Director, Pharmacy Clinical Operations - Emory Health ...

Discover Your Career at Emory University Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community. Description Director of Pharmacy, Clinical Operations - Emory Health Plan is responsible for driving clinical excellence, evidence-based medication management, and stewardship of pharmacy spend across enterprise plan's membership. KEY RESPONSIBILITIES: + Leads medication use evaluations (MUEs), prepares clinical materials for the Pharmacy & Therapeutics (P&T) Committee, develops strategies that improve quality outcomes, and serves as a liaison to Emory physicians, service lines, and clinical leaders. + Supports both clinical and financial performance by identifying opportunities for optimized utilization, implementing evidence-based initiatives, and advancing EHP's integrated care model. + Leads Medication Use Evaluations (MUEs) across high-cost, high-impact therapeutic categories (e.g., specialty, chronic disease, oncology, immunology). + Identifies medication-related trends, quality gaps, and opportunities for improved clinical management. + Develops clinical strategies that enhance outcomes, reduce unwarranted variation, and promote safe, cost-effective prescribing. + Evaluates new therapies, guidelines, and pipeline agents to inform proactive benefit and policy decisions. + Prepares, reviews, and presents clinical materials for the Pharmacy & Therapeutics Committee, including drug monographs, comparative evidence reviews, formulary recommendations, and safety updates. + Ensures clinical recommendations reflect best available evidence, Emory clinical pathway alignment, and financial stewardship considerations. + Maintains documentation, committee records, and formulary reference materials. + Partners with UM teams to design and refine prior authorization criteria, step therapy pathways, and clinical edits. + Monitors utilization patterns, adherence trends, prescribing behaviors, and opportunities for quality improvement. + Leads development of clinical care pathways, disease state strategies, and population health pharmacy programs (e.g., cardiometabolic, immunology, rare disease). + Supports HEDIS, STARs, and internal quality initiatives through pharmacy-focused interventions. + Serves as the primary pharmacy liaison with Emory physicians, clinical service lines, ambulatory care teams, and population health leaders. + Collaboratively develops evidence-based approaches to improve prescribing, optimize specialty drug use, and support value-based care initiatives. + Provides clinical guidance to EHP leadership, including interpretation of therapeutic evidence, quality metrics, and medication policy impacts. + Identifies opportunities to reduce avoidable pharmacy and medical spend while maintaining or improving clinical outcomes. + Conducts cost-effectiveness analyses, total cost of care reviews, and ROI assessments for pharmacy programs. + Collaborates with analytics and finance partners to track specialty drug trend, high-cost member impact, and budget performance. + Supports integration of medical + pharmacy benefit strategies to improve care alignment and financial sustainability. + Partners closely with PBM teams, Emory Specialty Pharmacy, ambulatory pharmacy operations, care management, and population health teams. Supports implementation of new benefit designs, formulary changes, and clinical programs. + Contributes to EHP governance committees, physician advisory groups, and enterprise clinical initiatives. MINIMUM QUALIFICATIONS: + Doctor of Pharmacy (PharmD) from an accredited School of Pharmacy. + At least 5 years of clinical pharmacy, managed care, or health system experience and 5 years of leadership experience. + Strong knowledge of drug therapy, formulary management, evidence evaluation, and population health principles. + Experience preparing drug monographs, MUEs, or P&T materials. + Ability to engage effectively with physicians, clinical leaders, and multidisciplinary teams. + Strong analytical and communication skills. PREFERRED QUALIFICATIONS: + Completion of PGY1 residency preferred in managed care or PGY-2 in ambulatory care, population health, or pharmacotherapy. + Prior experience within a health plan, PBM, IDN, or specialty pharmacy setting. + Experience with utilization management criteria, outcomes measurement, or quality improvement programs. + Familiarity with medical + pharmacy benefit integration and specialty drug management. NOTE: Position tasks are generally required to be performed in-person at an Emory University location. Remote work from home day options may be granted at department discretion. Emory reserves the right to change remote work status with notice to employee. Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory University does not discriminate in admissions, educational programs, or employment, including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. Students, faculty, and staff are assured of participation in university programs and in the use of facilities without such discrimination. Emory University complies with Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veteran's Readjustment Assistance Act, and applicable executive orders, federal and state regulations regarding nondiscrimination, equal opportunity, and affirmative action (for protected veterans and individuals with disabilities). Inquiries regarding this policy should be directed to the Emory University Department of Equity and Civil Rights Compliance, 201 Dowman Drive, Administration Building, Atlanta, GA 30322. Telephone: 404-727-9867 (V) 404-712-2049 (TDD). Emory University is committed to ensuring equal access and providing reasonable accommodations to qualified individuals with disabilities upon request. To request this document in an alternate format or to seek a reasonable accommodation, please contact the Department of Accessibility Services call 404-727-9877 (Voice) 404-712-2049 (TDD). We kindly ask that requests be made at least seven business days in advance to allow adequate time for coordination. Connect With Us Connect with us for general consideration Job Number _160061_ Job Type _Regular Full-Time_ Division _Executive Vice President_ Department _Emory Health Plan_ Job Category _Care Management_ Campus Location (For Posting) : Location _US-GA-Atlanta_ _Location : Name_ _Emory Campus-Clifton Corridor_ Remote Work Classification _Primarily On Campus_ Health and Safety Information _Not Applicable_

Created: 2026-02-09