Director, Pharmacy

Join to apply for the Director, Pharmacy role at AmTrust Financial Services, Inc.

Irving, TX – This position is hybrid in one of our AmTrust office locations.

Responsibilities

• Serve as a business owner for medical product management needs specific to pharmacy program and establishing key performance indicators, identifying opportunities, and driving business goals.
• Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claim.
• 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, streamlined injured employee experience, and positive claim outcomes.
• Manage day‑to‑day issues with clinical program management interfacing with vendors and internal staff.
• Identify best practices and trends in the industry, participate in evaluating new and emerging technologies and treatments to determine possible incorporation into program.
• Participate in office managed care and clinical operational review.
• Manage project development/enhancements through coordination with WC operations.
• Keep current with market trends and demand.
• Perform other functionally related duties as assigned.

Qualifications

• PharmD. or RPH.
• Experience with Workers Compensation insurance carrier setting or related industry.
• Ability to lead team of pharmacists and any necessary process improvement efforts needed to improve organizational outcomes.
• Demonstrated results in developing strategic plans and executing key initiatives.
• Proficient in data evaluation and visualization.
• 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 interact collaboratively and work effectively with a multi‑functional team and 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.

Expected salary range: $130,000–$155,000.

AmTrust values excellence and recognizes the importance of diversity and inclusion. We are an Equal Opportunity Employer.

Seniority level

Director

Employment type

Full‑time

Job function

Production

Industries

Insurance

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