Strategic Pharmacy Operations Manager - Managed Care

McLaren; Flint (MI); On-site; USD 110,000 - 160,000; Full time

Job summary

McLaren Health Plan is seeking a Manager of Pharmacy Operations to provide licensed clinical leadership and strategic oversight of the pharmacy program across Medicaid, Medicare Advantage, and Commercial lines. The role involves partnering with medical management, quality, compliance, finance, and PBM partners to drive high-quality, cost-effective services.

The Manager will report to the Director and lead cross-functional teams in a dynamic health plan environment, ensuring program excellence

Qualifications

• Pharmacist licensure in Michigan or eligible (RPh/CPhT).
• 5 years of pharmacy experience with at least 2 in managed care or PBM operations.
• 2 years of supervisory experience in team management and cross-functional collaboration.

Responsibilities

• Oversee the pharmacy program across Medicaid, Medicare Advantage, and Commercial lines.
• Collaborate with medical management, quality, compliance, finance, and external PBM partner.
• Ensure delivery of high-quality, cost-effective, and compliant pharmacy services.
• Report to the Director and provide clinical leadership for program excellence.

Skills

Team leadership

Clinical operations

Cross-functional collaboration

Pharmacy operations

Education

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

Associate degree in pharmacy, healthcare administration, business or related field

Job description

McLaren Health Plan is seeking a Manager of Pharmacy Operations to provide licensed clinical leadership and strategic oversight of the pharmacy program across Medicaid, Medicare Advantage, and Commercial lines. The role involves partnering with medical management, quality, compliance, finance, and PBM partners to drive high-quality, cost-effective services.

The Manager will report to the Director and lead cross-functional teams in a dynamic health plan environment, ensuring program excellence