Director, Specialty Clinical Solutions
📋 Role Overview & Responsibilities
Job Description Summary
Responsible for support and development of Medical Pharmacy program strategy as part of the Medical Pharmacy Business Development team. Responsible for managing current Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all clinical pharmacy programs involving Medical Specialty medications and additional clinical programs as needed. Expected to assume leadership of projects as assigned by VP, Medical Pharmacy Strategy.
Job Description
Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of usable, client collateral materials with marketing, and onsite client presentationsLeads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiativesManages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service and any additional programs. Develops new opportunities and expands programs for existing clients.Works with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clients.Manages Medical Pharmacy development needs for potential new clients. Identifies and develops opportunities for improved process efficiencies for Medical Pharmacy programs.Identifies enhanced reporting methodologies for Medical Pharmacy Programs.Supports development and production of Medical Pharmacy Trend Report, owning specific sections as delegated.Supports development, production and monitoring of Specialty Pharmacy Pipeline Report.Communicates and collaborates effectively with all internal stakeholdersProvides Medical Pharmacy expertise within the organization to other business units and within Magellan RxDevelops potential opportunities and all research and materials for presentations at National pharmacy/healthcare industry meetings, white papers and published papers.Develops appropriate submissions for program presentations at National meetings and for publication acceptance.
Work Experience - RequiredMedical Pharmacy, Managed Healthcare, Pharmacy
Education - RequiredPharmD - Pharmacy
Certifications - RequiredPharmD - Doctor Of Pharmacy, State Licensure - Pharmacy - Pharmacy, RPH - Registered Pharmacist - Pharmacy - Pharmacy
Certifications - PreferredPotential pay for this position ranges from 129,840.00 - 233,680.00 USD Annual USD based on location, experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage diverse candidates to apply and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, genetic information, marital status, family status, national origin, age, disability, veteran status, or any other legally protected class under federal, state, or local law.
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