Director, Pharmacy Health Plan
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Job Description
Director of Pharmacy Health Plan at G.E.H.A managing FEHB and PSHB environments. Overseeing PBM contracts, clinical initiatives, and pharmacy benefit programs for federal employees.
Responsibilities:
- 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
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