Manager, Clinical Program Pharmacy

Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting –

The Manager, Clinical Program - Pharmacy supports the Vice President, Pharmacy Services by providing leadership, strategic direction, and operational oversight for the Pharmacy program. This role is responsible for people leadership, program performance, client engagement, workforce planning, and continuous improvement initiatives while ensuring high-quality pharmacy services and optimal member outcomes.

The Manager provides leadership and guidance to Pharmacy Leads and clinical staff and serves as the primary escalation point for complex clinical, operational, and client-related issues.

• Support recruiting and retention efforts, including participation in new hire selection.
• Provide direct leadership and management of pharmacists, nurses, and support staff.
• Develop Pharmacy Leads and other leadership-level team members while ensuring consistent application of coaching frameworks across the department.
• Deliver performance feedback and provide performance management and coaching to support employee development and maximize team success.
• Foster a collaborative, community-oriented culture that recognizes and rewards innovation, enhancing both member and employee satisfaction.
• Establish onboarding, training, competency, and quality standards for the Pharmacy program and ensure Pharmacy Leads execute development plans consistently across teams.
• Conduct regular one-on-one meetings and quarterly performance reviews with assigned staff, utilizing data and insights provided by the Clinical Quality team.
• Lead succession planning and Individual Development Plan (IDP) processes to support professional growth and identify high-potential talent.
• Oversee workforce planning, service levels, productivity targets, and resource allocation across the Pharmacy program.
• Facilitate department-wide communications, strategic planning sessions, leadership meetings, and organizational initiatives impacting Pharmacy Services.
• Promote a culture of camaraderie, partnership, and collaboration.
• Ensure accountability and shared responsibility for delivering high-quality member and provider support.

• Build and maintain effective client relationships while ensuring alignment with client expectations.
• Collaborate with external plan partners, including Third-Party Administrators (TPAs), Pharmacy Benefit Managers (PBMs), and vendor partners, to support client plans and address member concerns.
• Identify and resolve issues to maintain exceptional client and member service, escalating trends and risks to leadership as appropriate.
• Partner with organizational leadership to support successful client implementations and keep Client Executives informed of emerging issues and trends.
• Participate as a clinical leader during prospective and current client meetings and site visits.
• Provide clinical consultation and support to Pod Leadership and Client Engagement Group (CEG) teams for escalated client cases.
• Serve as the primary clinical representative during advocacy reviews and clinical audits by:
  • Presenting audit materials and findings.
  • Responding to stakeholder questions.
  • Identifying and…