Dir, Specialty Clinical Solutions/Medical pharmacy exp required- REMOTE

Remote Full-time
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.Job Posting TitleDir, Specialty Clinical Solutions/Medical pharmacy exp required- REMOTEJob DescriptionSupports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of usable, client collateral materials with marketing, and onsite client presentationsLeads evaluation and identification opportunities for improved management of Medical benefit drugs through clinical research and analytics that improve medical cost savings and provide clinical quality initiativesManages current clients in all Medical Pharmacy programs such as Fee Schedule Management, Prior Authorization, Post Service Claim Edits, Site of Service and any additional programs. Develops new opportunities and expands programs for existing clients.Works with analytics team to provide business rules and develop new drug to market cost impact analyses for health plan clientsManages Medical Pharmacy development needs for potential new clients. Identifies and develops opportunities for improved process efficiencies for Medical Pharmacy programs.Identifies enhanced reporting methodologies for Medical Pharmacy Programs.Supports development and production of Medical Pharmacy Trend Report, owning specific sections as delegatedSupports development, production and monitoring of Specialty Pharmacy Pipeline Report.Communicates and collaborates effectively with all internal stakeholdersProvides Medical Pharmacy expertise within the organization to other business units and within Magellan RxDevelops potential opportunities and all research and materials for presentations at National pharmacy/healthcare industry meetings, white papers and published papers.Develops appropriate submissions for program presentations at National meetings and for publication acceptance.Potential pay for this position ranges from $143,000.00 - $243,000.00 based on experience and skills. Pay range may vary by 8% depending on applicant location.To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job
Apply Now

Similar Opportunities

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote Full-time

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote Full-time

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote Full-time

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote Full-time

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote Full-time

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote Full-time

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote Full-time

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote Full-time

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote Full-time

USPS Office Helper

Remote Full-time

Educational Partner (Remote | Flexible | Commission-Based)

Remote Full-time

Systems & Infrastructure Engineer Intern, Masters - Summer 2026 (Mountain View, CA)

Remote Full-time

Principal Investigator - Remote

Remote Full-time

Email & SMS Marketing Analyst

Remote Full-time

**Experienced Full Stack Data Entry Specialist – Remote Work Opportunity for Beginners at blithequark**

Remote Full-time

Entry-Level blithequark Data Entry Clerk – Remote Opportunity with Competitive Salary and Comprehensive Benefits

Remote Full-time

Nurse Practitioner - Part Time, Nights and Weekends - Free Healthcare Benefit for Entire Family!

Remote Full-time

Academy Support Advisor Remote, United States

Remote Full-time

Game Programmer (UI/Systems)

Remote Full-time

[Remote] Backoffice Helpdesk

Remote Full-time
← Back to Home