Director, Pharmacy Clinical Strategy – Preferred Experience in Formulary Strategy, Managed Care

CareSource

Director of Pharmacy Clinical Strategy overseeing drug management and regulatory compliance. Leading strategic initiatives for formulary management across all CareSource lines of business.

Posted 6/16/2026full-timeRemote • 🇺🇸 United StatesLead💰 $135,600 - $237,400 per yearWebsite

About the role

Key responsibilities & impact

Lead the strategic development of formulary management best practices & industry-leading formularies
Ensure efficient operational management
Oversee the monitoring of drug development pipeline
Educate stakeholders on drug strategies
Manage formulary and medical benefits
Negotiate direct rebates with pharmaceutical manufacturers
Develop and report on key performance indicators (KPIs)
Collaborate with other teams to communicate and educate stakeholders
Ensure compliance with regulatory and accreditation standards

Requirements

What you’ll need

Bachelor's degree in Pharmacy required
Doctorate of Pharmacy (Pharm.D.) preferred
Three (3) years of managed care experience required
Two (2) years of formulary management experience in Medicare, Marketplace or Medicaid lines of business required
Experience working with government lines of business (Medicare, Medicare, or Marketplace) in multiple states or markets required
Experience participating in or leading a P&T Committee required
Previous managerial experience required
Familiarity with medical terminology and medical claims billing
Intermediate proficiency in Microsoft Outlook and Microsoft Word
Advanced proficiency in Microsoft PowerPoint and Microsoft Excel (able to create presentation-ready charts & graphs, Pivot tables/charts)

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible working hours
Paid time off
Professional development opportunities
Bonus tied to company and individual performance
Substantial and comprehensive total rewards package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

formulary managementmanaged caredrug development pipelinekey performance indicatorsmedical claims billingP&T Committee participationnegotiationregulatory complianceaccreditation standardsmedical benefits management

Soft Skills

strategic developmentoperational managementstakeholder educationcollaborationcommunicationmanagerial experience

Certifications

Bachelor's degree in PharmacyDoctorate of Pharmacy (Pharm.D.)