Director Pharmacy Operations

About this role

Anticipated End Date: 2026-08-28 Position Title: Director Pharmacy Operations Job Description: Director Pharmacy Operations 

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidate resides within a commutable distance from an office.

The Director Pharmacy Operations is responsible for managing the pharmacy operations for clinical program implementations ensuring that communications are responsive to health plan needs and meets all clinical quality standards.

How you will make an impact: • Directs activities related to development of clinical pharmacy programs.

• Directs regional clinical program implementations and tracks call stats and interventions.

• Establishes guidelines and facilitates policy creation and adherence.

• Develops and defines procedures and systems to support clinical pharmacy program implementations.

• Facilitates process enhancements to improve the overall effectiveness of clinical pharmacy programs.

• Oversees budget planning and forecasting. Monitors and evaluates program implementations.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements: • Requires a PharmD, RPh or other advanced degree in a health related field and minimum of 5 years of experience in managed care; or any combination of education and experience, which would provide an equivalent background.

• Current unrestricted Registered Pharmacist (RPh) license in applicable state(s) required.

• Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting pharmacy review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the United States, unless they are command-sanctioned activities.

Preferred Qualifications: • Medicare experience preferred.

• Medication Therapy Management (MTM) experience preferred.

• Comprehensive Medication Review (CMR) experience preferred.

• Workforce management, call center, telephony, or outbound campaign experience preferred.

• PBM experience preferred.

• Experience overseeing large initiatives and teams preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $ 155,440.00 to $ 279,792.00.

Location(s):  California, Columbus, OH, Illinois, Maryland, Massachusetts, Nevada, New Jersey, New York, and Washington State

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.    

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level: Director Workshift: 1st Shift (United States of America) Job Family: MED > Licensed/Registered Pharmacist/Pharmacy Technician Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to na

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