AmTrust Financial Services, Inc.
Overview
The Director of Pharmacy supports the AVP of Medical Cost Containment in implementing, improving, and optimizing clinical programs. The Director leads analytic measurement and improvement of medical management for assigned programs, including pharmacy operations and interventions. The role focuses on analytics, clinical operations, and developing new programs to support organizational vision and cost savings while upholding AmTrust’s mission, vision, and values.
Responsibilities
Serve as a business owner for medical product management needs specific to the pharmacy program, establishing key performance indicators, identifying opportunities, and driving business goals.
Manage a team of 8 pharmacists through a remote setting, overseeing a country‑wide prior authorization program specific to workers’ compensation claims.
Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.
Evaluate new and emerging regulations as they impact the program and problem‑solve for implementing change and producing outcomes.
Optimize clinical programs for nurse and adjuster efficiency, streamline injured employee experience, and achieve positive claim outcomes.
Manage day‑to‑day issues with clinical program management, interfacing with vendors and internal staff.
Identify best practices and industry trends, participate in evaluating new and emerging technologies and treatments to determine possible incorporation into programs.
Participate in office managed care and clinical operational reviews.
Manage project development and enhancements through coordination with WC operations.
Keep current with market trends and demands.
Perform other functionally related duties as assigned.
Qualifications
PharmD. or RPH.
Experience in a workers’ compensation insurance carrier setting or related industry.
Ability to lead a team of pharmacists and drive necessary process improvement efforts to improve organizational outcomes.
Demonstrated results in developing strategic plans and executing key initiatives.
Proficient in data evaluation and visualizations.
Excellent English communication skills, written and verbal, as well as strong analytic, documentation, and organizational skills.
Efficient with multitasking between projects.
Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint.
Ability to prepare and effectively communicate presentations, interpret/develop reports, metrics, and improvement plans, and to collaborate effectively with a multi‑functional team throughout the organization; foster an environment of shared responsibility and accountability.
Preferred
2+ years of managing projects and/or vendor relationships.
2+ years of experience writing SQL queries, creating stored procedures, views, and functions.
2+ years of management experience preferred.
Project Management Office (PMO) experience.
Knowledge of workers' compensation laws and regulations, medical billing (ICD9/10, CPT, HCPCS).
Experience with state and external accreditation managed care audits and with writing and implementing program‑level policy and procedures.
Salary The expected salary range for this role is $130,000–$155,000. Salaries are based upon a wide range of factors considered in making the compensation decision, including candidate skills, experience, education, and training, as well as market and business considerations.
Benefits AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance (including eligible spouses & children), Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
What We Offer AmTrust strives to create a diverse and inclusive culture where the thoughts and ideas of all employees are appreciated and respected. This concept encompasses human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices—it is an integral part of who we are, how we operate, and how we see our future.
AmTrust reserves the right to revise this job description at any time.
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Responsibilities
Serve as a business owner for medical product management needs specific to the pharmacy program, establishing key performance indicators, identifying opportunities, and driving business goals.
Manage a team of 8 pharmacists through a remote setting, overseeing a country‑wide prior authorization program specific to workers’ compensation claims.
Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.
Evaluate new and emerging regulations as they impact the program and problem‑solve for implementing change and producing outcomes.
Optimize clinical programs for nurse and adjuster efficiency, streamline injured employee experience, and achieve positive claim outcomes.
Manage day‑to‑day issues with clinical program management, interfacing with vendors and internal staff.
Identify best practices and industry trends, participate in evaluating new and emerging technologies and treatments to determine possible incorporation into programs.
Participate in office managed care and clinical operational reviews.
Manage project development and enhancements through coordination with WC operations.
Keep current with market trends and demands.
Perform other functionally related duties as assigned.
Qualifications
PharmD. or RPH.
Experience in a workers’ compensation insurance carrier setting or related industry.
Ability to lead a team of pharmacists and drive necessary process improvement efforts to improve organizational outcomes.
Demonstrated results in developing strategic plans and executing key initiatives.
Proficient in data evaluation and visualizations.
Excellent English communication skills, written and verbal, as well as strong analytic, documentation, and organizational skills.
Efficient with multitasking between projects.
Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint.
Ability to prepare and effectively communicate presentations, interpret/develop reports, metrics, and improvement plans, and to collaborate effectively with a multi‑functional team throughout the organization; foster an environment of shared responsibility and accountability.
Preferred
2+ years of managing projects and/or vendor relationships.
2+ years of experience writing SQL queries, creating stored procedures, views, and functions.
2+ years of management experience preferred.
Project Management Office (PMO) experience.
Knowledge of workers' compensation laws and regulations, medical billing (ICD9/10, CPT, HCPCS).
Experience with state and external accreditation managed care audits and with writing and implementing program‑level policy and procedures.
Salary The expected salary range for this role is $130,000–$155,000. Salaries are based upon a wide range of factors considered in making the compensation decision, including candidate skills, experience, education, and training, as well as market and business considerations.
Benefits AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance (including eligible spouses & children), Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.
What We Offer AmTrust strives to create a diverse and inclusive culture where the thoughts and ideas of all employees are appreciated and respected. This concept encompasses human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.
AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices—it is an integral part of who we are, how we operate, and how we see our future.
AmTrust reserves the right to revise this job description at any time.
#J-18808-Ljbffr