Director, Pharmacy Health Plan

Director Of Pharmacy Health Plan

G.E.H.A (Government Employees Health Association, Inc.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

G.E.H.A has one mission : To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization.

The Director of Pharmacy Health Plan will guide and improve our Federal Employee Health Benefit (FEHB) and Postal Services Health Benefits (PSHB) environment as market, member, and regulatory needs change. We are looking for a strategic Health Plan Pharmacy leader to manage delegated PBM contract oversight (inclusive of utilization and formulary management), oversee clinical initiatives and programs (Medication Therapy Management, HEDIS / Quality) and monitor disputed claims processes. This leader will also partner closely with the VP of Pharmacy and other enterprise leadership to drive business outcomes and meet regulatory, affordability, clinical quality, and corporate goals. In this role, your leadership will :

• Evolve our pharmacy management model by partnering with stakeholders and vendors to better outline the total cost of care capabilities.
• Collaborate with internal and external partners to achieve business goals aligned with short-term and long-term strategies.
• Empower others to support G.E.H.A in improving member experience and growth.

Skills :

Requirements :

Preferred Qualifications :

Work-at-home requirements :

How we value you :

While this is a remote opportunity, at this time G.E.H.A does not hire employees from U.S. territories or the following states : Alaska, Hawaii, California, Washington, Oregon, Colorado, Wyoming, Montana, New York, Connecticut, Vermont, Pennsylvania, Maine.

Please note that the salary information is a general guideline only. G.E.H.A considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education / training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The hiring range for this position is $169,320 - $214,200 USD. At G.E.H.A, the current maximum salary for this role is $238,680 USD. While initial compensation may vary based on experience and qualifications, there is a path to work toward this top rate through performance and continued growth within the organization.

G.E.H.A is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. G.E.H.A will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization.

G.E.H.A is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.