Sr Director, Clinical Consulting & Plan Performance

ABOUT THE ROLE:

The Senior Director of Pharmacy Clinical Consulting and Plan Performance is a strategic leadership role responsible for overseeing clinical consulting services and optimizing the performance of our partner plans. This individual will serve as a clinical expert to the client services team, collaborate with internal and external stakeholders, drive initiatives to enhance clinical outcomes, cost efficiency, and overall plan performance.

WHAT YOU’LL DO:

1. Leadership and Strategy:
• Develop and execute the strategic vision for management of our book of business clients plan performance.
• Serve as a clinical SME to the client services team and our clients, providing guidance and strategic direction.
• Collaborate with the strategic account lead and other senior leaders to align departmental goals with organizational objectives.
2. Clinical Consulting Services:
• Oversee the delivery of clinical consulting services to clients, ensuring high-quality, evidence-based recommendations.
• Guide clinical pharmacists to provide consultative services along side the client services team to our clients
• Develop and implement clinical programs alongside internal stakeholders understanding client strategy and initiatives to improve patient outcomes
• Monitor and evaluate the effectiveness of clinical interventions and programs, making adjustments as needed.
3. Plan Performance Optimization:
• Analyze pharmacy benefit plan performance metrics, identifying trends, opportunities, and areas for improvement.
• Collaborate with internal teams and external partners to design and execute performance improvement initiatives.
• Provide guidance to client services team and their clients
4. Stakeholder Collaboration:
• Build and maintain strong relationships with clients, consultants, and other key stakeholders.
• Serve as a subject matter expert on pharmacy clinical consulting and plan performance, providing guidance and support to clients and internal teams.
• Participate in client meetings, presentations, and consultations to discuss clinical and plan performance strategies.
5. Compliance and Quality Assurance:
• Implement and maintain quality assurance processes to ensure the accuracy and integrity of our services to our clients  
• Stay current with industry trends, best practices, and emerging technologies in pharmacy and healthcare.

WHO YOU ARE:

• PharmD or equivalent degree from an accredited institution.
• Active pharmacist license in good standing.
• Minimum of 10 years of experience in pharmacy clinical consulting, plan performance, or a related field.
• Proven leadership experience, with a track record of managing and developing high-performing teams.
• Strong analytical skills, with the ability to interpret complex data and develop actionable insights.
• Excellent communication and interpersonal skills, with the ability to build relationships and influence stakeholders at all levels.
• In-depth knowledge of pharmacy benefit management, clinical pharmacy practices, and healthcare regulations.
• Experience with project management and process improvement methodologies.

EXTRA CREDIT:

• MBA, MPH, or other relevant advanced degree.
• Experience working with health plans, PBMs, or consulting firms.

SALARY (BEFORE COMMISSION POTENTIAL):  $190,000 - $200,000

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. 

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely