, including formulary design, CMS compliance, and financial performance.

This on-site Tampa role reports to executive leadership and offers a base salary with performance bonuses and equity upside. The position requires a PharmD with direct Part D managed care experience, strong leadership, and a track record of optimizing costs and outcomes across Medicare populations.

Qualifications

• Doctor of Pharmacy (PharmD) or equivalent degree from an accredited institution.
• Direct Medicare Part D managed care experience preferred, with familiarity of CMS regulatory guidance and Part D workflows.
• Demonstrated ability to design, implement, and quantify clinical pharmacy cost-saving programs.
• Direct supervisory experience leading clinical or operational pharmacy personnel.

Responsibilities

• Direct the strategic development, maintenance, and submission of CMS Part D formularies.
• Oversee CMS-mandated member documents (ANOC, EOC, formulary, member letters).
• Lead drug class reviews with PBM, determine tier placement and utilization management parameters.
• Monitor CMS memos, call letters, and audit protocols for readiness.
• Manage PBM operations, ensuring SLAs and statutory obligations are met.
• Audit PBM contracts and performance metrics; ensure accurate claim adjudication.
• Conduct Drug Utilization Evaluations (DUE) to optimize prescribing and outcomes.
• Collaborate with MTM and Health Services on clinical interventions for Medicare populations.
• Drive Part D CMS Star Ratings initiatives and provider education materials.
• Perform claims analyses to identify spend drivers and optimization opportunities.
• Use predictive modeling to assess financial impact of formulary changes and new drugs.
• Document dollar-for-dollar savings and present to executives.
• Build and mentor the Medicare Part D pharmacy team.

Skills

PharmD

CMS regulations

PBM collaboration

Cost-saving programs

Education

Doctor of Pharmacy (PharmD)

Job description

Medix Staffing Solutions, Inc. is seeking a Senior Director of Pharmacy (Medicare Part D) to own the entire Part D program, including formulary design, CMS compliance, and financial performance.

This on-site Tampa role reports to executive leadership and offers a base salary with performance bonuses and equity upside. The position requires a PharmD with direct Part D managed care experience, strong leadership, and a track record of optimizing costs and outcomes across Medicare populations.