Medical Director Clinical Pbm Operations

VERDEGARD ADMINISTRATORS LLC

San Diego, CA, United States
Base: $188,204 - $272,896 - $357,587; bonus/equity...
Fully remote
Md or do degree required
Board certified physician
5+ years patient care experience
This position provides enterprise-level clinical leadership across all pharmacy benefit management operations to ensure clinical integrity and operational excellence

Job Summary

  • This position provides enterprise-level clinical leadership across all pharmacy benefit management operations to ensure clinical integrity and operational excellence.
  • The Medical Director chairs the Pharmacy & Therapeutics Committee and oversees drug information, appeals, grievances, and quality accreditation standards.
  • MedImpact offers comprehensive benefits including medical/dental/vision, 401K match, incentive compensation, and tuition reimbursement for this exempt role.

Matching Summary

This position provides enterprise-level clinical leadership across all pharmacy benefit management operations to ensure clinical integrity and operational excellence.

Salary

Base: $188,204 - $272,896 - $357,587; Bonus/Equity: Incentive Compensation mentioned; Benefits: Medical/Dental/Vision, 401K match, Paid Time Off

Skills & Requirements

Must-have

  • MD or DO degree required
  • Board certified physician
  • 5+ years patient care experience
  • 3-5 years medical director role
  • Formulary and P&T governance expertise
  • Utilization management oversight
  • URAC/NCQA/CMS compliance knowledge

Nice-to-have

  • Prior national PBM leadership experience
  • Specialty pharmacy strategy knowledge
  • GLP-1 utilization strategy expertise
  • Value-based contracting experience
  • Strong stakeholder presentation skills
  • Experience with proprietary PBM software

Key Requirements

  • Doctor of Medicine (MD) or Osteopathy (DO) degree
  • Board certification by American Board of Medical Specialties
  • Minimum 12 years related experience
  • Current valid unrestricted medical license
  • 10 years supervisory experience
  • Not eligible for sponsorship

Work Rights

Not specified

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