Clinical Program Manager

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🕒 July 27

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WellDyne

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1990

🏥 Healthcare

💊 Pharmaceuticals

⚕️ Healthcare Insurance

Healthcare • Pharmaceuticals • Healthcare Insurance

WellDyne is a pharmacy benefit management (PBM) company that provides specialty pharmacy services, prescription discount solutions, utilization management, mail-order and central fill pharmacy operations, and outsourced pharmacy solutions. The company emphasizes clinical programs, adherence initiatives, data analytics, and personalized engagement to reduce drug costs and improve outcomes, particularly for high-cost specialty medications. With about 25 years of experience and locations in Lakeland, FL and Centennial, CO, WellDyne positions itself as an alternative to traditional PBM models by offering flexible plan design, dedicated account management, and industry-focused clinical expertise.

📋 Description

• Owns outcomes, development, piloting and deployment of new clinical programs • Identifying gaps in change management, roles, workflow, and systems needed to achieve the WM/Clinical Programs short and long term goals • Prepare and present materials for meetings with Clients, Client Services and Clinical Operations Leadership Team, as required and as requested • Oversees WellManaged/Clinical Programs Team to ensure training and processes are appropriate and being followed • Assists in the development of instructional material for use in diabetes educational programs (includes objectives, content, editing, design, printing and distribution) • Creates and follows specific curriculum developed for diabetes/other education • Creates clinical coverage guidelines for diabetic/other medications • Coordinates and assists with inter-departmental training and development • Answers drug information questions as requested • Works closely with client team, providers, pharmacies, and members to resolve any questions or issues involving diabetes care • Support and maintain program operational metrics and outcomes reporting • Consistently meets established productivity, schedule adherence, and quality standards, while maintaining a good attendance record • Respects and maintains confidentiality guidelines of HIPAA • Follows and aids in enforcement of all company policies and procedures • Provides periodic consultation with practitioners in the field • Consults with account management team to provide clinical and benefit design recommendations

🎯 Requirements

• Valid pharmacist license in the state in which the employee resides, in good standing • Six years minimum as a practicing allied healthcare provider with direct patient care • PBM, healthcare, pharmaceutical experience preferred • Leadership and operational experience • Certified Diabetes Care and Education Specialist (CDCES) required • Working knowledge of American Diabetes Association (ADA) • Ability to become licensed in multiple states, as required • Proficiency in Microsoft Office Suite

🏖️ Benefits

• Health insurance • Professional development • Paid time off