Director, Pharmacy Quality – Part D Stars

🕒 February 22

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Alignment Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2013

⚕️ Healthcare Insurance

👥 B2C

💰 $321.1M Post-IPO Debt - Alignment Health on 2024-11

Healthcare Insurance • B2C

Alignment Health is a Medicare-focused health insurance company that offers Medicare Advantage plans and member-centered services. It provides 24/7 on-demand access to care via in-person, in-home, and mobile channels and features a concierge-style on-demand card to help members schedule appointments, arrange transportation, and answer health questions. Alignment Health partners with brokers, providers, Accountable Care Organizations (ACOs), and institutional partners, operates in multiple U. S. states (including Arizona, California, Nevada, North Carolina, and Texas), and has earned high CMS ratings and industry recognition.

📋 Description

• Create and implement a multi-year pharmacy Stars and quality roadmap • Monitor CMS methodology updates and integrate changes into strategies • Lead the development and execution of pharmacy-driven strategies to improve Stars measures • Monitor current performance and evaluate interventions • Represent Pharmacy in PBM, vendor, and cross-functional forums • Build and deliver dashboards, forecasts, and executive reports • Lead, mentor, and develop a high-performing team

🎯 Requirements

• 7+ years of experience in Medicare Part D, Stars, or pharmacy quality • At least 5 years in leadership roles • Bachelor's degree required • Advanced degree preferred (PharmD, RN, MPH, MBA, or related field) • Demonstrated success improving CMS Star Ratings through pharmacy-driven initiatives and PBM/vendor collaboration • Deep knowledge of CMS Part D Stars methodology, pharmacy quality measures, and regulatory updates • Expertise in leveraging data analytics to guide forecasting, strategy, and decision-making • Proven ability to lead teams and communicate effectively with senior leadership • Effective written and oral communication skills

🏖️ Benefits

• Health insurance • 401(k) • Flexible work hours • Paid time off • Professional development