Director Pharmacy Compliance (Financial/Auditing)

Key Responsibilities

• Manage day‑to‑day pharmacy financial and audit operations.
• Serve as primary contact for accounting issues and work closely with internal and external auditors.
• Act as the internal subject matter expert on pharmacy financial operations, directing projects and initiatives to develop strategic recommendations.
• Oversee financial aspects of over $6billion in yearly drug spend and ensure vendor compliance with contractual performance guarantees.
• Act as liaison to vendors and stakeholders, evaluating health‑care legislation, business trends, and providing financial controls oversight.
• Direct cross‑functional teams to enhance Pharmacy Benefit Manager compliance and negotiate favorable contracts.
• Coordinate with local plan divisions on waste, fraud, and abuse efforts.
• Manage bi‑weekly check writes for drug spend and maintain vendor interactions.
• Serve as liaison and subject matter expert to industry stakeholders, government agencies and industry representatives.

Qualifications

• Bachelor’s Degree in Pharmacy, Business, Economics, Management of Health Services, or equivalent work experience.
• 7+ years of business experience in a national health‑care and managed pharmacy delivery system.
• Leadership experience with project/program management, setting priorities, and achieving objectives.
• Advanced knowledge in financial accounting, controls, auditing, customer services, claims processing, market research, benefits delivery, quality assurance, and contract administration.
• Strategic thinking and ability to build organized strategies related to department/divisional goals.
• Strong stakeholder management and ability to reconcile competing interests.
• Highly motivated, collaborative, and excellent written and oral communication skills.
• Proficiency in information technologies (e.g., Microsoft software applications).

Preferred Certifications

• CPHM – Certified Professional in Healthcare Management (AIHM)
• CMA – Certified Management Accountant
• CPA – Certified Public Accountant

Compensation and Benefits

Salary range: $113,572.92 – $153,590.12. This role is eligible for an annual bonus incentive. Comprehensive benefits include paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, and a lifestyle spending account.