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Director Pharmacy Process Optimization Jobs (NOW HIRING)

Director - Pharmacy

Monterey Park, CA ยท On-site

$135K - $178K/yr

Design and lead cost-of-care initiatives involving biosimilar conversion, site-of-care optimization ... processes * Strong analytical skills, including building and tracking savings and ROI models for ...

Director, Pharmacy

Pittsburgh, PA ยท On-site

$125K - $165K/yr

Drives strategic initiatives including automation, resource optimization, financial management, and ... Drive continuous improvement through customer feedback and process enhancements Customer Service ...

Responsibilities The Director, Process Optimization is responsible for assessing, analyzing, designing, and facilitating the stand-up of an enterprise service center and affiliated projects, working ...

Director, Process Optimization

Jacksonville, FL ยท On-site

$138K - $197K/yr

The Director, Process Optimization is responsible for assessing, analyzing, designing, and facilitating the stand-up of an enterprise service center and affiliated projects, working closely with ...

Director - Pharmacy

Las Cruces, NM ยท On-site

$127K - $168K/yr

Director Pharmacy Location: Las Cruces, NM Employment Type: Full-Time Salary Range: As per Exp ... optimizing performance, and maintaining a high standard of pharmaceutical care across the ...

Director - Pharmacy

Monterey Park, CA ยท On-site

$175K - $225K/yr

Design and lead cost-of-care initiatives across biosimilar conversion, site-of-care optimization ... processes. * Strong analytical skills, with the ability to build and track savings and ROI models ...

Director, Process Optimization

Jacksonville, FL ยท On-site

$138K - $197K/yr

Responsibilities The Director, Process Optimization is responsible for assessing, analyzing, designing, and facilitating the stand-up of an enterprise service center and affiliated projects, working ...

Director Pharmacy

Pittsburgh, PA ยท On-site

$125K - $165K/yr

Summary The Director of Pharmacy provides strategic and operational leadership for pharmacy ... Prior Epic experience, including pharmacy-related Epic implementation, optimization, or support ...

Develop and maintain processes to ensure timely dissemination of contract terms, reimbursement ... optimization and operational improvement. * Maintain a comprehensive understanding of Medicare ...

Director, Pharmacy Services

Brighton, MA ยท On-site

$175K - $185K/yr

... plans, NCPDP, and NPI numbers for pharmacy claim processing, as needed. * Execute the ... control, and optimal financial performance. * Develop, implement, and monitor cost-saving ...

Director Pharmacy

Grants, NM ยท On-site

$119K - $157K/yr

Support medication reconciliation and transitional care processes. Regulatory Compliance ... Support optimization of electronic health record medication workflows. * Utilize analytics and ...

Director Pharmacy

Grants, NM ยท On-site

$119K - $157K/yr

Support medication reconciliation and transitional care processes. Regulatory Compliance ... Support optimization of electronic health record medication workflows. * Utilize analytics and ...

Director Pharmacy

Grants, NM ยท On-site

$119K - $157K/yr

Support medication reconciliation and transitional care processes. Regulatory ... Support optimization of electronic health record medication workflows. * Utilize analytics and ...

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Showing results 1-20

Director Pharmacy Process Optimization information

See salary details

$13K

$150.5K

$210K

How much do director pharmacy process optimization jobs pay per year?

As of Sep 13, 2026, the average yearly pay for director pharmacy process optimization in the United States is $150,496.00, according to ZipRecruiter salary data. Most workers in this role earn between $129,000.00 and $170,500.00 per year, depending on experience, location, and employer.

What are popular job titles related to Director Pharmacy Process Optimization jobs?

For Director Pharmacy Process Optimization jobs, the most frequently searched job titles are:

Infographic showing various Director Pharmacy Process Optimization job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 4% Contract, and 1% Nights. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $150,496 per year, or $72.4 per hour.

Director - Pharmacy

Monterey Park, CA โ€ข On-site

$135K - $178K/yr

Other

Posted 9 days ago


Job description

  • Lead and build Astrana's pharmacy function as the first dedicated pharmacy leader for drug-related utilization management and clinical pharmacy strategy
  • Own end-to-end utilization management for provider-administered (J-code) and specialty drugs, including prior authorization review, clinical criteria, appeals, and complex case reviews
  • Design and lead cost-of-care initiatives involving biosimilar conversion, site-of-care optimization, dose optimization, white labeling, and Buy-and-Bill-to-Part D conversion
  • Develop and manage specialty pharmacy contracting strategy
  • Direct appropriate volume to Astrana's specialty pharmacy channel where clinically and financially appropriate
  • Partner with medical directors, care management, and network teams to build clinical pathways and formulary/UM criteria for high-cost specialty and infusion therapies
  • Build and maintain reporting and dashboards tracking drug spend trends, savings initiatives, and UM turnaround-time performance
  • Collaborate with Health Services, Network Management, Finance, and Compliance
  • Monitor the regulatory and payer landscape, including CMS, state Medicaid, and health plan formularies, and maintain compliance
  • Establish pharmacy policies, workflows, and documentation standards
  • Help scope and build the pharmacy team as volume and scope grow
Requirements
  • Doctor of Pharmacy (PharmD) required
  • Active, unrestricted pharmacist license required; California license required or willingness to obtain promptly
  • 5+ years of experience in managed care pharmacy, PBM, or health plan utilization management
  • Direct experience managing J-code/provider-administered specialty drug review
  • Track record leading cost-of-care pharmacy initiatives such as biosimilar conversion, site-of-care optimization, or specialty pharmacy contracting
  • Hands-on experience with utilization management workflows, prior authorization criteria design, and P&T governance processes
  • Strong analytical skills, including building and tracking savings and ROI models for pharmacy programs
  • Ability to balance strategic program-building with hands-on case review and day-to-day execution
  • Cross-functional communication skills and experience partnering with medical directors, network, finance, and compliance teams
  • Experience in a value-based care organization, IPA, MSO, or health plan strongly preferred
  • Board certification such as BCPS or BCACP is a plus
Core Competencies

Demonstrates expertise in pharmacy utilization management, including prior authorization processes and specialty drug review, while effectively leading cost-of-care initiatives and collaborating across multidisciplinary teams. Proven ability to develop pharmacy policies and manage clinical pathways in compliance with regulatory standards.

Highest-signal resume keywords
  • Doctor Of Pharmacy (PharmD)
  • Utilization Management
  • Specialty Pharmacy Contracting
  • Cost-Of-Care Initiatives
  • Analytical Skills
Hard Skills
  • Utilization Management Workflows
  • Prior Authorization Criteria Design
  • J-Code Review
  • Biosimilar Conversion
  • Site-Of-Care Optimization
  • Savings Tracking
  • ROI Models
  • Pharmacy Policies
  • Clinical Pathways Development
  • Formulary Management
Soft Skills
  • Cross-Functional Communication
  • Strategic Program-Building
  • Hands-On Case Review
Certifications & Qualifications
  • Active Pharmacist License
  • Board Certification (BCPS or BCACP)
Industry Keywords
  • Managed Care Pharmacy
  • PBM
  • Health Plan
  • Value-Based Care
  • CMS
  • State Medicaid
  • Health Plan Formularies
Tools & Technologies
  • Reporting Dashboards
  • Compliance Monitoring
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