Leading day-to-day operations for prior authorization and appeals programs, the full-time Tennessee Licensed Pharmacy Director will ensure efficient, compliant, and member-focused service delivery while working remotely. Key responsibilities Direct operations for prior authorization and appeals, maintaining compliance with clinical coverage policies and regulatory standards Monitor utilization trends and appeal outcomes to identify improvement opportunities and support affordability initiatives Lead and mentor managers and staff, fostering continuous improvement in service quality and performance metrics Required qualifications Doctor of Pharmacy Degree (PharmD) required Minimum 8 years of clinical experience required Minimum 6 years of practical experience in a managed care environment Minimum 4 years of supervisory or leadership responsibilities required Licensed in Tennessee to practice Pharmacy, or eligible for licensure in the state of Tennessee
Tennessee Licensed Pharmacy Director in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.