This position is responsible for strategic, efficient, and compliant day-to-day operations of VIVA HEALTH's Medicare Advantage Part D and Commercial Pharmacy lines of business. The Director of Pharmacy leads a team of clinical and non-clinical staff; oversees the delegated activities of two Pharmacy Benefit Managers (PBMs) and related vendors; and oversees pharmacy utilization management and clinical quality programs. Regular collaboration with other departments throughout the organization and external employer groups is also required. Ready to work for an insurance provider who truly cares and recently was named one of #Birmingham's Best Places to Work? Visit vivahealthcareers.com today!
REQUIREMENTS: •Bachelor's Degree in Pharmacy, Business, Management, or Healthcare profession •5 years of Pharmacy Leadership experience, including clinical pharmacy care experience, pharmacy benefit management, pharmacy contracting, pharmacy utilization management, management experience working in a health plan, or similar industry •Active Pharmacist license without restrictions, or four years managing pharmacy operations in a PBM, health plan, or similar industry may substitute for license • In-depth knowledge of the pharmacy industry and pharmacy benefits management as it relates to health insurance administration and the Medicare Part D program • Ability to effectively make decisions based on data and regulatory requirements, and design/implement processes and procedures to address needs • Ability to lead, oversee, and motivate cross-functional teams in a complex corporate environment • Proven ability to effectively lead and manage people and projects simultaneously • Proficient in Microsoft Office • Excellent written and oral communication skills including public speaking • Excellent interpersonal skills • Proven ability to create and lead a sustained culture of performance improvement PREFERRED: •Doctor of Pharmacy, Master's degree in Business Administration, Healthcare Administration, or equivalent related graduate degree •Management experience in a Medicare Advantage Part D and commercial health plan •Six Sigma Green Belt/LEAN
Internal Number: 19-0041
About VIVA Health
Viva Health, Inc. is a health maintenance organization providing quality, accessible health care. Viva Health Administration, L.L.C., is its sister company offering third party administration (TPA) services. Managed by professionals with years in the health care industry, Viva Health is also part of the renowned University of Alabama at Birmingham (UAB) Health System. All individuals and organizations connected with Viva Health work hard to simplify and improve health care through a network that includes many of the most respected physicians and hospital providers in the market.