Senior Director, Pharmaceutical Services & PBM Strategy

IEHP; Rancho Cucamonga (CA); Ibrido; USD 246.000 - 345.000; Tempo pieno

Vantaggi offerti da questo lavoro

Competitive salary

Hybrid schedule

State of the art fitness center onSite

Medical Insurance with Dental and Vis

Life, short-term, and long-term disab

Career advancement opportunities and 2

Wellness programs that promote a heal

Flexible Spending Account – HealthCare

CalPERS retirement

457(b) option with a contribution matc

Paid life insurance for employees

Pet care insurance

Descrizione del lavoro

IEHP is seeking a Senior Director, Pharmaceutical Services to lead the strategic direction, clinical oversight, and operational execution of IEHP’s pharmaceutical program for Medi-Cal, DSNP, and Exchange members. Reporting to the Vice President, Pharmacy, this role ensures appropriate utilization management and strong regulatory compliance across CMS, DHCS, DMHC and NCQA.

The Senior Director will optimize PBM performance, drive cost containment, and coordinate benefits with the DHCS Medi-Cal Rx

Competenze

• Pharm.D. from an accredited institution required.
• MBA from an accredited institution preferred.
• Active, unrestricted California Pharmacist license.
• 10+ years leading pharmacy department strategy, operations, and budgets.
• Experience with PBM oversight (CMS and Commercial) and CA healthcare regulations.

Mansioni

• Lead strategic direction, clinical oversight, and operational execution of IEHP’s pharmaceutical program.
• Oversee PBM performance, cost containment, and utilization management.
• Ensure regulatory compliance across CMS, DHCS, DMHC, NCQA and related audits.
• Drive quality improvement initiatives and audit readiness.
• Direct a team of clinical and operational pharmacists, technicians, and program managers.
• Manage annual budget and financial performance of the pharmacy department.

Conoscenze

Leadership

Strategic planning

Budget management

Regulatory compliance

PBM oversight

Communication

Quality improvement

Formazione

Pharm. D.

MBA

California Pharmacist license

Descrizione del lavoro

IEHP is seeking a Senior Director, Pharmaceutical Services to lead the strategic direction, clinical oversight, and operational execution of IEHP’s pharmaceutical program for Medi-Cal, DSNP, and Exchange members. Reporting to the Vice President, Pharmacy, this role ensures appropriate utilization management and strong regulatory compliance across CMS, DHCS, DMHC and NCQA.

The Senior Director will optimize PBM performance, drive cost containment, and coordinate benefits with the DHCS Medi-Cal Rx