Senior Director, Pharmacy Prior Authorization & Call Center

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

Job summary

Blue Shield of CA is looking for a Senior Director of Pharmacy Prior Authorization and Call Center in Long Beach, California. This role involves managing a large team and optimizing prior authorization processes to ensure efficient patient care and medication accessibility.

The ideal candidate will hold a PharmD degree and an active California RPh license, with extensive experience in managed care and pharmacy benefit management. This position offers a hybrid work model, requiring in-office collaboration two days per week.

Qualifications

• 12 years of experience in managed care health plans or pharmacy benefit management.
• 6 years of people management experience.
• Prior experience in vendor management preferred.

Responsibilities

• Manage a team of over 200 employees.
• Design, execute, and optimize prior authorization and call center processes.
• Collaborate with vendors to optimize patient access.

Skills

Effective communication skills

Strategic thinking

Problem-solving skills

Financial and business acumen

Education

Doctor of Pharmacy (PharmD) degree

Current active California Registered Pharmacist (RPh) license

Job description

Blue Shield of CA is looking for a Senior Director of Pharmacy Prior Authorization and Call Center in Long Beach, California. This role involves managing a large team and optimizing prior authorization processes to ensure efficient patient care and medication accessibility.

The ideal candidate will hold a PharmD degree and an active California RPh license, with extensive experience in managed care and pharmacy benefit management. This position offers a hybrid work model, requiring in-office collaboration two days per week.