Remote Health Plan Pharmacy Director (ET/CT)

Molina Healthcare; Des Moines (IA); On-site; USD 102,000 - 209,000; Full time

Job summary

Molina Healthcare is seeking a pharmacist leader to direct health plan pharmacy programs, driving quality, cost-effectiveness, and compliance initiatives. You will collaborate with shared services and regulators to align strategy and optimize medication-related outcomes.

Ideal candidates have extensive pharmacist experience, strong data analysis, and a proven ability to lead teams, manage stakeholders, and implement NCQA/HEDIS initiatives within a national payer environment.

Qualifications

• Pharmacist with an active PharmD license.
• 8+ years of pharmacist experience including 5 years in healthcare delivery.
• 3+ years of management/leadership experience.
• Ability to compile data, create reports, and present to varied audiences.

Responsibilities

• Lead as SME for assigned health plan(s) and represent at regulator meetings.
• Analyze trends and pharmacy spend for rate advocacy with the state.
• Collect and report pharmacy data and maintain confidential information.
• Oversee centralized pharmacy utilization management team.

Skills

Pharmacist professional experience

Communication skills

Data analysis

Education

Doctor of Pharmacy (PharmD)

Tools

Microsoft Office

SQL

Excel

Job description

Molina Healthcare is seeking a pharmacist leader to direct health plan pharmacy programs, driving quality, cost-effectiveness, and compliance initiatives. You will collaborate with shared services and regulators to align strategy and optimize medication-related outcomes.

Ideal candidates have extensive pharmacist experience, strong data analysis, and a proven ability to lead teams, manage stakeholders, and implement NCQA/HEDIS initiatives within a national payer environment.