Senior Clinical Pharmacy Ops Leader (PBM & Compliance)

McLaren Health Care; Flint (MI); On-site; USD 120,000 - 170,000; Full time

Job summary

McLaren Health Plan is seeking a Sr. Administrator, Clinical Pharmacy Operations to join in leading the organization forward.

The Senior Administrator is the department's senior subject-matter authority for pharmacy operations, PBM governance and regulatory readiness across Medicaid, Medicare, and Commercial lines of business. The position supports the plan's clinical and operational strategy and advises executive leadership on pharmacy strategy, risk, and financial performance.

Qualifications

• Required: Bachelor’s degree in pharmacy, healthcare administration, business, or related field; or an Associate degree with two years’ experience.
• Must possess a valid Michigan Registered Pharmacist (RPh) license.
• Ten years of progressive pharmacy operations experience after licensure, with at least five years in a managed care, health plan, or PBM clinical operations setting.
• Preferred: Master’s degree in business administration, healthcare administration, or related field.

Responsibilities

• Lead pharmacy operations and PBM governance across Medicaid, Medicare, and Commercial lines.
• Ensure regulatory readiness and compliance within the Pharmacy department.
• Advise executive leadership on strategy, risk, and financial performance.
• Support the Director of Pharmacy and day-to-day operations.

Skills

Pharmacy operations

Managed care

PBM governance

Regulatory readiness

Education

Bachelor’s degree in pharmacy

Associate degree in pharmacy

MBA / MHA (preferred)

Job description

McLaren Health Plan is seeking a Sr. Administrator, Clinical Pharmacy Operations to join in leading the organization forward.

The Senior Administrator is the department's senior subject-matter authority for pharmacy operations, PBM governance and regulatory readiness across Medicaid, Medicare, and Commercial lines of business. The position supports the plan's clinical and operational strategy and advises executive leadership on pharmacy strategy, risk, and financial performance.