Clinical Program Development Director, Stars - Remote

$125,200 - $200,000/Yr

Prime Therapeutics - Atlanta, GA

Full-time - Mid Level

Remote - Atlanta, GA

Administrative and Support Services

About the position

The Clinical Program Development Director plays a crucial role in shaping the drug management strategy for specific clinical product domains. This position leads a cross-functional team to execute objectives related to Utilization Management, Formulary, and Drug Utilization Review, ensuring compliance with regulations and improving the quality of care. The director collaborates with internal stakeholders and manages essential business processes to support the development and operations of clinical products.

Responsibilities

• Serve as a subject matter expert within the designated clinical product domain to drive departmental strategy and new clinical product offerings.
• Represent the domain in partnership with key internal stakeholders to support client communications.
• Manage essential business processes and allocate resources to support the development and operations of designated clinical product domain.
• Monitor the performance of clinical products and implement continuous quality improvement plans to ensure the outcome improves cost and quality of care and assures regulatory compliance.
• Manage the implementation of new clinical programs and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or service agreements specific to clinical products.
• Manage essential business processes to ensure compliance with accreditation standards (NCQA, URAC) and federal and state regulations that relate to clinical products.
• Other duties as assigned.

Requirements

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy Degree.
• Current pharmacist license in good standing with the State Board of Pharmacy in the State where the position is located.
• 7 years of related work and/or educational experience to include: 5 years of related clinical experience and 2 years of managed care experience.
• Must be eligible to work in the United States without need for work visa or residency sponsorship.
• Effective written and verbal communication skills.
• Ability to collaborate effectively across departments and at all levels within an organization.
• Ability to think critically and anticipate the broad impact of decisions.
• Demonstrated ability to manage projects from ideation to completion.

Nice-to-haves

• 1 year of experience in the development of drug management strategy and managing clinical product functions.
• 1 year of management/people leadership experience.
• Experience working within a matrix environment.
• Previous PBM experience.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401k plan
• Paid holidays
• Paid time off
• Flexible scheduling
• Professional development opportunities