Remote Director, Specialty Clinical Solutions

PRIME Therapeutics; United States; Remote; USD 143,000 - 243,000; Full time

Job summary

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions to oversee clinical services for Medical Pharmacy & Specialty programs and to drive evidence-based strategies across client accounts. This remote role emphasizes leadership, collaboration with cross-functional teams, and data-driven program design to enhance outcomes and value.

The position requires PharmD or BS Pharmacy, 7+ years in medical pharmacy or health plans, and an active pharmacist license in the United States.

Qualifications

• PharmD or BS 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 the need for work visa or residency sponsorship.

Responsibilities

• Serve as the lead clinical consultant and subject matter expert 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.
• Colloborate 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.

Skills

Interpersonal communication

Presentation skills

Analytical thinking

Education

Doctor of Pharmacy (PharmD) or BS Pharmacy

Job description

Prime Therapeutics is seeking a Director, Specialty Clinical Solutions to oversee clinical services for Medical Pharmacy & Specialty programs and to drive evidence-based strategies across client accounts. This remote role emphasizes leadership, collaboration with cross-functional teams, and data-driven program design to enhance outcomes and value.

The position requires PharmD or BS Pharmacy, 7+ years in medical pharmacy or health plans, and an active pharmacist license in the United States.