Health Alliance Medical Plans is a leading provider-sponsored health insurer in the Midwest, administering health plans for more than 335,000 members in Illinois and Iowa.
Established in 1980, Health Alliance has maintained the highest accreditation possible from the National Committee for Quality Assurance (NCQA) for its HMO, POS and Medicare HMO plans since 1997. Health Alliance Commercial HMO/POS ranked #1 in Illinois and Iowa in NCQA's Health Insurance Plan Rankings.* Nationally, Health Alliance ranked the 35th best HMO/POS for 2012-2013.*
We are seeking a results-oriented, talented individual with the highest level of personal integrity to be our Director of Pharmacy. Apply your desire and dedication to excellence at Health Alliance Medical Plans and you will help us remain a leading provider-sponsored health insurer. In return for your commitment, we will develop your career with rewarding opportunities and a supportive, inspiring environment where excellence thrives.
We invite you to join us as the Director of Pharmacy.
The Director of Pharmacy is an experienced managed care individual responsible for drug formulary design and development across government and private fully insured as well as self-funded products and rebate contracting. Integrates program implementation and risk management to improve quality, control utilization and costs, and enhance sales. Responsible for a wide variety of clinical, administrative, financial and regulatory challenges. Responsible for the direction, supervision and management of the Pharmacy Network, Pharmacy Staff, and pharmacy related contracting.
Doctorate of Pharmacy.
Licensed Pharmacist in the state of Illinois.
Requires three years of managed care experience and two years of management experience. Must have managed care pharmacy experience and have spent time in the managed care industry either with a PBM or with a health plan or health insurance carrier. Experience in developing formularies and managing drug spend for commercial and government sponsored Health Plans (Medicare/Medicaid). Experience in developing strategies to manage specialty drug spend. Experience managing employees and direct reports, budgeting, recruiting, etc.
Ability to organize, interpret and distill large volumes of data formats and accurately communicate issues to physicians, pharmacists, employers, administration, and Health Alliance staff. Ability to create and utilize cost benefit analysis (pharmacoeconomics).