Director, Pharmacy

Position

Purpose:

Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of Company goals for pharmacy and medical programs.

Key Details:
This is a remote Indiana Pharmacist opportunity, Monday through Friday, 8:00 AM to 5:00 PM Eastern.

The Director, Pharmacy serves as the designated pharmacy leader for the Indiana health plan, responsible for strategic, operational, financial, and regulatory oversight of the pharmacy benefit program. It’s a state-required function that ensures accountability for pharmacy program performance, policy implementation, regulatory compliance, utilization management, formulary oversight, and alignment with broader health plan objectives.

• The candidate is a strategic thinker, detail-oriented, solutions-focused, with strong managed care pharmacy experience, including direct supervision of pharmacy staff.
• Planning, directing, and implementing pharmacy department activities.
• Reviewing and analyzing reports and directives.
• Producing pharmacy trend reports for finance and leadership.
• Resolving pharmacy-related disputes, grievances, and complaints.
• Participating in boards, task forces, committees, and cross-functional initiatives.
• Supporting provider education programs.
• Assisting with the development, presentation, and implementation of policies and procedures.
• Developing innovative solutions while executing corporate strategy.
• Establishing the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.
• Planning, directing and implementing pharmacy activities.
• Acting as the pharmacy contract administrator for the development and implementation of key contracts and ensuring that relevant performance standards are met by vendors.
• Resolving disputes, grievances and complaints involving pharmacy program issues.
• Participating in external accreditation initiatives.
• Managing relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.
• Supporting provider education initiatives such as counter detailing and incentive programs.
• Managing and analyzing operating costs and participating in preparing the annual budget for the assigned work function at both corporate and the health plans.
• Reviewing and analyzing reports, records and directives, and conferring with staff to obtain data required for planning work function activities.
• Conducting statistical analysis of data related to assigned work function, and preparing reports and records on data and the assigned work function activities for management and corporate.

The candidate must reside in Indiana per the state contract, with the health plan office located in downtown Indianapolis. While the role is remote, occasional in-office meetings may be required with health plan leadership or state and pharmacy agencies.

• Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy.
• 3+ years of clinical pharmacy care experience.
• 3+ years of recent contracting, quality improvement and management experience in a healthcare environment, preferably managed care.
• Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.
• Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

• Indiana Pharmacist license.
• Ability to receive license in additional states as required.
• Valid driver's license and must live in Indiana.

• $ - $ per year

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