Senior Director, Pharmacy PA & Call Center (Hybrid)

Blue Shield of CA; Seattle (WA); Híbrido; USD 180.000 - 260.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Hybrid work model

Two days in-office

Descripción de la vacante

Blue Shield of California is seeking a Senior Director for Pharmacy Prior Authorization and Call Center to lead a large team and shape critical workflows across pharmacy and medical benefits. You will design, implement, and optimize PA and call center processes to ensure clinically appropriate and cost-effective patient care.

This hybrid leadership role emphasizes collaboration, data-driven decision making, and vendor partnerships to improve access while controlling costs.

Formación

• Requires 12 years of experience in managed care, PBM or related settings with prior authorization and call center leadership.
• Requires 6 years of people management experience with direct reports and coaching.
• Experience with vendor oversight and financial/budgetary acumen is preferred.

Responsabilidades

• Lead a 200+ member team responsible for prior authorization and call center operations.
• Design, execute, and optimize processes to ensure clinically appropriate, cost-effective patient care.
• Partner with vendors and cross-functional teams to improve access and affordability.

Conocimientos

Pharmacy leadership

Prior authorization

Call center ops

Vendor management

Data-driven decisions

Educación

PharmD degree

California RPh license

Descripción del empleo

Blue Shield of California is seeking a Senior Director for Pharmacy Prior Authorization and Call Center to lead a large team and shape critical workflows across pharmacy and medical benefits. You will design, implement, and optimize PA and call center processes to ensure clinically appropriate and cost-effective patient care.

This hybrid leadership role emphasizes collaboration, data-driven decision making, and vendor partnerships to improve access while controlling costs.