Job Summary
An insurance company is in need of a Remote National Managed Care Pharmacy Director.
Core Responsibilities of this position include:
- Providing leadership in managing internal and external relationships with partners
- Working closely with strategic partners to ensure alignment on clinical goals
- Establishing a process for analysis and oversight of vendor’s rejected claims
Applicants must meet the following qualifications:
- PharmD and licensed as a pharmacist
- 5+ years of management/leadership experience
- Minimum 3 years' experience in Clinical Decision-Making, Coverage Determination and Reconsideration processing
- 4+ years of Medicare Part D, including Medicare Advantage Plan or Prescription Drug Plan, experience
- 5+ years managed care experience and experience working for or providing oversight of a PBM