Remote Director, Medical Pharmacy & Specialty Solutions

Prime Therapeutics; Helena (MT); Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience. The role oversees clinical services and strategies for Medical Pharmacy & Specialty programs delivered to customers, including utilization management, analytics, and compliance.

Remote work is available in the United States. Responsibilities include leading clinical consulting for clients, partnering with account teams, and developing innovative strategies through data-driven insights and

Qualifications

• PharmD or BS Pharmacy degree required.
• 7 years of work experience in medical pharmacy or Health Plan with multiple lines of business.
• Current pharmacist license to practice in applicable state(s).
• Eligible to work in the United States without work visa or sponsorship.

Responsibilities

• Lead clinical consultant and SME for assigned clients in medical pharmacy and specialty programs.
• Support client retention, growth, financial analyses, and new business initiatives with account teams.
• Develop innovative medical pharmacy strategies through data-driven insights and program enhancements.
• Evaluate therapies, trends, and drug management opportunities to improve outcomes and value.
• Oversee client-facing medical pharmacy programs, including prior authorizations and post-service edits.
• Identify opportunities to expand programs and address evolving client needs.
• Collaborate with cross-functional teams to drive reporting and continuous improvement.
• Develop client-facing clinical materials and industry publications.
• Represent the organization as a clinical expert and mentor in industry engagements.

Skills

Interpersonal communication

Consultation

Organizational skills

Tracking & follow-up

Education

Doctor of Pharmacy (PharmD) or BS Pharmacy

Job description

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience. The role oversees clinical services and strategies for Medical Pharmacy & Specialty programs delivered to customers, including utilization management, analytics, and compliance.

Remote work is available in the United States. Responsibilities include leading clinical consulting for clients, partnering with account teams, and developing innovative strategies through data-driven insights and