Senior Clinical Pharmacist

The Impact Of This Role

The Senior Clinical Pharmacist serves as a senior clinical leader and medication subject-matter expert, responsible for developing, implementing, and continuously improving clinical strategies that support high-quality, evidence-based, and cost-effective patient care. This role provides oversight of clinical pharmacy programs, utilization management, prior authorization criteria, patient management programs, medication safety, and clinical quality improvement across OptiMed’s pharmacy and PBM business lines. Through collaboration with leadership and operational partners, the Senior Clinical Pharmacist helps improve patient outcomes, promote affordability, maintain compliance, and support organizational growth.

What You’ll Be Doing

• Serve as a senior clinical advisor to executive leadership and internal teams.
• Develop clinical programs that improve quality, patient outcomes, and total cost of care.
• Maintain compliance with URAC, ACHC, state Boards of Pharmacy, and other applicable requirements.
• Develop policies and procedures supporting accreditation and clinical quality standards.
• Monitor clinical quality indicators and implement quality-improvement initiatives.
• Support audit readiness and regulatory inspections.
• Evaluate program performance, medication utilization, adherence, outcomes, and total cost of care.
• Establish key performance indicators and identify opportunities for program improvement.

Skills And Experience You’ll Bring To The Table

• Doctor of Pharmacy degree from an accredited program
• Active Michigan pharmacist license in good standing
• Additional state pharmacist licenses preferred
• Minimum of seven years of progressive clinical pharmacy experience
• Minimum of three years of leadership experience
• Experience in PBM, managed care, specialty pharmacy, health plan pharmacy, infusion pharmacy, or clinical program development
• Experience developing prior authorization criteria and utilization-management or patient-management programs
• Experience presenting clinical recommendations to executive leadership and clinical committees
• Relevant board certification, such as BCPS, BCACP, BCOP, BCIDP, BC-ADM, CSP, or another applicable credential preferred
• Knowledge of evidence-based medicine, formulary management, specialty pharmacy, pharmacoeconomics, medication safety, clinical analytics, regulatory compliance, and value-based care

Competencies You’ll Bring To The Table

• Strategic leadership and clinical excellence
• Critical thinking and sound decision-making
• Executive presence and professional communication
• Collaborative and interdisciplinary leadership
• Patient-centered care and financial stewardship
• Quality improvement and change management
• Regulatory expertise and accountability