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PBM Clinical Director (Pharmacist)

Maxcare, Inc • Remote, US • published 2026-09-28 20:55:42.512591

Description

**JOB TITLE: Clinical Services Director** DATE: September 2026 REPORTS TO: Vice President, MaxCare FLSA STATUS: Exempt JOB SUMMARY: The Clinical Services Director is responsible for the management and coordination of clinical programs within MaxCare. This role oversees clinical services personnel, optimizes daily prior\-authorization workflows, assigns client\-specific reporting and inquiries, and implements quality assurance and quality\-improvement strategies across MaxCare's clinical programs. ESSENTIAL JOB FUNCTIONS: Departmental Leadership \& Strategy * Set the clinical services department's strategic goals, mission, and vision annually to align with MaxCare's strategic goals, mission, and vision. * Continuously assess, evaluate, and communicate clinical services personnel's performance against individual and departmental goals and their job descriptions. * Oversee clinical pharmacists and technicians regarding work performed and administered within MaxCare's clinical programs. Clinical Program \& Utilization Management Oversight * Support the clinical services team in the review and decision of prior\-authorization requests based on clinical criteria, per national, state, and...

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