Pharmacist Operations Director

5 days ago


Long Beach, California, United States Blue Shield of California Full time
About the Role

The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage at Blue Shield of California. As a Pharmacist Manager, you will support the Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based clinical decisions are implemented operationally to support safe, efficacious, and cost-effective prescribing of medications.

This role requires leadership principles daily to make Blue Shield a great place to work. You will oversee program area operations and employees, provide oversight for coordination with other business units, and monitor operational statistics to ensure accreditation, regulatory, and compliance requirements are met.

Your Responsibilities
  • Provide strategic direction and vision for program area operations and employees.
  • Oversee the coordination of activities with other business units and monitor operational statistics to ensure all relevant requirements are met.
  • Develop, implement, coordinate, and assess programs to improve quality and cost-effectiveness.
  • Demonstrate leadership principles daily and ensure team actions align with organizational goals.
  • Regularly monitor program data and metrics to evaluate effectiveness and outcomes; report to appropriate committees, managers, and stakeholders.
  • Support other teams within and outside of the Pharmacy Services department with subject matter expertise.
  • Precept Pharmacy Practice Residents and students as assigned, maintaining required residency program documentation and meeting standards for preceptorship.
Requirements
  • Requires a Doctor of Pharmacy (PhD) degree.
  • Requires at least 5 years of experience in a managed care setting, including at least 3-5 years of management experience or equivalent.
  • Requires an active and unrestricted California Registered Pharmacist (RPh) license.
  • Demonstrates thorough knowledge regarding therapeutic use of drugs.
  • Understands basic management approaches such as work scheduling, prioritizing, coaching, and process execution, work organization, risk management, and delegation.
  • Experience in leading and managing the execution of processes, projects, and tactics.
  • Demonstrates critical thinking and effective decision-making.
  • Advanced skills analyzing data to make business decisions.
About the Company

Blue Shield of California is dedicated to creating opportunities for our people to grow – personally, professionally, and financially. Our leadership model is about developing great leaders at all levels. We are looking for leaders who are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Salary Range

The estimated salary range for this role is between $118,800 and $178,200 per year, depending on location, candidate experience, and current employee salaries for similar roles at Blue Shield of California.



  • Long Beach, California, United States Blue Shield of California Full time

    Blue Shield of California seeks an exceptional Pharmaceutical Operations Director to join our team. In this role, you will be responsible for overseeing the management of program area operations and employees. Your leadership skills and experience in managed care settings will be crucial in executing overall vision, goals, objectives, and ensuring...


  • Long Beach, California, United States Goodwin Recruiting Full time

    We are seeking a seasoned Restaurant Operations Director to lead our team of restaurant professionals. With a focus on providing genuine, personalized service and enhancing employee satisfaction, this role offers an excellent opportunity for a hands-on leader to drive growth and success.Key ResponsibilitiesDevelop and implement operational strategies to...


  • Long Beach, California, United States Accor Hotels Full time

    About UsFairmont Breakers, a historic landmark with a character and soul of its own, has been restored to its original grandeur as Long Beach's only luxury hotel. With 185 boutique rooms and suites, a rooftop pool, open-air lounge, two-story spa, and dining venues, we offer an unparalleled experience.We welcome you as you are and invite you to grow and learn...


  • Long Beach, California, United States Molina Healthcare Full time

    Job OverviewMolina Healthcare Services is seeking an experienced professional to lead our healthcare operations team. As a Director of Healthcare Operations, you will be responsible for managing one or more clinical programs, overseeing staff and resources, and developing business case methodologies for program implementation.About the RoleThis is a...


  • Long Beach, California, United States ZipRecruiter Full time

    Job DescriptionThe Director of Programs and Operations plays a pivotal role in ensuring the success of our workforce development initiatives. Reporting directly to the Vice President of Workforce Development, this individual oversees the day-to-day operations of assigned programs, inclusive of program oversight and staff supervision.Key...


  • Long Beach, California, United States Advanced Medical Manage Full time

    At Advanced Medical Manage, we are seeking a highly skilled Director of Health Data Operations to oversee the management of electronic data interchange (EDI) systems, eligibility verification, and capitation processes.Job SummaryThe successful candidate will be responsible for ensuring the accurate transmission of claims, capitation, eligibility...


  • Long Beach, California, United States Blue Shield of California Full time

    At Blue Shield of California, we are dedicated to delivering exceptional healthcare services to our members. As a Director of Pharmacy Operations Management, you will play a crucial role in ensuring the efficient and accurate processing of outpatient pharmacy benefit inquiries.The successful candidate will be responsible for supervising a team of licensed...

  • Area Director

    5 days ago


    Long Beach, California, United States Sevita Full time

    Sevita, a leading provider of home and community-based specialized healthcare, is seeking an experienced Area Director to lead our operations. As an integral part of our management team, you will be responsible for the financial performance of the area business unit, reviewing financial statements, overseeing purchasing, and ensuring billing compliance.With...

  • Operations Director

    6 days ago


    Long Beach, California, United States MemorialCare Full time

    **Job Overview**We are seeking an experienced and skilled Operations Director to join our team at MemorialCare Health System. This role requires strong leadership and operational expertise, as well as a passion for delivering high-quality patient care.Estimated Salary: $92,698 per year (based on the pay range of $64.39/hr - $96.57/hr and 40 hours/week)About...


  • Long Beach, California, United States Marriott Full time

    **Job Summary:**We are seeking an exceptional Executive Director of Food and Beverage Operations to join our team at Marriott. This is a unique opportunity to lead a talented group of professionals in delivering exceptional guest experiences and driving business growth.Key Responsibilities:Develop and Execute Business Strategies: Collaborate with...


  • Long Beach, California, United States Molina Healthcare Full time

    Job OverviewMolina Healthcare is seeking an experienced Clinical Data Acquisition Director to lead our HEDIS operations team. This role is responsible for implementing, monitoring, and overseeing all chart collection activities for HEDIS projects, Risk Adjustment, and other state-specific audit initiatives.ResponsibilitiesDevelop and implement operational...


  • Long Beach, California, United States Relativity Space Full time

    Relativity Space is a pioneer in the field of commercial space exploration. As we push the boundaries of what is possible, we are seeking a seasoned Factory Safety Director to join our team in Long Beach, CA.About UsWe are an ambitious company with two audacious goals: to become America's leading force in additive manufacturing innovation and to build the...


  • Long Beach, California, United States Airgas Full time

    At Airgas, we are seeking an experienced Logistics Director to oversee our fleet management operations. This role will involve creating a 3-5 year strategy for fleet and logistics performance planning, inclusive of financial budgeting, assessing tools and programs, and designing fleet programs that meet business needs.The successful candidate will have...

  • Production Director

    6 days ago


    Long Beach, California, United States TGG Full time

    Job SummaryWe are seeking a Production Director to oversee our construction manufacturing operations. This is a key role that requires strong leadership and management skills, as well as experience in production supervision and construction.About the CompanyTGG is a leading modular construction manufacturer, and we are looking for someone who can help us...


  • Huntington Beach, California, United States LG electronics Full time

    Job Title: Regional Operations DirectorJob Summary:The Regional Operations Director will oversee the successful operation of the LG NOVA West Virginia branch office in Morgantown, reporting directly to the LG NOVA New Business Supporting Team in Santa Clara, California. This dynamic role will be responsible for managing and fostering business development...


  • Huntington Beach, California, United States LG electronics Full time

    Job Summary:The Director, Regional Operations & Strategic Partnerships will play a pivotal role in overseeing the successful operation of the LG NOVA West Virginia branch office in Morgantown, reporting directly to the LG NOVA New Business Supporting Team in Santa Clara, California.Key Responsibilities:Oversee the day-to-day operations of the local branch...


  • Huntington Beach, California, United States Naugles Corp. Full time

    **Naugles Corp. Seeks Experienced Restaurant Manager**We are seeking a skilled Restaurant Operations Director to oversee the daily operations of our restaurants.Estimated Salary: $65,000 - $85,000 per year, depending on experience and qualifications.As a Restaurant Operations Director, you will be responsible for ensuring the smooth operation of our...


  • Long Beach, California, United States Homeless Health Care Los Angeles Full time

    Job SummaryWe are seeking an experienced Clinical Director to lead our behavioral health programs at Homeless Health Care Los Angeles.This leadership role will oversee the day-to-day operations, including clinical and administrative oversight of all behavioral health programs, development of clinical protocols, ensuring compliance with regulatory standards,...


  • Long Beach, California, United States Accor Hotels Full time

    Experience the best in hospitality as a Hospitality Operations Manager at Accor Hotels.Overview:Join our dynamic team and become an integral part of delivering exceptional guest experiences. As a Hospitality Operations Manager, you will be responsible for overseeing the day-to-day operations of the Stewarding department, ensuring seamless hotel operations...


  • Newport Beach, California, United States Chipotle Mexican Grill Full time

    Unlock a Career with PurposeCultivating a better world is not just our mission statement, it's the guiding force behind every decision we make. At Chipotle Mexican Grill, we're driven by a passion for serving responsibly sourced, classically cooked food that nourishes both body and soul.A Leader in Restaurant OperationsWe're seeking an exceptional Restaurant...