Remote Director, Specialty Clinical Solutions

Prime Therapeutics LLC; Albuquerque (NM); Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics LLC is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience to lead clinical services and strategic programs delivered to clients. This remote role focuses on medical pharmacy and specialty programs, utilization management, and quality compliance.

You will serve as the clinical expert for assigned clients, guide program design, collaborate with account teams, and develop client-facing materials.

Qualifications

• Strong interpersonal & communication, consultation, organizational, tracking and follow-up skills.
• Ability to research, obtain, coordinate, and integrate feedback from diverse operational groups.
• Excellent verbal and written communication skills.
• Strong presentation skills who exude high confidence in project output and production.

Responsibilities

• Lead clinical consultant and SME for assigned clients, providing strategic guidance on medical pharmacy and specialty programs.
• Partner with account management and business development teams to support client retention, growth opportunities, financial analyses, and new business initiatives.
• Develop and advance innovative medical pharmacy strategies through data-driven insights, clinical solution design, and program enhancements.
• Evaluate emerging therapies, market trends, and medical benefit drug management opportunities to improve clinical outcomes, affordability, and client value.
• Oversee client-facing medical pharmacy programs and utilization management solutions, including fee schedule management, prior authorization, post-service claim edits, and related programs.
• Identify opportunities to expand existing programs and recommend new solutions that address evolving client and market needs.
• Collaborate with cross-functional teams to evaluate program performance, develop business rules, deliver actionable insights, and drive continuous improvement through enhanced reporting and operational efficiencies.
• Lead the development of client-facing clinical materials, strategic presentations, thought leadership content, and industry-facing publications.
• Represent the organization as a clinical expert and mentor through industry engagement, enterprise initiatives, conference presentations, and guidance to peers and cross-functional partners.
• Other duties as assigned.

Skills

Interpersonal communication

Consultation

Organizational skills

Tracking and follow-up

Verbal communication

Written communication

Presentation skills

Education

Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree

Job description

Prime Therapeutics LLC is seeking a Director, Specialty Clinical Solutions with medical pharmacy experience to lead clinical services and strategic programs delivered to clients. This remote role focuses on medical pharmacy and specialty programs, utilization management, and quality compliance.

You will serve as the clinical expert for assigned clients, guide program design, collaborate with account teams, and develop client-facing materials.