Director, Pharmacy Quality – Part D Stars
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $149,882 - $224,823 per year
Job Level
About the role
- Create and implement a multi-year pharmacy Stars and quality roadmap
- Monitor CMS methodology updates and assess their impact on pharmacy measures
- Anticipate emerging trends and proactively adjust strategies
- Lead the development and execution of pharmacy-driven strategies to improve Stars measures and quality outcomes
- Monitor current performance and evaluate interventions with added focus on areas of opportunity or risk
- Lead internal pharmacy programs and PBM/vendor partnerships
- Represent Pharmacy in PBM, vendor, and cross-functional forums
- Build and deliver dashboards, forecasts, and executive reports
- Lead, mentor, and develop a high-performing team
Requirements
- 7+ years of experience in Medicare Part D, Stars, or pharmacy quality
- At least 5 years in leadership roles
- Bachelor's degree
- Advanced degree preferred (PharmD, RN, MPH, MBA, or related field)
- Demonstrated success improving CMS Star Ratings through pharmacy-driven initiatives and PBM/vendor collaboration
- Deep knowledge of CMS Part D Stars methodology, pharmacy quality measures, and regulatory updates
- Expertise in leveraging data analytics to guide forecasting, strategy, and decision-making
- Proven ability to lead teams, align cross-functional efforts, and communicate effectively with senior leadership
- Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors
Benefits
- Health insurance
- Paid time off
- Flexible work arrangements
- Professional development
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analyticsforecastingstrategy developmentquality improvementperformance evaluationdashboard creationexecutive reportingpharmacy quality measuresCMS Part D Stars methodologyregulatory updates
Soft Skills
leadershipmentoringteam developmentcommunicationcross-functional collaborationrelationship buildingstrategic thinkingproactive adjustmentproblem-solvinginterpersonal skills
Certifications
Bachelor's degreePharmDRNMPHMBA