Rightway | Clinical Care Navigation | Effective Transparent PBM. | Rightway

Sr. Director of Pharmacy Clinical Consulting and Plan Performance

Remote

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):  $180,000 - $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 $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.