GEHA Health

Director, Pharmacy Health Plan

GEHA Health

full-time

Posted on:

Location Type: Remote

Location: Alaska • California • United States

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Salary

💰 $169,320 - $214,200 per year

Job Level

Lead

About the role

  • Guide and improve our Federal Employee Health Benefit (FEHB) and Postal Services Health Benefits (PSHB) environment.
  • Manage delegated PBM contract oversight (inclusive of utilization and formulary management).
  • Oversee clinical initiatives and programs (Medication Therapy Management, HEDIS/Quality).
  • Partner closely with the VP of Pharmacy and other enterprise leadership to drive business outcomes.
  • Set strategic direction for program development related to access, affordability, quality, and experience.
  • Ensure operational excellence of the pharmacy benefit program.

Requirements

  • Licensed pharmacist (PharmD) required.
  • 10+ years of experience in managed care pharmacy, pharmacy benefit management, or the PBM industry.
  • 5-7+ years of experience managing PBM relationships and contracts.
  • 5+ years in leadership roles with a focus on operational and strategic oversight.
  • Expertise in formulary management, utilization management, and regulatory compliance in both commercial and government programs.
Benefits
  • Health/Vision/Dental benefits effective day one
  • 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution
  • Robust employee well-being program
  • Paid Time Off
  • Personal Community Enrichment Time
  • Company-provided Basic Life and AD&D
  • Company-provided Short-Term & Long-Term Disability
  • Tuition Assistance Program
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
formulary managementutilization managementMedication Therapy ManagementHEDISquality managementoperational excellencestrategic oversightprogram developmentclinical initiativescontract management
Soft Skills
leadershipcollaborationstrategic thinkingcommunicationpartnership
Certifications
Licensed pharmacistPharmD