Medix™
Senior Director - Prior Authorization & Clinical Care (PBM) - 234071
Medix™, New York, New York, United States
Are you a
licensed pharmacist ready to lead and inspire a team of clinical professionals ? We’re seeking a strategic, results-driven leader to oversee
Prior Authorization and Clinical Care operations
across multiple lines of business, including
Commercial, Medicare, Exchange, and Medicaid , while managing Clinical Call Center operations. This is a fully remote role with
competitive pay of $200,000 – $210,000 annually
and the opportunity to make a tangible impact in a fast-growing healthcare environment.
What You’ll Do: Lead & Mentor:
Manage a large team of pharmacists, technicians, and support staff, setting strategy, fostering accountability, and cultivating a culture of collaboration and excellence. Operational Excellence:
Drive efficiency, process improvements, and automation initiatives to optimize Prior Authorization and Clinical Care workflows. Client-Facing Leadership:
Partner with clients and consultants, providing detailed, consultative guidance and representing the organization with professionalism and expertise. Compliance & Quality:
Ensure operations meet regulatory standards (URAC, NCQA, federal and state guidelines) and manage audits and compliance risks. Strategic Impact:
Define KPIs, monitor performance metrics, and report actionable insights to executive leadership to guide decision-making and continuous improvement.
You’re a Fit If You: Hold an
active pharmacist license
and PharmD. Have
8+ years in Prior Authorization or Utilization Management , with
5+ years managing managers or large teams . Thrive in a
fast-paced, complex environment
with multiple lines of business. Bring
strategic vision, operational excellence, and financial acumen . Enjoy
client-facing, consultative leadership
with the ability to influence stakeholders and drive change.
Why This Role: Fully remote Lead and shape a
high-performing clinical team . Competitive salary and opportunity to influence operations at a
strategic level . Make a measurable impact on efficiency, patient care, and clinical outcomes.
Location:
Remote Salary:
$200,000 – $210,000
Take the next step in your pharmacy leadership career and
join a team driving innovation and excellence in Prior Authorization and Clinical Care operations .
licensed pharmacist ready to lead and inspire a team of clinical professionals ? We’re seeking a strategic, results-driven leader to oversee
Prior Authorization and Clinical Care operations
across multiple lines of business, including
Commercial, Medicare, Exchange, and Medicaid , while managing Clinical Call Center operations. This is a fully remote role with
competitive pay of $200,000 – $210,000 annually
and the opportunity to make a tangible impact in a fast-growing healthcare environment.
What You’ll Do: Lead & Mentor:
Manage a large team of pharmacists, technicians, and support staff, setting strategy, fostering accountability, and cultivating a culture of collaboration and excellence. Operational Excellence:
Drive efficiency, process improvements, and automation initiatives to optimize Prior Authorization and Clinical Care workflows. Client-Facing Leadership:
Partner with clients and consultants, providing detailed, consultative guidance and representing the organization with professionalism and expertise. Compliance & Quality:
Ensure operations meet regulatory standards (URAC, NCQA, federal and state guidelines) and manage audits and compliance risks. Strategic Impact:
Define KPIs, monitor performance metrics, and report actionable insights to executive leadership to guide decision-making and continuous improvement.
You’re a Fit If You: Hold an
active pharmacist license
and PharmD. Have
8+ years in Prior Authorization or Utilization Management , with
5+ years managing managers or large teams . Thrive in a
fast-paced, complex environment
with multiple lines of business. Bring
strategic vision, operational excellence, and financial acumen . Enjoy
client-facing, consultative leadership
with the ability to influence stakeholders and drive change.
Why This Role: Fully remote Lead and shape a
high-performing clinical team . Competitive salary and opportunity to influence operations at a
strategic level . Make a measurable impact on efficiency, patient care, and clinical outcomes.
Location:
Remote Salary:
$200,000 – $210,000
Take the next step in your pharmacy leadership career and
join a team driving innovation and excellence in Prior Authorization and Clinical Care operations .