Pharmacy Hub Launch & Operations Leader

Humana Inc

Olympia (WA)

Remote

USD 150,000 - 206,000

Full time

10 days ago

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Job summary

CenterWell Pharmacy is seeking an Associate Director of Pharmacy Hub Operations to build and lead the hub operating model across patient access and clinical services. The role oversees intake, benefits verification, prior authorization, appeals coordination, and patient assistance during launch, with potential evolution to broader hub leadership as the organization scales.

The ideal candidate has deep experience in pharmacy hub services, specialty pharmacy, and regulatory environments, with

Qualifications

Bachelor’s degree in Pharmacy, Nursing, or a related clinical field; advanced clinical, business, or healthcare administration degree preferred.
Active pharmacist or registered nurse license in good standing.
5+ years of people leadership experience in complex healthcare operations, including leadership of leaders or multiple operational teams.
Demonstrated experience with benefits verification, prior authorization, appeals, patient assistance, enrollment, or reimbursement support workflows.
Experience launching or materially transforming an operational function, client program, pharmacy service, or healthcare workflow.
Strong executive communication and cross-functional influence in a regulated healthcare environment.

Responsibilities

Build the launch operating model across Access Operations and initial Clinical Operations, including team structure, role clarity, workflows, queue design, escalation paths, controls, and performance routines.
Establish integrated launch workflows across access specialists, resolution resources, pharmacists, nurses, and pharmacy technicians, including role boundaries, handoffs, coverage, escalation, and governance.
Partner with Implementation on requirements, workflow validation, user acceptance testing, training readiness, cutover, go-live, and hypercare; assume operational accountability following formal acceptance.
Translate manufacturer requirements, business rules, clinical protocols, service-level commitments, scope-of-practice requirements, and compliance obligations into executable practices.
Establish launch staffing, hiring sequences, licensing and credentialing dependencies, onboarding expectations, and contingency plans.