Director, Clinical Strategy (RPh)

Responsibilities

• Design, structure, and develop long-term evolution of enterprise formulary and utilization management strategy.
• Accountable for the fiscal management of the department, including forecasting, budget development, ongoing variance monitoring, and trending.
• Provide clinical leadership in governance forums, including Pharmacy & Therapeutics (P&T), Formulary Advisory (FAC), Medically Administered Products Committees, and other committees as delegated.
• Develop and lead clinical and formulary strategies aligned to organizational growth, client needs, and industry trends.
• Monitor emerging drug pipeline and therapeutic trends to proactively shape formulary positioning and strategy.
• Lead clinical strategy input for new business pursuits and client retention efforts.
• Foster cross-functional and inter-professional work teams to drive results in support of the strategic plan of the organization.
• Ensure formulary and clinical strategies align with regulatory requirements, accreditation standards, and internal policies.
• Design and oversee clinical criteria for prior authorizations, step therapy, and quantity limits to ensure appropriate medication use.
• Maintain accountability for clinical integrity and appropriateness of decision-making.
• Provide leadership, training, and supervision to team members to ensure consistent and maximum performance levels.

Qualifications

• Bachelor’s degree in pharmacy or PharmD degree required.
• Current, unrestricted licensure as a Registered Pharmacist in the state of residence, or the ability to gain reciprocity within 4 months, may be required based on state of residence laws or client contracts.
• 8+ years of experience in PBM, managed care, or clinical pharmacy leadership required.
• 5+ years of experience leading multiple teams or functions with both clinical and business impact required.
• Participate in, adhere to, and support compliance program objectives.

Pay

Pay Range: USD $152,077.00 - USD $190,096.25 /Yr.

Schedule

Work Schedule: M-F 8am to 5pm