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Execute Northwind Health's clinical strategy aligned with organizational growth objectives. * Lead ... Direct day-to-day operations of pharmacists, prior authorization team, care coordinators, and other ...

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Director Clinical Strategy information

How does a Director of Clinical Strategy typically collaborate with cross-functional teams to drive healthcare initiatives?

A Director of Clinical Strategy works closely with multidisciplinary teams, including clinical staff, data analysts, regulatory experts, and executive leadership, to develop and implement strategic healthcare initiatives. They facilitate communication between departments to ensure that clinical objectives align with organizational goals and regulatory requirements. This role often involves leading strategy meetings, translating clinical insights into actionable business plans, and coordinating pilot programs or clinical trials across departments. Effective collaboration is essential for navigating complex healthcare environments and ensuring successful project outcomes.

What is the difference between Director Clinical Strategy vs Clinical Operations Manager?

AspectDirector Clinical StrategyClinical Operations Manager
Required CredentialsTypically requires advanced degrees (MD, PhD, or PharmD) and strategic experienceUsually requires a bachelor's or master's degree in healthcare or related field, with operational experience
Work EnvironmentFocuses on high-level planning, cross-departmental collaboration, and long-term strategyManages daily clinical operations, staff, and project execution
Employer & Industry UsageUsed in pharmaceutical, biotech, and healthcare companies for strategic planningCommon in hospitals, clinics, and clinical research organizations for operational management

The main difference is that the Director Clinical Strategy focuses on developing and guiding long-term clinical plans and strategies, while the Clinical Operations Manager handles the day-to-day management of clinical activities. Both roles require healthcare knowledge, but their scope and responsibilities differ significantly.

What are the key skills and qualifications needed to thrive as a Director of Clinical Strategy, and why are they important?

To thrive as a Director of Clinical Strategy, you need a strong background in clinical practice, healthcare management, and strategic planning, typically supported by an advanced degree in healthcare or business. Familiarity with healthcare analytics platforms, regulatory compliance systems, and project management tools is often required. Exceptional leadership, communication, and analytical thinking are crucial soft skills that enable effective collaboration and decision-making. These skills and qualifications are vital to drive organizational growth, align clinical initiatives with business goals, and ensure high-quality patient outcomes.

What is a Director of Clinical Strategy?

A Director of Clinical Strategy is a senior healthcare professional responsible for developing and guiding the strategic direction of clinical programs within a healthcare organization. They analyze current clinical operations, identify areas for improvement, and implement initiatives to enhance patient care, quality, and efficiency. This role often collaborates with medical staff, executives, and other stakeholders to ensure clinical practices align with organizational goals and regulatory requirements. Directors of Clinical Strategy may also oversee the adoption of new technologies and evidence-based practices to drive innovation in clinical services.
What are the most commonly searched types of Clinical Strategy jobs in Indiana? The most popular types of Clinical Strategy jobs in Indiana are:
What are popular job titles related to Director Clinical Strategy jobs in Indiana? For Director Clinical Strategy jobs in Indiana, the most frequently searched job titles are:
What cities in Indiana are hiring for Director Clinical Strategy jobs? Cities in Indiana with the most Director Clinical Strategy job openings:
Director - Clinical Strategies

Director - Clinical Strategies

Northwind Health Company

Indianapolis, IN • Remote

$120K - $135K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.


Job description

Northwind Health is seeking an experienced, innovative, and strategic Director of Clinical Strategies to lead the organization's pharmacy benefit management (PBM) operations and multidisciplinary clinical team. This leadership role is responsible for integrating clinical programs into the PBM operations to improve health outcomes while reducing total healthcare costs for self-funded employers, labor organizations, and health plans.

The Director will oversee PBM operations, quality improvement initiatives, and clinical staff development. The ideal candidate combines deep clinical expertise with business acumen, leadership experience, and a passion for transforming healthcare through data-driven population health strategies.


Key Responsibilities

Clinical Leadership & Strategy

  • Execute Northwind Health's clinical strategy aligned with organizational growth objectives.
  • Lead the integration of PBM operations with clinical programs focused on:
    • Diabetes management
    • Weight management and obesity
    • GLP-1 optimization
    • Cardiovascular risk reduction
    • Medication optimization
    • Polypharmacy management
    • Preventive health and chronic disease management
  • Ensure programs are evidence-based and aligned with national clinical guidelines and quality standards.
  • Monitor clinical outcomes and identify opportunities for innovation and improved performance.

Clinical Operations

  • Direct day-to-day operations of pharmacists, prior authorization team, care coordinators, and other clinical staff.
  • Develop staffing plans to support organizational growth.
  • Monitor productivity, quality metrics, member satisfaction, and operational efficiency.
  • Ensure regulatory compliance with state and federal healthcare requirements, HIPAA, and pharmacy regulations.

PBM Operations

  • Lead Northwind's PBM operations focused on improving clinical value while reducing unnecessary pharmacy spend.
  • Collaborate with PBM partners on:
    • Formulary optimization
    • Prior authorization strategies
    • Medication adherence initiatives
    • Specialty pharmacy management
    • GLP-1 utilization management
    • Biosimilar adoption
    • DUR review and risk mitigation
    • Waste, fraud, and abuse mitigation
  • Analyze pharmacy claims and utilization data to identify opportunities for improved outcomes and cost savings.
  • Evaluate emerging therapies and develop clinical recommendations for implementation.

Team Leadership & Development

  • Foster a culture of accountability, collaboration, innovation, and continuous improvement.
  • Conduct performance evaluations and support professional development.
  • Promote interdisciplinary collaboration across clinical, operations, sales, technology, and account management teams.

Business Development & Client Engagement

  • Provide clinical expertise during sales presentations and client meetings.
  • Support proposal development, RFP responses, and implementation planning.
  • Build trusted relationships with employer groups, consultants, brokers, health plans, and provider organizations.
  • Present clinical outcomes, ROI analyses, and program performance to executive stakeholders.

Leadership Responsibilities

  • Lead and inspire a multidisciplinary clinical team.
  • Develop departmental goals and budgets.
  • Establish clinical performance metrics and accountability measures.
  • Drive organizational growth through scalable clinical operations.
  • Champion innovation in digital health, telehealth, remote monitoring, and pharmacist-led care models.

Qualifications

Required

  • Doctor of Pharmacy (PharmD) from an ACPE-accredited institution.
  • Active pharmacist license in good standing.
  • Minimum of 5 years of progressive clinical leadership experience.
  • Minimum of 3 years managing clinical teams.
  • Experience with PBMs, managed care, employer health plans, or population health programs.
  • Strong knowledge of:
    • Diabetes management
    • GLP-1 therapies
    • Cardiovascular disease prevention
    • Weight management
    • Medication therapy management
    • Pharmacy benefit design
  • Excellent communication and executive presentation skills.

Preferred

  • Board Certification (BCACP, BCPS, BC-ADM, BCMTMS, or similar).
  • Certified Diabetes Care and Education Specialist (CDCES).
  • MBA, MHA, or related graduate degree.
  • Experience supporting self-funded employer populations.
  • Knowledge of value-based care and alternative payment models.
  • Experience working with healthcare analytics platforms and clinical reporting tools.


Why Northwind Health?

Northwind Health partners with employers, health plans, and labor organizations to deliver clinically integrated population health solutions that improve outcomes while reducing total healthcare costs. Our innovative approach combines personalized care, advanced analytics, pharmacy optimization, and evidence-based clinical interventions to help members achieve lasting health improvements and deliver measurable value to our clients.

As Director of Clinical Strategies, you will play a key leadership role in shaping the future of Northwind Health's clinical programs, expanding PBM influence and innovative care models, and improving the lives of the populations we serve

Company Description

We’ve got a job to do. Actually, we’ve got lots of jobs to do. Helping our employer clients do great things for their employees through their healthcare benefits is our purpose. Helping our patients live fuller, healthier, lives is our vocation. However, creating an environment in which we can all contribute, grow, and take care of our families while fulfilling our purpose and our vocation, is the Northwind recipe for success.