Strategic Leader, Pharmacy Prior Authorization & Call Center

Blue Shield of CA; Columbus (OH); Hybrid; USD 180,000 - 280,000; Full time

Job summary

Blue Shield of California is seeking a Senior Director of Pharmacy Prior Authorization and Call Center to lead a large, cross-functional team. The role focuses on designing, executing, and optimizing prior authorization and call center processes to ensure clinically appropriate, cost effective patient care across lines of business.

The ideal candidate brings extensive experience in managed care or PBMs, strong leadership, and a strategic, data-driven approach to improve efficiency and outcomes,

Job description

Blue Shield of California is seeking a Senior Director of Pharmacy Prior Authorization and Call Center to lead a large, cross-functional team. The role focuses on designing, executing, and optimizing prior authorization and call center processes to ensure clinically appropriate, cost effective patient care across lines of business.

The ideal candidate brings extensive experience in managed care or PBMs, strong leadership, and a strategic, data-driven approach to improve efficiency and outcomes,