Director, Clinical Strategy and Integrated Specialty Solutions

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop and implement the clinical strategy for pharmacy, medical, and integrated products.

• Lead the creation and management of a comprehensive portfolio of Specialty clinical programs.

• Foster innovation, measurable outcomes, and strategic alignment with business objectives.

• Act as a Specialty subject matter expert and strategic collaborator.

• Work collaboratively with clinical, technical, operational, and business teams to provide innovative and scalable solutions.

• Engage with external stakeholders to ensure the successful execution of Specialty programs.

• Create and present strategic business roadmaps for medical, pharmacy, or integrated specialty solutions.

• Formulate clinical solutions and strategic roadmaps for pharmacy, medical, and integrated products.

• Oversee the development and implementation of product solutions.

• Lead or assist Specialty and Clinical program and product teams.

• Stay informed about key economic and clinical industry trends.

• Provide insights regarding competitor products and services.

• Collaborate with Health Outcomes and Analytics teams to oversee clinical and economic data management.

• Work together with Pharmacy Trade Relations on manufacturer contracts and performance evaluations.

• Partner with Pharmacy teams on UM programs, medical policy, formulary, pipeline, P&T committee recommendations, and drug lists.

• Coordinate with Claims Operations and Clinical Operations for pharmacy and medical benefits.

• Collaborate with Technology and Architecture teams.

• Engage with Networks on product development, clinical strategy, therapeutic category performance, and reporting.

• Lead or assist in presenting program results and solutions to clients.

• Perform additional duties as required.

⛳️ Requirements

• Doctor of Pharmacy (PharmD) or a Bachelor of Science in Pharmacy degree.

• Minimum of 3 years of pharmacy experience in a PBM, managed care, specialty pharmacy, or cross-benefit management.

• Current pharmacist license to practice in the relevant state(s).

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Ability to facilitate change effectively.

• Strong relationship-building and influencing skills at all organizational levels.

• Proven capability to simplify complex concepts or situations into clear and compelling communications.

• Critical thinking skills with the ability to foresee issues and devise innovative solutions.

• Willingness to travel 25% of the time.

• Advanced degree or Certification in a specific therapeutic category is preferred.

• Experience in integrated specialty: medical and pharmacy drug management is preferred.

• Experience in integrated specialty: cross-functional project and/or product development with influence on leaders and business decisions is preferred.

• Every employee must comprehend, comply with, and attest to the security responsibilities and controls unique to their role.

• Adhere to all applicable legal, regulatory, and contractual requirements, as well as internal policies and procedures.

• Capable of performing the essential functions of the position.

🏝️ Benefits

• Benefits, incentives, and additional compensation.

• Tobacco-Free Workplace.

• Equal opportunity and affirmative action employment.

• Reasonable accommodations for employees with disabilities.