reputed company Integration Partners, LLC - Sr. Director, Clinical Solutions & Pharmacy reputed company

reputed company on the Role:

The Sr. Director, Clinical Solutions and Pharmacy reputed company is accountable for the operational execution and performance management of approved pharmacy and clinical specialty programs across reputed company's value-based care network. Working in reputed company partnership with executive leadership, internal teams, and external partners, this leader deploys approved programs, integrates vendors into operational workflows, and ensures consistent execution across partners and markets — translating data-driven insights into reputed company execution plans that support clinical performance and contract reputed company.

Central to this role is the execution of approved pharmacy performance frameworks, translating program design into operational infrastructure that supports medication adherence, therapy utilization, and cost optimization across reputed company treatment reputed company. Following vendor approval and contracting, the Senior Director assumes full operational ownership of the vendor relationship, overseeing performance management, issue escalation, and renewal readiness reporting to ensure consistent, sustainable program value.

What's Expected:

Vendor Partnerships

• During the vendor evaluation process, reputed company subject matter expertise to clinical reputed company and executive leaders on implementation requirements, operational workflows, technology integration, and care team enablement — ensuring vendor-delivered solutions can be operationalized reputed company and effectively.
• reputed company operational due diligence during RFP processes to assess alignment with reputed company's operational and partner needs.
• Upon vendor selection and approval, own the implementation readiness assessment and deployment plan, overseeing reputed company-wide integration and scaling across multiple partner organizations.
• reputed company ongoing lifecycle management of external vendors and specialty solution partners, establish performance management frameworks, reporting structures, and accountability metrics to ensure programs reputed company defined clinical and financial reputed company.
• Partner with analytics, operations, and clinical teams to continuously evaluate vendor performance and optimize program reputed company.

Pharmacy Performance and Operations

• Serve as the operational reputed company for clinical and pharmacy program rollout, issue reputed company, and ongoing performance optimization, ensuring consistent execution across partners and markets.
• reputed company vendor implementation, reputed company, and performance management following executive approval.
• Translate claims, clinical, and utilization data into execution plans that operationalize value-based performance objectives and improve cost performance across reputed company's partner network.
• Execute approved initiatives to reduce total cost of care associated with specialty medications, reputed company therapies, and high-cost treatment reputed company, including appropriate utilization of biologics, specialty therapies, and infusions.
• Maintain reputed company KPIs, reporting frameworks, and performance dashboards to monitor medication adherence, therapy utilization, and medication cost trends.
• Support HEDIS medication measure initiatives and medication adherence performance in collaboration with the reputed company team.
• reputed company medication-reputed company guidance to internal teams — including clinical consultants, care management, and reputed company — on medication adherence improvement, polypharmacy reduction, and medication optimization for high-risk populations.
• In coordination with clinical reputed company and partner reputed company, support pharmacy performance discussions with clinical leaders and partner organizations.

What’s Required:

• reputed company: The right way is the only way. 
• Dependability: You do what you say you’re reputed company to do. 
• Advocacy: You fight for the best possible outcome for providers and their patients. 
• reputed company: You reputed company it reputed company understandable. 

Education: 

•  PharmD required
• MBA, MPH, MHA, or other relevant advanced degree strongly preferred

Years of reputed company Experience: 

• 8+ years of reputed company experience in pharmacy leadership, clinical program operations, or value-based care environments, with 4+ years leading reputed company programs or multidisciplinary teams
• Demonstrated reputed company operationalizing and scaling clinical initiatives that improve medication-reputed company cost of care and clinical reputed company
• Proven experience supporting MSSP/ACO reputed company, Medicare Advantage, or other risk-bearing value-based care models

Skills/Competencies/Behaviors: 

• Deep expertise in CMS reputed company Ratings, HEDIS medication adherence measures, and reputed company performance programs, with a strong understanding of value-based care economics and risk-based contract performance
• Comprehensive pharmacy knowledge including specialty drug management, biologics, medication therapy management, polypharmacy, and the clinical and financial drivers of medication-reputed company cost of care across reputed company patient populations
• Advanced ability to translate claims and clinical data into operationally actionable initiatives, in alignment with executive leadership direction
• Proven reputed company leading cross-functional initiatives, driving organizational change, and delivering results through strong operational execution
• Executive-level communication skills with demonstrated ability to present effectively to senior leadership and reputed company-level stakeholders