Pharmacy Director (Rph) - Prior Authorization Center

A pharmacy benefits management solution company in New Jersey is seeking an experienced Pharmacy Director of Prior Authorization Center.
About the Opportunity:

• Schedule: Monday - Friday
• Hours: Days (anything applicable that the candidate should know before applying)
• Setting: Hybrid or Remote

Responsibilities:

The Pharmacy Director - Prior Authorization Center will be responsible for:

• Expert accountable for leading a team of Prior Authorization Pharmacists and Technicians dedicated to the Prior Authorization and appeals processes.
• Create and maintain policies and procedures for utilization management review, optimize staffing workflow, analyze performance trends, generate comprehensive reports on Prior Authorization/appeal metrics, and lead the recruitment and onboarding process for pharmacist and technicians
• Manage a team to ensure a positive team environment, conduct performance review and provide feedback and opportunities for development
• Work with VP of Clinical Operations to develop and implement strategic initiatives to improve the overall effectiveness of the Prior Authorization services
• Develop and implement policies and procedures ensuring compliance with federal, state, and local guidelines

Qualifications:

• 5+ years of Management experience
• 5+ years of Prior Authorization experience at health plan and/or PBM
• PharmD (required)
• Active Pharmacist license
• Exceptional written/verbal communication skills and interpersonal skills
• Experienced in Microsoft Office Suite, prescription medication analysis
• Ability to work in a fast-paced place with shifting priorities
• Active pharmacist license.

Desired Skills:

• MTM certification, or other specialty certifications