AmTrust Financial Services, Inc.
Join to apply for the
Director, Pharmacy
role at
AmTrust Financial Services, Inc.
Irving, TX – This position is hybrid in one of our AmTrust office locations.
Responsibilities
Serve as a business owner for medical product management needs specific to pharmacy program and establishing key performance indicators, identifying opportunities, and driving business goals.
Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claim.
Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.
Evaluate new and emerging regulations as they impact the program and problem solve for implementing change and producing outcomes.
Optimize clinical programs for nurse and adjuster efficiency, streamlined injured employee experience, and positive claim outcomes.
Manage day‑to‑day issues with clinical program management interfacing with vendors and internal staff.
Identify best practices and trends in the industry, participate in evaluating new and emerging technologies and treatments to determine possible incorporation into program.
Participate in office managed care and clinical operational review.
Manage project development/enhancements through coordination with WC operations.
Keep current with market trends and demand.
Perform other functionally related duties as assigned.
Qualifications
PharmD. or RPH.
Experience with Workers Compensation insurance carrier setting or related industry.
Ability to lead team of pharmacists and any necessary process improvement efforts needed to improve organizational outcomes.
Demonstrated results in developing strategic plans and executing key initiatives.
Proficient in data evaluation and visualization.
Excellent English communication skills, written and verbal, as well as strong analytic, documentation, and organizational skills.
Efficient with multitasking between projects.
Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint.
Ability to prepare and effectively communicate presentations, interpret/develop reports, metrics and improvement plans, and to interact collaboratively and work effectively with a multi‑functional team and throughout the organization; foster an environment of shared responsibility and accountability.
Preferred
2+ years of managing projects and/or vendor relationships.
2+ years of experience writing SQL queries, creating stored procedures, views, and functions.
2+ years of management experience preferred.
Project Management Office (PMO) experience.
Knowledge of workers' compensation laws and regulations, medical billing (ICD9/10, CPT, HCPCS).
Experience with State and external accreditation managed care audits and with writing and implementing program level policy and procedures.
Expected salary range: $130,000–$155,000.
AmTrust values excellence and recognizes the importance of diversity and inclusion. We are an Equal Opportunity Employer.
Seniority level Director
Employment type Full‑time
Job function Production
Industries Insurance
#J-18808-Ljbffr
Director, Pharmacy
role at
AmTrust Financial Services, Inc.
Irving, TX – This position is hybrid in one of our AmTrust office locations.
Responsibilities
Serve as a business owner for medical product management needs specific to pharmacy program and establishing key performance indicators, identifying opportunities, and driving business goals.
Manage a team of 8 pharmacists through a remote setting, overseeing a countrywide prior authorization program specific to workers compensation claim.
Monitor, analyze, and trend clinical program data to assist in the development, implementation, and driving of key initiatives.
Evaluate new and emerging regulations as they impact the program and problem solve for implementing change and producing outcomes.
Optimize clinical programs for nurse and adjuster efficiency, streamlined injured employee experience, and positive claim outcomes.
Manage day‑to‑day issues with clinical program management interfacing with vendors and internal staff.
Identify best practices and trends in the industry, participate in evaluating new and emerging technologies and treatments to determine possible incorporation into program.
Participate in office managed care and clinical operational review.
Manage project development/enhancements through coordination with WC operations.
Keep current with market trends and demand.
Perform other functionally related duties as assigned.
Qualifications
PharmD. or RPH.
Experience with Workers Compensation insurance carrier setting or related industry.
Ability to lead team of pharmacists and any necessary process improvement efforts needed to improve organizational outcomes.
Demonstrated results in developing strategic plans and executing key initiatives.
Proficient in data evaluation and visualization.
Excellent English communication skills, written and verbal, as well as strong analytic, documentation, and organizational skills.
Efficient with multitasking between projects.
Proficiency in all Microsoft Office products including Project, Word, Excel, PowerPoint, Visio, and SharePoint.
Ability to prepare and effectively communicate presentations, interpret/develop reports, metrics and improvement plans, and to interact collaboratively and work effectively with a multi‑functional team and throughout the organization; foster an environment of shared responsibility and accountability.
Preferred
2+ years of managing projects and/or vendor relationships.
2+ years of experience writing SQL queries, creating stored procedures, views, and functions.
2+ years of management experience preferred.
Project Management Office (PMO) experience.
Knowledge of workers' compensation laws and regulations, medical billing (ICD9/10, CPT, HCPCS).
Experience with State and external accreditation managed care audits and with writing and implementing program level policy and procedures.
Expected salary range: $130,000–$155,000.
AmTrust values excellence and recognizes the importance of diversity and inclusion. We are an Equal Opportunity Employer.
Seniority level Director
Employment type Full‑time
Job function Production
Industries Insurance
#J-18808-Ljbffr