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Director, Clinical Ops & Medical Policy (Hybrid

Job in Lewiston, Nez Perce County, Idaho, 83501, USA
Listing for: Cambia Health Solutions
Full Time position
Listed on 2026-08-12
Job specializations:
  • Healthcare
    Healthcare Management
  • Management
    Healthcare Management
Salary/Wage Range or Industry Benchmark: 168000 - 275000 USD Yearly USD 168000.00 275000.00 YEAR
Job Description & How to Apply Below
Position: Director, Clinical Ops & Medical Policy (Hybrid)

Cambia Health Solutions is seeking a Director of Clinical Operations and Medical Policy to lead clinical pharmacy services, directing formulary policy, prior authorization, and utilization management across commercial, Medicare, and Marketplace lines. You will oversee the P&T Committee, MPG, and related governance, while shaping medication policy and managing pharmacy benefits.

You will mentor a team of managers, develop budgets, and collaborate with internal groups and external providers to

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