Director of Pharmacy Benefits Management, Medicare - Los Angeles, United States - UCLA Health

UCLA Health
UCLA Health
Verified Company
Los Angeles, United States

3 weeks ago

Mark Lane

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Mark Lane

beBee recruiter
Description

Description

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


Qualifications

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
  • Strong leadership capabilities, showcasing an adaptive approach to change and a track record of implementing innovative programs aligned with strategic objectives
  • Knowledgeable in PBM thirdparty billing, pharmacy claims processing, and pharmacy data management
  • 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 worldrenowned health system with four awardwinning hospitals and more than 270 community clinics throughout Southern California. We're also home to the worldclass 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.
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