Director, Pharmacy Quality – Part D Stars

DirectorDirectorFull TimeRemoteTeam 501-1,000Since 2013H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

53 days ago

Salary

$149.9K - $224.8K / year

Bachelor Degree7 yrs expEnglish

Job Description

• Create and implement a multi-year pharmacy Stars and quality roadmap • Monitor CMS methodology updates and assess their impact on pharmacy measures • Anticipate emerging trends and proactively adjust strategies • Lead the development and execution of pharmacy-driven strategies to improve Stars measures and quality outcomes • Monitor current performance and evaluate interventions with added focus on areas of opportunity or risk • Lead internal pharmacy programs and PBM/vendor partnerships • Represent Pharmacy in PBM, vendor, and cross-functional forums • Build and deliver dashboards, forecasts, and executive reports • Lead, mentor, and develop a high-performing team

Job Requirements

  • 7+ years of experience in Medicare Part D, Stars, or pharmacy quality
  • At least 5 years in leadership roles
  • Bachelor's degree
  • Advanced degree preferred (PharmD, RN, MPH, MBA, or related field)
  • Demonstrated success improving CMS Star Ratings through pharmacy-driven initiatives and PBM/vendor collaboration
  • Deep knowledge of CMS Part D Stars methodology, pharmacy quality measures, and regulatory updates
  • Expertise in leveraging data analytics to guide forecasting, strategy, and decision-making
  • Proven ability to lead teams, align cross-functional efforts, and communicate effectively with senior leadership
  • Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors

Benefits

  • Health insurance
  • Paid time off
  • Flexible work arrangements
  • Professional development

Related Categories

Related Job Pages

More Director Jobs

Managing Director

The Audio Programmer

An audio development community, consultancy, and staffing agency

Director53 days ago
Full TimeRemoteTeam 1-10Since 2017H1B No Sponsor

Managing Director leading US operations for an audio technology firm

United States
Full TimeRemoteTeam 201-500Since 2008H1B No Sponsor

Origination Manager or Director for capacity growth in renewable energy sector

Florida + 1 moreAll locations: Florida, Texas

Director, Assessments

Ensemble Health Partners

Innovation in Revenue Cycle Management

Director54 days ago
Full TimeRemoteTeam 5,001-10,000H1B No Sponsor

Director of Assessments overseeing healthcare revenue cycle management processes

United States
$122.9K - $184.4K / year

Associate Director, US HEOR & RWE

Cision

As a global leader in PR, marketing and social media management technology and intelligence, Cision helps brands and organizations to identify, connect and engage with customers and stakeholders to drive business results. PR Newswire, a network of over 1.1 billion influencers, in-depth monitoring, analytics and its Brandwatch and Falcon.io social media platforms headline a premier suite of solutions. Cision has offices in 24 countries throughout the Americas, EMEA and APAC. Cision is committed to fostering an inclusive environment where all employees can be their authentic selves and perform at their best. Cision is proud to have joined more than 600 companies in signing the CEO Action for Diversity & Inclusion™ pledge. Cision is proud to be an equal opportunity employer, seeking to create a welcoming and diverse environment.

Director54 days ago
Full TimeRemoteTeam 1,001-5,000Since 2000H1B Sponsor

Associate Director facilitating HEOR and RWE strategies for Eisai's products

New Jersey
$185.6K - $243.6K / year