[Hiring] Director, Prior Authorization @TrueScripts Management Services

Role Description

The Director, Prior Authorization is responsible for the strategic leadership, performance, and operational excellence of TrueScripts' Prior Authorization function. This role oversees all aspects of prior authorization operations, including team leadership, clinical vendor partnerships, quality management, process improvement, service delivery, and regulatory compliance. The Director serves as the primary leader of the Prior Authorization department and works collaboratively across Clinical Programs, Member Care, Client Services, Operations, Technology, and Leadership to ensure prior authorization services are efficient, clinically appropriate, scalable, and aligned with organizational objectives. This role is responsible for developing and executing departmental strategies that support exceptional member experiences, operational effectiveness, client satisfaction, and business growth. The Director will leverage data, technology, and clinical expertise to drive continuous improvement while fostering a culture of accountability, collaboration, innovation, and service.

Qualifications

• Bachelor of Science in Pharmacy (BSPharm) or Doctor of Pharmacy (PharmD)
• Active pharmacist license in good standing
• Minimum of 7-10 years of pharmacy, clinical operations, prior authorization, utilization management, or related healthcare experience
• Minimum of 3-5 years of leadership experience with responsibility for team performance and operational outcomes
• Demonstrated experience leading people, processes, and complex operational initiatives
• Strong analytical and problem-solving skills
• Experience using data to drive operational and business decisions
• Excellent communication, presentation, and relationship management skills

Requirements

• PBM experience
• Prior authorization leadership experience
• Utilization management experience
• Multi-state operations experience
• Experience managing external clinical vendors
• Experience leading large-scale process improvement initiatives
• Lean, Six Sigma, or related process improvement experience

Benefits

• A wide range of health insurance options including medical, dental and vision
• A strong salary and bonus program
• A robust 401k and company match
• Truescripts is transitioning to an ESOP, a team member owned company! Each year team members are allocated shares of stock through our ESOP, a Qualified Retirement plan!
• Employee Assistance Program
• A wellness program including financial incentives, chiropractic and massage services, and fitness stipends
• Dream Manager Program (yes, it’s a real thing!)
• A cohesive, family-based culture
• Charitable contributions and volunteer time