About this opportunity
TalentLNX LLC lists this Pharmacy Director, Health Plan opportunity in northern, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
# Pharmacy Director, Health PlanPharmacy Benefit Management (PBM)Indianapolis, IndianaSeptember 25, 2026$170,000 - $205,000 / yearFull TimeApplication ends: **October 30, 2026**Apply Now### Job Description**Location:** Indianapolis, INWe are seeking a **Pharmacy Director, Health Plan** to serve as the enterprise pharmacy authority across all lines of business for a regional health plan. This position is a full-time, direct hire opportunity based in Indianapolis, IN with hybrid flexibility.This role is best aligned for a managed care pharmacy leader ready to own formulary strategy, utilization management, and PBM performance for an entire plan. You will chair the P&T Committee, set specialty and biosimilar strategy, hold the PBM accountable on contract and rebate performance, and partner with Finance and Actuarial on trend and bid development. The ideal candidate has run a P&T committee, negotiated with a PBM, and can defend a formulary decision to clinicians, regulators, and the CFO with equal credibility.**Responsibilities:*** Serve as the enterprise pharmacy authority across all lines of business, ensuring competitive and compliant benefit designs* Lead the Pharmacy and Therapeutics Committee, directing evidence-based formulary management and clinical monograph development* Oversee drug utilization management including prior authorization, step therapy, and quantity limit protocols* Direct specialty pharmacy strategy including site-of-care optimization, distribution management, and biosimilar conversion* Manage PBM vendor relationships including contract monitoring, rebate reconciliation, and RFP negotiations* Design and evaluate clinical programs targeting Stars measures, HEDIS gaps, and medication therapy management quality* Monitor emerging drug trends including cell and gene therapies, GLP-1 agents, and oncology innovations* Ensure compliance with CMS Medicare Part D requirements, Medicaid PDL alignment, and NCQA accreditation standards* Partner with Finance and Actuarial teams on pharmacy trend reporting and annual bid development* Build and develop the clinical pharmacy team, including hiring, coaching, and performance management**Qualifications:*** PharmD from an ACPE-accredited institution required* PGY1 or PGY2 residency in managed care, ambulatory care, or health system pharmacy required* Active, unrestricted pharmacist license required; Indiana licensure required within 90 days of hire* BCPS, BCACP, or comparable board certification preferred; non-certified candidates expected to complete certification within 12 months* Minimum of 7 years of pharmacy experience required, including 4 years in a health plan, managed care, or PBM setting and 3 years in a leadership role* Deep working knowledge of Medicare Part D, CMS formulary requirements, Medicaid PDL, and commercial benefit design* Demonstrated experience leading P&T committees, building clinical utilization management programs, and presenting evidence-based drug policy recommendations* Strong executive communication skills with the ability to influence clinical, financial, and regulatory stakeholders**Schedule:*** Full-time position, Monday through Friday* On-site in Indianapolis, IN with some hybrid flexibility* Standard business hours**Salary Range:** The salary range for this position is approximately $170,000 – $205,000 annually ($81.73 – $98.56 per hour), based on experience and qualifications.**Interview Process:**Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with senior leadership.
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Who can apply
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