Specialty Clinical Program Director
About The Position
The Specialty Clinical Program Director shapes and executes the clinical strategy for pharmacy, medical, and integrated products. The role leads the development and oversight of a comprehensive portfolio of Specialty clinical programs, driving innovation, measurable outcomes, and alignment with business goals. As a Specialty subject matter expert and strategic partner, this position collaborates with clinical, technical, operational, and business teams, as well as external stakeholders, to deliver scalable Specialty solutions and advance strategic business initiatives. The role may develop and deliver strategic business roadmaps for medical, pharmacy, or integrated specialty solutions.
Requirements
- Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy degree.
- At least 3 years of pharmacy experience in a PBM, managed care, specialty pharmacy, or cross-benefit management.
- Current pharmacist license to practice in the applicable state(s).
- Must be eligible to work in the United States without work visa or residency sponsorship.
- Ability to facilitate change.
- Ability to develop relationships and influence at all organizational levels.
- Ability to distill complex concepts or situations into concise and compelling communications.
- Critical-thinking skills and ability to anticipate issues and develop innovative solutions.
- Ability to travel 25%.
Nice To Haves
- Advanced degree or certification in a specific therapeutic category.
- Medical and pharmacy drug management experience in Integrated Specialty.
- Cross-functional project and/or product development experience in Integrated Specialty, including influencing leaders and business decisions.
Responsibilities
- Develop clinical solutions and strategic roadmaps for pharmacy, medical, and integrated products, and oversee development and implementation of product solutions.
- Lead or support Specialty and Clinical program and product teams in developing and maintaining additional specialty solutions.
- Maintain knowledge of key economic and clinical industry trends.
- Provide insight into competitor products and services.
- Partner with Health Outcomes and Analytics teams to manage and monitor data, including trend and net trend, net ingredient cost, utilization changes, brand inflation, specialty network savings, formulary compliance, rebate/Rx, utilization management savings for pharmacy and medical benefits, reimbursement solutions, site of care, coupons, and 340B.
- Collaborate with Pharmacy Trade Relations on programs that may affect manufacturer contracting, manufacturer contract performance, and related areas.
- Partner with Pharmacy teams on strategy for utilization management programs, medical policy, formulary, pipeline, P&T committee recommendations, and maintenance of drug lists.
- Collaborate with Claims Operations and Clinical Operations for pharmacy and medical benefits.
- Partner with Technology and Architecture teams.
- Work with Networks on product development, clinical strategy, and management of therapeutic category performance and reporting.
- May lead or support presentations of program results and solutions to clients.
- Perform other duties as assigned.
- Understand, comply with, and attest to job-specific security responsibilities and controls, as well as applicable legal, regulatory, contractual, and internal requirements.
- Perform the essential functions of the job; reasonable accommodations may be made for employees with disabilities absent undue hardship.
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What This Job Offers
Job Type
Full-time
Career Level
Director
