Director, Pharmacy Operations

Department: Pharmacy

Reports to: VP Pharmacy Operations

Location: 2355 E. Cammelback Road Suite Phoenix, AZ

Manages the daily pharmacy operations for WellCare's Medicaid lines of business. Monitors pharmacy performance to ensure the pharmacy program meets all state and contractual requirements and compliance. Sets quality standard goals and operational efficiency goals for the coverage determination process. Develops and implements policies and procedures for operational processes. Manages pharmacists and pharmacy technician staff. Participates in the hiring and mentoring of the pharmacy staff.

Essential Functions:

  • Manages Pharmacy Operations clinical managers, pharmacists and staff to ensure operational goals are met.
  • Ensures pharmacy department meets all regulatory compliance requirements.
  • Supports financial goals and objectives of the Pharmacy Department and WellCare.
  • Implements state-specific Medicaid contracts.
  • Attends all necessary department and inter-department meetings including Pharmacy & Therapeutics, Operations, and department Medicaid meetings.
  • Oversees and supports internal and external audits.
  • Ensures pharmacy budget goals are met.
  • Performs special projects as needed.
Additional Responsibilities:
    Candidate Education:
    • Required A Bachelor's Degree in Pharmacy
    • Preferred Other Master's Degree and/or Doctorate in Pharmacy
    Candidate Experience:
    • Required 7 years of experience in the pharmacy industry
    • Required 3 years of management experience
    • Required Other experience in managed care
    Candidate Skills:
    • Advanced Demonstrated interpersonal/verbal communication skills
    • Advanced Demonstrated written communication skills
    • Intermediate Other Ability to use pharmaceutical and medical reference, literature to provide drug information to the health plan
    • Intermediate Other Ability to evaluate information from both oral and written sources and develops clear, concise and crisp reports
    • Advanced Other Ability to influence others
    • Intermediate Other Ability to evaluate financially the impact of drug products
    Licenses and Certifications:
    A license in one of the following is required:
    • Required Other Licensed pharmacist in state of operation; licensed consultant in state of operation
    Technical Skills:
    • Required Intermediate Microsoft Excel Excel, Word, Power Point
    • Required Intermediate Microsoft Word
    • Required Intermediate Microsoft PowerPoint

      About us
      Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.