Director, Pharmacy

Denver Health

. Leads the strategic vision and operational execution of pharmacy benefits ensuring alignment with clinical excellence, financial sustainability, and member centric outcomes.

Posted 4/23/2026full-timeDenver • Colorado • 🇺🇸 United StatesLead💰 $150,900 - $249,100 per yearWebsite

About the role

Key responsibilities & impact

Leads the strategic vision and operational execution of pharmacy benefits ensuring alignment with clinical excellence, financial sustainability, and member centric outcomes.
Manages end-to-end pharmacy benefit design, oversight, and performance management across the entire health plan ecosystem from formulary strategy and Pharmacy Benefit Manager (PBM) partnership to member experience and quality improvement.
Drives optimization of medication access, adherence and cost savings.
Reviews, analyzes and monitor pharmacy cost and utilization data to inform and execute on short-term and long-term business goals.
Provides strategic oversight of all pharmacy functions, including Pharmacy Benefit Manager (PBM) performance, formulary strategy, benefit design, and cost containment.
Oversees formulary management and 340B program strategy, including specialty drug utilization, biosimilar uptake, opioid safety, and behavioral health pharmacy integration.
Designs and implement pharmacy financial incentive programs, such as prescriber performance bonuses, shared savings models tied to utilization efficiency, outcomes-based rebate innovation, and value-tiered network designs to improve access and affordability.
Provides oversight of the Pharmacy & Therapeutics (P&T) Committee, ensuring formulary governance, clinical alignment, and rapid adoption/evaluation of emerging therapies.
Negotiates and manages PBM contract with explicit quality and performance targets, ensuring alignment with health plan clinical, regulatory, and cost-saving objectives.
Development and implementation of strategies for the evaluation, performance and enhancement of current and new pharmacy programs including Medication Adherence Programs and Disease Management.
Prepares and presents monthly, quarterly, annual and ad-hoc reports upon request.

Requirements

What you’ll need

Doctorate degree Doctor of Pharmacy (PharmD) required
Minimum of 5 years administrative Pharmacy Department management experience within a Managed Care Organization, PBM, Medicaid, and/or Medicare Program in a leadership role required
1-3 years Director level or higher management experience including: administrative, direct supervisory, regulatory, contract, rebate management and program development duties preferred required
PHA-Licensed Pharmacist - DORA - Department of Regulatory Agencies required
Analytical, Business Development, Pharmacoeconomic and Critical thinking skills required.
Excellent verbal/written communication, contract negotiation, vendor management, presentation, training and organizational skills necessary.
Ability to multi-task, develop regulatory guidelines, prioritize, delegate, create and implement standardized processes and operational workflow.
Industry experience with claims adjudication, NCPDP standards, Medication Therapy Management (MTM), NCQA, HEDIS, Pharmacy Benefit design, Formulary management, Provider Networks, Prior Authorization Management, Drug Utilization Review, Customer Service and application of Commercial Health, Medicare, Medicaid and CHP+ programs including regulatory requirements.
Proven ability to lead cross-functional teams and manage multiple complex projects, and provide clearly articulated updates to Executive Leadership.

Benefits

Comp & perks

Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

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Applicant Tracking System Keywords

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Hard Skills & Tools

Pharmacy Benefit Manager (PBM) managementformulary strategycost containmentMedication Adherence ProgramsDisease Managementcontract negotiationregulatory complianceanalytical skillspharmacoeconomicsbusiness development

Soft Skills

verbal communicationwritten communicationpresentation skillstraining skillsorganizational skillscritical thinkingmulti-taskingprioritizationdelegationleadership

Certifications

Doctor of Pharmacy (PharmD)PHA-Licensed Pharmacist - DORA