Sr. Manager, Pharmacist (Pharmacy Affordability Strategy)

Your Role

The Pharmacy Cost of Health Care (COHC) Strategy and Drug Trend Management team develops and implements drug management and cost-of-care initiatives across medical and pharmacy benefits. The Sr. Manager, Pharmacy of COHC Strategy and Drug Trend Management will report to the Director, Formulary Strategy, COHC Management, and Pharmacy and Therapeutics. In this role, you will lead end-to-end drug strategy development and implementation, including network, clinical (formulary and utilization management), benefit design, and provider- and member-directed strategies to support clinically appropriate, affordable drug coverage across all lines of business.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

- Doctor of Pharmacy (PharmD) degree.
- Active and unrestricted California Registered Pharmacist (RPh) license.
- At least four years of managed care pharmacy experience.
- Strong independent judgment, analytical thinking, and problem-solving skills, with the ability to use data to drive decisions and results.
- Experience in pharmacy benefit management operations and demonstrated ability to interpret pharmacy benefit utilization and financial data.
- Knowledge of medical-benefit drug management and experience interpreting medical-benefit drug claims data preferred.
- Advanced proficiency in Microsoft Excel and PowerPoint, with experience using analytical and data management tools.
- Strong business acumen and demonstrated strategic thinking.
- Strong data analysis and data management skills, including the ability to analyze summarized and detailed claims information.
- Strong presentation, verbal, and written communication skills, with the ability to explain complex clinical and financial findings to audiences with varied backgrounds

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.