Senior Director, Pharmacy PA & Call Center Leadership

Blue Shield of CA; Baltimore (MD); Hybrid; USD 180,000 - 280,000; Full time

Job summary

Blue Shield of California is seeking a Senior Director for Pharmacy Prior Authorization and Call Center to lead a large team and optimize access to affordable, clinically appropriate pharmacy benefits. The role partners with the Medical Director and vendors to streamline operations and contribute to cost-effective patient care.

The position emphasizes leadership development, cross-functional collaboration, and continuous learning within a hybrid in-office model.

Qualifications

• Active California Pharmacist license (RPh) required.
• PharmD from a US-accredited school required.
• 12+ years in managed care/pharmacy benefits or related settings with prior authorization and call center experience.
• 6+ years of people management experience with direct reports.
• Strong financial and analytical skills to drive improvements.

Responsibilities

• Lead a 200+ person team overseeing prior authorization and call center operations.
• Design, execute and optimize processes to ensure clinically appropriate, cost-effective patient care.
• Collaborate with Medical Director and vendors to improve patient access and affordability.

Skills

Leadership

Strategic thinking

Data-driven decisions

Interpersonal skills

Education

PharmD degree

Tools

Vendor management

Job description

Blue Shield of California is seeking a Senior Director for Pharmacy Prior Authorization and Call Center to lead a large team and optimize access to affordable, clinically appropriate pharmacy benefits. The role partners with the Medical Director and vendors to streamline operations and contribute to cost-effective patient care.

The position emphasizes leadership development, cross-functional collaboration, and continuous learning within a hybrid in-office model.