Sr. Administrator Clinical Pharmacy Operations

McLaren Health Care • Flint, MI

1d

About The Position

The Senior Clinical Pharmacy Operations Administrator is the department’s senior subject-matter authority for pharmacy operations, pharmacy benefit manager (PBM) governance, and regulatory readiness across Medicaid, Medicare, and Commercial/ACA lines of business. The role helps govern the Pharmacy department’s operational infrastructure, workflows, performance, and compliance controls, and supports the plan’s clinical and operational strategy in response to emerging policy and regulatory changes affecting pharmacy benefit administration. The position supports the day-to-day functions of the Director of Pharmacy and advises executive leadership on pharmacy strategy, risk, and financial performance.

McLaren Health Plan is a managed care organization serving members through individual and family plans, Medicaid, and Medicare plans in Michigan. The organization is accredited by the National Committee for Quality Assurance (NCQA).

Requirements

• Bachelor’s degree in pharmacy, healthcare administration, business, or a related field; or an associate degree in pharmacy, healthcare administration, business, or a related field and two years of related experience.
• Valid, unrestricted Michigan Registered Pharmacist (RPh) license.
• Ten years of progressive pharmacy operations experience after licensure, including at least five years in a managed care, health plan, or PBM clinical operations setting.

Nice To Haves

• Master’s degree in business administration, healthcare administration, or a related field.
• Direct experience in Michigan managed care markets and/or integrated delivery systems.

Responsibilities

• Govern pharmacy operations, PBM oversight, and regulatory readiness across Medicaid, Medicare, and Commercial/ACA lines of business.
• Help govern the Pharmacy department’s operational infrastructure, workflows, performance, and compliance controls.
• Support clinical and operational strategy in response to emerging policy and regulatory changes affecting pharmacy benefit administration.
• Support the day-to-day functions of the Director of Pharmacy.
• Advise executive leadership on pharmacy strategy, risk, and financial performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior