Remote Director, Specialty Clinical Solutions

Prime Therapeutics; Boise (ID); À distance; USD 143 000 - 243 000; Plein temps

Résumé du poste

Prime Therapeutics, a leading PBM, is seeking a Director of Specialty Clinical Solutions to oversee clinical services and strategies within our Medical Pharmacy & Specialty programs for clients. This remote role focuses on clinical and utilization management, analysis, innovation, and quality compliance.

You will lead client-facing medical pharmacy programs, guide cross-functional teams, develop strategic materials, and mentor colleagues as a clinical expert.

Qualifications

• PharmD or BS in Pharmacy required.
• 7+ years of work experience in medical pharmacy or Health Plan.
• Current pharmacist license to practice in the United States.
• Eligibility to work in the United States without visa sponsorship.

Responsabilités

• Lead clinical consultant and SME for assigned clients on medical pharmacy and specialty programs.
• Partner with account management to support client retention, growth opportunities, and financial analyses.
• Develop and advance innovative medical pharmacy strategies through data-driven insights and program enhancements.
• Evaluate emerging therapies and market trends to improve outcomes, affordability, and value for clients.
• Oversee client-facing medical pharmacy programs and utilization management solutions, including fee schedules and prior authorizations.
• Identify opportunities to expand programs and propose new solutions addressing evolving client needs.
• Collaborate with cross-functional teams to evaluate performance, deliver insights, and drive continuous improvement.
• Lead development of client-facing clinical materials and industry publications.
• Represent the organization as a clinical expert in industry engagements and conferences.

Connaissances

Interpersonal communication

Strategic consulting

Presentation skills

Formation

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

Description du poste

Prime Therapeutics, a leading PBM, is seeking a Director of Specialty Clinical Solutions to oversee clinical services and strategies within our Medical Pharmacy & Specialty programs for clients. This remote role focuses on clinical and utilization management, analysis, innovation, and quality compliance.

You will lead client-facing medical pharmacy programs, guide cross-functional teams, develop strategic materials, and mentor colleagues as a clinical expert.