Director Of Pharmacy Benefits Management, Medicare Advantage

General Information

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Work Location: Los Angeles, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday-Friday, 8:00am-5:00pm

Posted Date

05/06/2024

Salary Range: $146900 - 371300 Annually

Employment Type

2 - Staff: Career

Duration

indefinite

Job #

15686

Primary Duties and Responsibilities

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Join the dynamic team at the New Century Health Plan (NCHP) as our Director of Pharmacy Benefits Management! Reporting directly to the Chief Medical Officer of Medicare Advantage, you'll spearhead the development and oversight of our pharmacy benefit management (PBM) business unit. In this pivotal role, you'll craft and execute comprehensive marketing plans, establish budgets, and define policies and procedures to drive the success of our PBM initiatives.

Your responsibilities will encompass the full spectrum of PBM operations from assessment and planning to implementation and evaluation. It will be your duty to ensure the financial health, service quality, and operational efficiency of our pharmacy benefit programs. Collaboration will be key, as you'll cultivate productive relationships and coordinate activities both internal stakeholders and external partners to ensure adherence to compliance requirements while optimizing costs.

Salary Range: $146,900 - $371,300/annually

Job Qualifications

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We're seeking a self-motivated, results-driven leader with:

• Minimum of 8 years of experience as a Pharmacist in a healthcare setting, required

• Three or more years of Managed Care/PBM experience, highly desired

• Two or more years of experience in Medicare programs, preferred

• Degree from an accredited school of Pharmacy, required

• Possession of a current California State Board of Pharmacy pharmacist license, required

• Previous experience in operations, data analysis, report development, or program development within the healthcare field, required

• Comprehensive understanding and proficiency in all facets of pharmacy operations, with demonstration application of pharmacy knowledge within a health plan environment

• Strong leadership capabilities, showcasing an adaptive approach to change and a track record of implementing innovative programs aligned with strategic objectives

• Knowledgeable in PBM third-party billing, pharmacy claims processing, and pharmacy data management

• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint)

• Robust analytical and mathematical skills, including the ability to reconcile financial reports and data and identify trends in drug costs

At UCLA Health, passionate clinicians in a wide range of disciplines have enabled us to become a world-renowned health system with four award-winning hospitals and more than 270 community clinics throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School of Medicine. If you're looking to experience greater challenge and fulfillment in your career, come to UCLA Health.