Jobs and Careers
HM
Director, Pharmacy Operations
HMSAUnited Statesfull_timeVerifiedPosted 9 Jun 2026
About the role
- Operational Oversight
- Leads and directs all aspects of pharmacy operations, ensuring seamless execution, coordination, and delivery of services across multiple business lines.
- Represents the pharmacy team to other operational, sales & account management, and IT stakeholders at HMSA and leads in appropriate collaboration.
- Coding & Benefit Setup
- Oversee benefit coding teams and ensure accuracy and integrity of benefit structures, testing, and ongoing maintenance.
- Leads ongoing readiness activities, including annual go-live planning and execution.
- Drives implementation and process improvement initiatives to optimize pharmacy operations, collaborating closely with internal and external stakeholders.
- PBM Collaboration
- Serves as the principal liaison with the PBM on pharmacy operations, managing oversight, issue resolution, and alignment of operational practices with contractual and regulatory requirements.
- Process Optimization
- Identify and lead initiatives for operational improvement, efficiency enhancement, and risk mitigation.
- Oversees process management for pharmacy team.
- Ensures all operational processes adhere to HMSA policies and relevant regulatory standards, supporting robust compliance programs for all lines of business.
- Talent Development & Team Leadership
- Recruits, mentors, and develops high-performing clinical and analytics staff.
- Promotes ongoing education and professional development to advance team capabilities.
- Establishes clear objectives, monitor performance, and foster a collaborative team environment.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
#LI-Hybrid
Qualifications
- Bachelor's degree and seven years of experience in a leadership role in pharmacy operations, benefit coding, PBM management, or health plan operations; or equivalent combination or education and experience.
- Strong oral and written communication skills.
- Proficiency in development and execution of operational workflows.
- Proficiency in problem solving and data collection, analysis, and interpretation.
- Ability to work independently and collaboratively.
- Basic knowledge of Microsoft Office applications. Including but not limited to Word, Excel, Outlook, and Power Point.
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