Pharmacy Director, Health Plan

# Pharmacy Director, Health Plan Pharmacy Benefit Management (PBM)
Indianapolis, Indiana September 25,  - $205,000 / year

Full Time Application ends:
** October 30, 2026
** Apply Now###

Job Description
*
* Location:

** Indianapolis, INWe are seeking a
** Pharmacy Director, Health Plan
** to serve as the enterprise pharmacy authority across all lines of business for a regional health plan. This position is a full-time, direct hire opportunity based in Indianapolis, IN with hybrid flexibility.

This role is best aligned for a managed care pharmacy leader ready to own formulary strategy, utilization management, and PBM performance for an entire plan. You will chair the P&T Committee, set specialty and biosimilar strategy, hold the PBM accountable on contract and rebate performance, and partner with Finance and Actuarial on trend and bid development. The ideal candidate has run a P&T committee, negotiated with a PBM, and can defend a formulary decision to clinicians, regulators, and the CFO with equal credibility.
** Responsibilities:
*** Serve as the enterprise pharmacy authority across all lines of business, ensuring competitive and compliant benefit designs
* Lead the Pharmacy and Therapeutics Committee, directing evidence-based formulary management and clinical monograph development
* Oversee drug utilization management including prior authorization, step therapy, and quantity limit protocols
* Direct specialty pharmacy strategy including site-of-care optimization, distribution management, and biosimilar conversion
* Manage PBM vendor relationships including contract monitoring, rebate reconciliation, and RFP negotiations
* Design and evaluate clinical programs targeting Stars measures, HEDIS gaps, and medication therapy management quality
* Monitor emerging drug trends including cell and gene therapies, GLP-1 agents, and oncology innovations
* Ensure compliance with CMS Medicare Part D requirements, Medicaid PDL alignment, and NCQA accreditation standards
* Partner with Finance and Actuarial teams on pharmacy trend reporting and annual bid development
* Build and develop the clinical pharmacy team, including hiring, coaching, and performance management
*
* Qualifications:

*** PharmD from an ACPE-accredited institution required
* PGY1 or PGY2 residency in managed care, ambulatory care, or health system pharmacy required
* Active, unrestricted pharmacist license required;
Indiana licensure required within 90 days of hire
* BCPS, BCACP, or comparable board certification preferred; non-certified candidates expected to complete certification within 12 months
* Minimum of 7 years of pharmacy experience required, including 4 years in a health plan, managed care, or PBM setting and 3 years in a leadership role
* Deep working knowledge of Medicare Part D, CMS formulary requirements, Medicaid PDL, and commercial benefit design
* Demonstrated experience leading P&T committees, building clinical utilization management programs, and presenting evidence-based drug policy recommendations
* Strong executive communication skills with the ability to influence clinical, financial, and regulatory stakeholders
*
* Schedule:

*** Full-time position, Monday through Friday
* On-site in Indianapolis, IN with some hybrid flexibility
* Standard business hours
** Salary Range:
** The salary range for this position is approximately $170,000 – $205,000 annually ($81.73 – $98.56 per hour), based on experience and qualifications.
** Interview Process:
** Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with senior leadership.