Sr Manager, Clinical Consulting & Plan Performance

at  Rightway

JOB SUMMARY:

The Senior Manager of Pharmacy Clinical Consulting and Plan Performance is responsible for managing clinical consulting services and improving the performance of partner plans. This role will work closely with internal teams and external stakeholders to drive initiatives that enhance clinical outcomes, cost efficiency, and overall plan performance. As a subject matter expert (SME), the Senior Manager will provide clinical guidance and collaborate across departments to meet client goals.
Key Responsibilities:

QUALIFICATIONS:

• PharmD or equivalent degree from an accredited institution.
• Active pharmacist license in good standing.
• Minimum of 7 years of experience in PBM, health plan, pharmacy clinical consulting, or a related field.
• Proven ability to manage projects and collaborate effectively with cross-functional teams.
• Strong analytical skills with the ability to interpret data and develop actionable insights.
• Excellent communication and interpersonal skills, with the ability to build relationships with clients and internal stakeholders.
• In-depth knowledge of pharmacy benefit management and clinical pharmacy practices.

PREFERRED QUALIFICATIONS:

• Experience with project management and process improvement methodologies.
• MBA, MPH, or a related advanced degree is a plus.
• Previous experience working with health plans or PBMs is preferred.
• Located in CST or PST time zones.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is PROUDLY an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance

Please refer the Job description for details