Senior Director, Pharmacy PA & Call Center Leadership

Blue Shield of CA; Hartford (CT); Híbrido; USD 180.000 - 280.000; Jornada completa

Descripción de la vacante

Blue Shield of California, a leader in pharmacy benefits, seeks a Senior Director to design and optimize prior authorization and call center processes. You will lead a large team, collaborate with medical leadership, and manage vendor relationships to ensure clinically appropriate, cost-effective care.

A PharmD and active California RPh license are required, with 12+ years in relevant settings and 6+ years of people leadership.

Formación

• Requires California Registered Pharmacist (RPh) license and PharmD degree.
• Requires 12 years of experience in managed care/pharmacy benefit settings; expertise in prior authorization and call center operations.
• Requires 6 years of people management experience supervising direct reports.
• Vendor management experience preferred.
• Strong knowledge of therapeutics, formulary, and network programs for pharmacy/medical benefits.
• Strong financial and business acumen with data-driven decision making.
• Excellent interpersonal and written/verbal communication skills.
• Strategic and analytic thinking with evidence-based problem solving.

Responsabilidades

• Design, execute, and optimize prior authorization and call center processes.
• Lead cross-functional collaboration with Medical Director and vendors.
• Develop and implement strategies to improve efficiency, cost outcomes, and patient access.

Conocimientos

People management

Analytical thinking

Communication

Vendor management

Educación

PharmD degree

California RPh license

Descripción del empleo

Blue Shield of California, a leader in pharmacy benefits, seeks a Senior Director to design and optimize prior authorization and call center processes. You will lead a large team, collaborate with medical leadership, and manage vendor relationships to ensure clinically appropriate, cost-effective care.

A PharmD and active California RPh license are required, with 12+ years in relevant settings and 6+ years of people leadership.