Pharmacy Director - Health Plan Job Listing at MedStar Health in Columbia, MD (Job ID 166791)

Description

About the Job

General Summary of Position
The Director of Pharmacy provides strategic leadership and operational oversight for pharmacy benefit management formulary strategy medication utilization and pharmacy quality initiatives across the health plan. This role is responsible for ensuring safe cost effective and evidence-based medication use while supporting regulatory compliance value-based care initiatives and population health goals. The Director collaborates with clinical leadership pharmacy benefit managers (PBMs) providers and health plan operations to optimize pharmacy programs that improve patient outcomes and manage total cost of care.

Primary Duties and Responsibilities

• Bachelor's degree Graduate training in an accredited College of Pharmacy. required
• Doctoral degree Doctor of Pharmacy (PharmD) required
• Advanced degree (MBA MPH MHA) preferred

• 8-10 years Pharmacy leadership experience required
• Significant experience in health plan pharmacy PBM operations or managed care pharmacy required
• Experience with Medicare Part D Medicaid or commercial pharmacy benefitspreferred Certifications required

• PharmD - licensed pharmacist in the District of Columbia or eligibility for reciprocity upon hire (required) Upon Hire required
• BCPA-Board Certified Patient Advocate Board Certification (e.g. BCPS BCACP) preferred
• PTCB - Pharmacy Technician Certification Board Board Certification (e.g. BCPS BCACP) preferred
• PHARMACOTH - Board Certified Pharmacotherapy Specialist Board Certification (e.g. BCPS BCACP) preferred

• Managed care pharmacy expertise
• Pharmacy benefit design and formulary management
• Regulatory and accreditation knowledge (CMS NCQA)
• Financial and utilization analytics
• Strategic leadership and change management
• Stakeholder collaboration and communication
• Pharmacy cost trend and total drug spend
• Medication adherence and quality metrics
• Formulary compliance and utilization management outcomes
• PBM contract performance
• Regulatory and accreditation compliance