Sr. Administrator Clinical Pharmacy Operations

McLaren Health Care; Flint (MI); On-site; USD 140,000 - 180,000; Full time

Job summary

McLaren Health Plan seeks a Senior Clinical Pharmacy Operations Administrator to lead pharmacy operations, PBM governance, and regulatory readiness across Medicaid, Medicare, and Commercial lines.

The role governs infrastructure, workflows, performance and compliance in the Pharmacy department and advises executive leadership on strategy, risk and financial performance.

Qualifications

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

Responsibilities

• Act as the department's senior subject-matter authority for pharmacy operations, PBM governance and regulatory readiness across Medicaid, Medicare, and Commercial/ACA lines.
• Govern operational infrastructure, workflows, performance, and compliance controls within the Pharmacy department.
• Support the plan's clinical and operational strategy in emerging policy and regulatory changes affecting PBM.
• Support day-to-day functions of the Director of Pharmacy and advise executive leadership on strategy, risk, and financial performance.

Skills

Pharmacy operations leadership

PBM governance

Regulatory readiness

Regulatory compliance

Strategic advisory

Education

Bachelor’s degree in pharmacy, healthcare administration, business, or related field

Associate degree in pharmacy, healthcare administration, business or related field with 2+ years’ related experience

Job description

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. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org

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
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No