Director, Pharmacy Health Plan
GEHA Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Alaska, California, Colorado, Connecticut, Hawaii, Maine, Montana, New York, Oregon, Pennsylvania, Vermont, Washington, Wyoming • 🇺🇸 United States
Visit company websiteSalary
💰 $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
formulary managementutilization managementMedication Therapy ManagementHEDISquality managementoperational excellencestrategic oversightprogram developmentclinical initiativescontract management
Soft skills
leadershipcollaborationstrategic thinkingcommunicationpartnership
Certifications
Licensed pharmacistPharmD