Senior Director, Pharmacy Prior Authorization & Call Center

Blue Shield of CA; Springfield Meadows (CA); Hybrid; USD 140,000 - 180,000; Full time

Job summary

Blue Shield of California is seeking a Senior Director for their Pharmacy team in Springfield Meadows, California. This role focuses on leading over 200 employees and optimizing pharmacy prior authorization and call center processes while ensuring patient care remains top-notch.

The ideal candidate will hold an active California Registered Pharmacist license and a PharmD degree, alongside extensive experience in managed care. This position embraces a hybrid workplace model, with in-office collaboration required two days a week.

Qualifications

• 12 years of prior experience in managed care health plan or pharmacy benefit management.
• 6 years of experience in people management.
• Experience in vendor management is preferred.

Responsibilities

• Manage a team of over 200 employees in pharmacy processes.
• Design and execute prior authorization and call center processes.
• Optimize patient access while supporting affordability of medications.

Skills

Leadership

Strategic thinking

Communication skills

Financial acumen

Education

Doctor of Pharmacy (PharmD) degree

Current California Registered Pharmacist (RPh) license

Job description

Blue Shield of California is seeking a Senior Director for their Pharmacy team in Springfield Meadows, California. This role focuses on leading over 200 employees and optimizing pharmacy prior authorization and call center processes while ensuring patient care remains top-notch.

The ideal candidate will hold an active California Registered Pharmacist license and a PharmD degree, alongside extensive experience in managed care. This position embraces a hybrid workplace model, with in-office collaboration required two days a week.