Remote Director, Specialty Clinical Strategy

Prime Therapeutics

Denver (CO)

Remoto

USD 143.000 - 243.000

Tempo pieno

5 giorni fa

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Generatore di candidature

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Descrizione del lavoro

Prime Therapeutics, a leading PBM, is seeking a Director of Specialty Clinical Solutions to oversee clinical services within Medical Pharmacy & Specialty programs. The role includes strategic guidance, program design, and management of utilization solutions to enhance client value.

Qualifications include a PharmD or BS in Pharmacy, 7+ years in medical pharmacy/health plan roles, and active pharmacist licensure. The position offers remote work with national scope and competitive compensation.

Competenze

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)

Mansioni

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
Other duties as assigned