Remote Director, Specialty Clinical Solutions

Prime Therapeutics; Trenton (NJ); Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics seeks a Director, Specialty Clinical Solutions with medical pharmacy expertise to lead clinical services and strategies across Medical Pharmacy & Specialty programs. Responsibilities include clinical leadership, data-driven strategy, and client-focused program enhancements.

The role emphasizes collaboration with cross-functional teams, development of client-facing materials, and participation in industry activities.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree.
• 7 years of work experience in medical pharmacy or at Health Plan with multiple lines of business.
• Current pharmacist license to practice in the applicable state(s).
• Must be eligible to work in the United States without visa or residency sponsorship.

Responsibilities

• Serve as the 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 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 addressing evolving client and market needs.
• Collaborate with cross-functional teams to evaluate program performance, develop business rules, deliver actionable insights, and drive improvements.
• Lead the development of client-facing clinical materials, strategic presentations, and industry publications.
• Represent the organization as a clinical expert and mentor through industry engagement and enterprise initiatives.

Skills

Pharmacy license

Clinical pharmacy

Leadership

Communication

Education

PharmD or BS Pharmacy

Job description

Prime Therapeutics seeks a Director, Specialty Clinical Solutions with medical pharmacy expertise to lead clinical services and strategies across Medical Pharmacy & Specialty programs. Responsibilities include clinical leadership, data-driven strategy, and client-focused program enhancements.

The role emphasizes collaboration with cross-functional teams, development of client-facing materials, and participation in industry activities.