Director, Clinical Pharmacy Stars Performance
Core
Tactical owner of clinical pharmacy measures for Medicare Advantage and Part D Star Ratings, driving enterprise strategy into daily reality to achieve 5-Star performance.
Role type
Director, Clinical Pharmacy Performance
Builds
Clinical pharmacy Star Ratings portfolio performance and operational workflows
Domain
US Healthcare / Medicare Advantage / Part D / Clinical Pharmacy Quality
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
PharmD or equivalent clinical degree, Medicare Advantage and Part D quality program ownership, clinical subject matter expertise, regulatory specification interpretation, cross-functional leadership, data analysis, vendor landscape evaluation
Preferred skills
AI/LLM exploration, advanced analytical acumen, clinical diplomacy
Technologies
Business intelligence tooling
Responsibilities
Forecast measure trajectories against projected cut points, track regulatory specification changes and clinical guideline shifts, design organization-wide strategies for 5-Star performance, manage performance against operating KPIs and clinical outcomes metrics, evaluate vendor landscape for adherence stratification and intervention platforms, translate complex operational goals into daily workflows
Seniority
Director, strategic execution & leadership
