Remote Plan Pharmacy Director - Medicaid Strategy

Sarasota Memorial Hospital; Seattle, Northern (WA, KY); Hybrid; USD 113,000 - 193,000; Full time

Job summary

UnitedHealthcare Community Plan of Washington is seeking a Plan Pharmacy Director to set strategic direction and oversee pharmacy program priorities for the health plan. You will be the SME for formulary, prior authorization, and benefit coding, coordinating with Medicaid and state agencies.

The role requires WA Pharmacist licensure (B.S.Pharm or Pharm.D) and 3+ years in managed care pharmacy, with strong communication and stakeholder engagement skills.

Qualifications

• Pharmacist licensure in WA (unrestricted).
• 3+ years in Clinical Pharmacy, Sales, or Account Management.
• 3+ years in Managed Care Pharmacy (Health Plan or PBM).
• 1+ years with Medicaid/Medicare plans.

Responsibilities

• Execute pharmacy benefit and compliance with state contracts and regulations.
• Develop and drive strategic plans for the health plan's pharmacy program.
• Provide operational oversight and financial impact analysis for pharmacy priorities.
• Build and maintain relationships with internal and external partners as the primary contact for Pharmacy.

Skills

Verbal communication

Written communication

Time management

Organizational skills

Prioritization

Self-directed

Education

BS Pharm or PharmD

Tools

MS Office

Job description

UnitedHealthcare Community Plan of Washington is seeking a Plan Pharmacy Director to set strategic direction and oversee pharmacy program priorities for the health plan. You will be the SME for formulary, prior authorization, and benefit coding, coordinating with Medicaid and state agencies.

The role requires WA Pharmacist licensure (B.S.Pharm or Pharm.D) and 3+ years in managed care pharmacy, with strong communication and stakeholder engagement skills.