Senior Director, Pharmacy Prior Authorization & Call Center

Blue Shield of CA; Lodi (CA); Hybrid; USD 130,000 - 160,000; Full time

Job summary

Blue Shield of CA is seeking a Senior Director for their Pharmacy team in Lodi, California. In this role, you will manage over 200 employees, collaborate with the Medical Director, and optimize prior authorization and call center processes.

The ideal candidate will have a PharmD, a current California Pharmacist license, and extensive experience in managed care and pharmacy operations. This hybrid position allows flexibility while requiring in-office attendance based on business needs.

Qualifications

• 12 years of experience in managed care or pharmacy benefit management.
• 6 years of people management experience.
• Strong understanding of operational plans and cost outcomes.

Responsibilities

• Manage a team of over 200 employees.
• Design and optimize prior authorization and call center processes.
• Collaborate cross-functionally to support patient access.

Skills

California Registered Pharmacist (RPh) license

Pharmacy benefits knowledge

Interpersonal communication skills

Analytic thinking

Financial acumen

Education

Doctor of Pharmacy (PharmD)

Job description

Blue Shield of CA is seeking a Senior Director for their Pharmacy team in Lodi, California. In this role, you will manage over 200 employees, collaborate with the Medical Director, and optimize prior authorization and call center processes.

The ideal candidate will have a PharmD, a current California Pharmacist license, and extensive experience in managed care and pharmacy operations. This hybrid position allows flexibility while requiring in-office attendance based on business needs.