Sr. Administrator Clinical Pharmacy Operations

McLaren Health Care; Flint (MI); On-site; USD 120,000 - 170,000; Full time

Job summary

McLaren Health Plan is seeking a Sr. Administrator, Clinical Pharmacy Operations to join in leading the organization forward.

The Senior Administrator is the department's senior subject-matter authority for pharmacy operations, PBM governance and regulatory readiness across Medicaid, Medicare, and Commercial lines of business. The position supports the plan's clinical and operational strategy and advises executive leadership on pharmacy strategy, risk, and financial performance.

Qualifications

• Required: Bachelor’s degree in pharmacy, healthcare administration, business, or related field; or an Associate degree with two years’ experience.
• Must possess a valid Michigan Registered Pharmacist (RPh) license.
• Ten years of progressive pharmacy operations experience after licensure, with at least five years in a managed care, health plan, or PBM clinical operations setting.
• Preferred: Master’s degree in business administration, healthcare administration, or related field.

Responsibilities

• Lead pharmacy operations and PBM governance across Medicaid, Medicare, and Commercial lines.
• Ensure regulatory readiness and compliance within the Pharmacy department.
• Advise executive leadership on strategy, risk, and financial performance.
• Support the Director of Pharmacy and day-to-day operations.

Skills

Pharmacy operations

Managed care

PBM governance

Regulatory readiness

Education

Bachelor’s degree in pharmacy

Associate degree in pharmacy

MBA / MHA (preferred)

Job description

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Sr. Administrator Clinical Pharmacy Operations

McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives. We are looking for a Sr. Administrator, Clinical Pharmacy Operations to join in leading the organization forward.

MHP is a Managed Care Organization dedicated to meeting the health care needs of each member.MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life.McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).

MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP,you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.

Position Summary: The Senior Clinical Pharmacy Operations Administrator is the department's senior subject-matter authority for pharmacy operations, pharmacy benefit manager (PBM) governance and regulatory readiness across Medicaid, Medicare, and Commercial/ACA lines of business. The Senior Administrator helps govern the operational infrastructure, workflows, performance, and compliance controls within the Pharmacy department. The role also supports the plan's clinical and operational strategy in emerging policy and regulatory changes affecting pharmacy benefit administration. The position supports the day-to-day functions of the Director of Pharmacy and advises executive leadership on pharmacy strategy, risk, and financial performance.

Qualifications:

Required: Bachelor’s degree in pharmacy, healthcare administration, business, or a related field; or an Associate degree in pharmacy, healthcare administration, business or a related field and two (2) years’ related experience.

Must possess a valid, unrestricted Michigan Registered Pharmacist (RPh) license.

Ten (10) years of progressive pharmacy operations experience after licensure, with at least five (5) years in a managed care, health plan, or PBM clinical operations setting.

Preferred: Master’s degree in business administration, healthcare administration, or related field.

• Direct experience in Michigan Managed Care markets and/or integrated delivery systems.

Additional Information

• Schedule: Full-time
• Requisition ID: 26012513
• Daily Work Times: 8:30AM - 5:00PM
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.