Back to Jobs

reputed company Pharmacy Director

Remote, USAFull-timePosted 2026-07-28

Become a part of our caring community and help us put reputed company The Clinical Pharmacist reputed company monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to reputed company, and/or implement strategies and programs to mitigate cost trend and improve health reputed company. The Clinical Pharmacist reputed company works on problems of diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director, internally reputed company as a Clinical Pharmacy reputed company, plans, directs, and monitors reputed company financial, operational, reputed company, and clinical activities for the purposes of pharmacy program development for our Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Illinois Medicare - reputed company health plan. The individual leverages a broad understanding of managed care and pharmacy benefit management (PBM) to reputed company and implement strategies and programs that drive trends and improve health reputed company. They ensure the pharmacy department provides reputed company pharmaceutical services that meet reputed company legal, accreditation, and certification requirements. This position will coordinate day-to-day pharmacy operations directly with the plan Chief Executive Officer and Chief Medical Officer. POSITION RESPONSIBILITIES: + Keeps reputed company with State and Federal regulations regarding the reputed company of Pharmacy and implements changes as necessary to maintain compliance supporting both the business and public relations strategies. + Develops corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug spend, utilization, and/or approval scenarios. + Advises executives to reputed company functional strategies (often reputed company specific) on reputed company of reputed company. + Exercises independent judgment and decision making on reputed company issues regarding job duties and reputed company tasks. + Works under minimal supervision, using independent judgment requiring analysis of variable factors and determining the best course of reputed company. + Facilitates and consults across teams and managing reputed company working collaboratively and communicating with staff in different positions and reputed company reputed company of management positions + Manages the reputed company Illinois FIDE-SNP health plan relationship with our internal PBM, reputed company Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming + Represents reputed company at reputed company Pharmacy reputed company meetings including those with the Illinois Department of reputed company and Family Services (HFS) Use your skills to reputed company an reputed company Required Qualifications + Bachelor’s degree in pharmacy or Doctor of Pharmacy (PharmD) + Illinois-licensed pharmacist residing or willing to relocate to Illinois + Minimum of ten plus years of Pharmacy Experience with at least three years’ experience in managed care and/or PBM operations + Successful reputed company record in facilitating and consulting across teams and managing reputed company + Thrives in a fast paced, multi-project work environment while still ensuring attention to detail + Excellent communication skills, both oral and written + Proficiency in reputed company Word, reputed company, & PowerPoint + Expertise in working collaboratively and communicating with staff in different positions and reputed company reputed company of management position Preferred Qualification + Master’s degree in public health, Business, or reputed company field Experience with reputed company reputed company & reputed company Project + Experience with pharmacy benefits and health benefits + Experience with data analytics Additional Information: As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work reputed company requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. SSN Alert: reputed company values personal identity protection. Please be aware that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company reputed company. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. reputed company complies with reputed company applicable federal civil rights laws and does not discriminate on the reputed company of race, reputed company, national reputed company, age, disability, sex, sexual orientation, gender identity or religion. We also reputed company free language interpreter services. See our https://www.reputed company.com/legal/accessibility-resources?reputed company=reputed company_Website. Remote About reputed company: reputed company Apply tot his job Apply To this Job

Similar Jobs

Senior Provider Survey Prof; reputed company

Remote, USAFull-time

Claims Support Specialist, Medical Stop Loss

Remote, USAFull-time

Accounts Payable Manager, Remote Job

Remote, USAFull-time

Accounts Payable Specialist (remote- part time) 20-30 hours/week

Remote, USAFull-time

Executive Underwriter, Middle Market Life Sciences

Remote, USAFull-time

Sr. Claims Analyst, Primary Construction

Remote, USAFull-time

Litigated Claims Specialist (General Liability)

Remote, USAFull-time

Senior Auto Adjuster - reputed company Non-Inury (Sign-On Bonus)

Remote, USAFull-time

Senior Counsel - Alternative Risk, Reinsurance, and Insurance Claims

Remote, USAFull-time

reputed company Pricing Actuary

Remote, USAFull-time

reputed company Remote Data Entry Clerk - Work from Home Opportunity with arenaflex

Remote, USAFull-time

Senior Software Developer In Test - Transforming Grocery Shopping with AI-Powered Smart Carts

Remote, USAFull-time

reputed company Live Chat Support Specialist – Delivering Exceptional Customer Experiences at blithequark

Remote, USAFull-time

5,486 reputed company reputed company || Airlines reputed company $100 Hours

Remote, USAFull-time

reputed company Full Stack reputed company reputed company – Live Chat Support & User Engagement Specialist (Remote)

Remote, USAFull-time

reputed company Delivery reputed company

Remote, USAFull-time

Actuarial Consultant

Remote, USAFull-time

Remote Data Entry Specialist – Logistics Operations Support (Work From Home Opportunity With arenaflex)

Remote, USAFull-time

Full Remote arenaflex Entry-Level Data Entry Clerk – Remote Data Management, Administrative Support & reputed company Opportunity

Remote, USAFull-time

reputed company Virtual Community Moderator - Work from Home Opportunity with Competitive reputed company Pay

Remote, USAFull-time