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Pharmacy Contractor Jobs (NOW HIRING)

Jobtailor

Director - Pharmacy

Monterey Park, CA · On-site

$135K - $178K/yr

Develop and manage specialty pharmacy contracting strategy * Direct appropriate volume to Astrana's specialty pharmacy channel where clinically and financially appropriate * Partner with medical ...

RXinsider LTD.

$95K - $125K/yr

Job Summary And Qualifications The Sr Director, Pharmacy Contracting is responsible for negotiating industry leading national agreements for the group purchasing organization in the area of Pharmacy.

Highmark Health

Pharmacy Contract Consultant

In addition, the incumbent partners directly with the Pharmacy Services leadership team on contracting initiates related to specific team business needs in support of the overall organization ...

Astrana Health, Inc.

Director - Pharmacy

Monterey Park, CA · On-site

$175K - $225K/yr

Develop and manage specialty pharmacy contracting strategy, and direct appropriate volume to Astrana's own specialty pharmacy channel where clinically and financially appropriate. * Partner with ...

Astrana Health

Director - Pharmacy

Monterey Park, CA · Hybrid

$175K - $225K/yr

Develop and manage specialty pharmacy contracting strategy, and direct appropriate volume to Astrana's own specialty pharmacy channel where clinically and financially appropriate. * Partner with ...

Astrana Health, Inc.

Director - Pharmacy

Monterey Park, CA · On-site

$175K - $220K/yr

Develop and manage specialty pharmacy contracting strategy, and direct appropriate volume to Astrana's own specialty pharmacy channel where clinically and financially appropriate. * Partner with ...

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How much do pharmacy contractor jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for pharmacy contractor in the United States is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.43 per hour, depending on experience, location, and employer.

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Director - Pharmacy

Monterey Park, CA • On-site

Jobtailor
See more jobs at Jobtailorexternal

$135K - $178K/yr

Other

Posted 5 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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