Pharmacy Operations Manager – Managed Care

McLaren Health Care; Flint (MI); On-site; USD 130,000 - 170,000; Full time

Job summary

McLaren Health Plan seeks a Manager of Pharmacy Operations to provide clinical leadership and strategic oversight of the pharmacy program across Medicaid, Medicare Advantage, and Commercial products. You will partner with medical management, quality, compliance, and PBM teams to drive cost-effective, high-quality services.

The role requires a licensed Michigan Pharmacist with extensive managed care experience and supervisory capabilities to lead a dynamic team and ensure program excellence.

Qualifications

• Bachelor’s degree in pharmacy, healthcare administration, business, or related field; or an Associate degree with two years’ related experience.
• Must possess a valid, current, unrestricted Michigan Registered Pharmacist (RPh).
• Five years of progressively responsible pharmacy experience with managed care knowledge and supervisory experience.

Responsibilities

• Oversee strategic oversight and day-to-day management of McLaren Health Plan's pharmacy program across all lines of business.
• Collaborate with medical management, quality, compliance, finance, and PBM partners to improve program outcomes.
• Provide leadership in formulary management, drug utilization review, and clinical program development.
• Supervise recruitment, performance management, and staff development within the pharmacy operations team.

Skills

Leadership

Managed care knowledge

Formulary management

Drug utilization review

Supervisory experience

Education

Bachelor’s degree in pharmacy or related field

Associate degree with related experience

Tools

Pharmacy claims data systems

Population health analytics tools

MDHHS/CHAMPS familiarity

Job description

McLaren Health Plan seeks a Manager of Pharmacy Operations to provide clinical leadership and strategic oversight of the pharmacy program across Medicaid, Medicare Advantage, and Commercial products. You will partner with medical management, quality, compliance, and PBM teams to drive cost-effective, high-quality services.

The role requires a licensed Michigan Pharmacist with extensive managed care experience and supervisory capabilities to lead a dynamic team and ensure program excellence.