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Added 5 mins ago
CI
Sr Business Effectiveness Manager, AI
Cribl, Inc
Denver, CO
- $175,000 to $225,000 USD / year
Cribl is looking for a Senior Business Effectiveness Manager, AI to shape how a 1,000+ person, remote-first company maximizes its AI investments. You'll lead Cribl's approach to the…
Added 10 mins ago
FT
Director-Performance Attribution
Franklin Templeton
IL-Remote City, IL
- $180,000 to $235,000 USD / year
At Franklin Templeton, we believe success is built through powerful partnerships. As a forward thinking asset manager, we build dynamic relationships with clients, understand their goals,…
Added 10 mins ago
J
Senior Enablement Manager - API
Jobgether
Remote, United States
- $132,000 to $155,000 USD / year
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Enablement Manager – API based in the United States.
Added 10 mins ago
Copilot Studio / Power Platform Engineer (Senior Manager)
Jobgether
Remote, United States
…looking for a Copilot Studio / Power Platform Engineer (Senior Manager) based in the United…
Added 11 mins ago
UG
Unit Clerk
UnitedHealth Group
Middletown, NY
- $16 to $29 USD / hour
Schedule: Monday through Friday a 37.5-hour work week between the hours of 8:00 am to 4:00 pm. Schedule to be determined by manager upon hire.
Added 16 mins ago
TT
Founding Enterprise Account Manager
True Talent Solutions Partners
Redwood City, CA
- $180,000 to $220,000 USD / year
Join an early-stage AI software company as its first Enterprise Account Manager, reporting to the COO. You will own post-launch relationships and renewal growth across a portfolio of large…
Added 21 mins ago
Technical Lead, Data Strategy
City of New York
Brooklyn, NY
…scalability, and automation of the organization's analytics and enterprise platforms. This role provides technical leadership for a team of system administrators and technical specialists…
Added 26 mins ago
FP&A Manager
Nexthink
Boston, MA
Reporting to the Director FP&A, the FP&A Manager will serve as a strategic finance business partner to global business functions while supporting corporate FP&A activities, including…
Added 42 mins ago
UG
Associate Patient Care Coordinator OBGYN
UnitedHealth Group
Poughkeepsie, NY
- $16 to $29 USD / hour
Schedule: 40-hour work week, Monday through Friday, from 8:30 am to 5:30 pm. The schedule will be determined by the manager upon hire. (Hours may change due to business needs)
Added 46 mins ago
NS
SUPERVISORY DISTINGUISHED ENGINEER
Naval Sea Systems Command
Port Hueneme, CA
- $198,349 to $209,600 USD / year
…that knowledge to coordinate technical efforts and achieve enterprise mission…
Added 46 mins ago
VH
Healthcare Engineer - Network
Veterans Health Administration
Lexington, KY
- $105,366 to $136,979 USD / year
Designs and supports enterprise network solutions that integrate special purpose systems without degrading performance or security of the broader hospital network.
Added 52 mins ago
VH
RN-Associate Director for Patient Care Service/Nurse Executive
Veterans Health Administration
Atlanta, GA · Birmingham, AL
- $207,243 to $228,000 USD / year
Creates a shared vision and successfully leads change to improve performance and attain measurable outcomes at the organization or enterprise level.
Added 52 mins ago
DA
Supervisory IT Specialist
Deputy Assistant Secretary for Information and Technology
Location Negotiable After Selection
- $147,945 to $192,331 USD / year
Cybersecurity Code 751 (Cyber Workforce Developer and Manager)
Added 55 mins ago
BP
IT Cybersecurity Specialist
Bonneville Power Administration
Portland, OR
- $96,443 to $125,378 USD / year
…that risk-mitigation measures are fully integrated across the…
Added 58 mins ago
VH
Registered Nurse - Wound Care
Veterans Health Administration
Indianapolis, IN
- $68,174 to $120,511 USD / year
Provides timely and accurate documentation of skin and wound issues using Veterans Affairs {VA) approved enterprise standardized electronic health record {EHR) system.
Added 58 mins ago
ED
Program Analyst
Executive Director, Office of Acquisition, Logistics and Construction
Location Negotiable After Selection
- $106,437 to $138,370 USD / year
In this role, you will improve the efficiency and effectiveness of major acquisition programs through program analysis, data analytics, strategic planning, and acquisition management. You…
Added 1 hour ago
VH
Supervisory Supply Technician
Veterans Health Administration
Columbia, SC
- $50,460 to $65,599 USD / year
Added 1 hour ago
Staff Systems Engineer - TRMC Systems Engineering Lead
CORP-Corporate Office
United States
…across multiple programs and reporting directly to the RQ-4 Enterprise SE&I IPT…
Added 1 hour ago
AF
Logistics Management Specialist
Air Force Materiel Command
Langley AFB, VA
- $108,019 to $140,426 USD / year
…technical guidance as the senior headquarters-level logistics program manager and technical expert. Serves as the MAJCOM senior Logistics action officer, applying Air Force military…
Added 1 hour ago
DA
Information Technology Specialist (Systems Analysis)
Deputy Assistant Secretary for Information and Technology
Location Negotiable After Selection
- $106,437 to $138,370 USD / year
Cybersecurity Code 801 - Program Manager: Leads, coordinates, communicates, integrates, and is accountable for the overall success of the program, ensuring alignment with agency or…
Added 1 hour ago
U
Senior Central Operations Manager, AM Tooling & Digital Transformation - Expansion Central Ops
Uber
New York City, NY
- $118,000 to $145,000 USD / year
…(AM) organization. Our mission is to empower every Account Manager to maximize their portfolio's growth at scale by ruthlessly eliminating capacity and operational friction, while building…
Added 1 hour ago
VH
Registered Nurse-Informaticist
Veterans Health Administration
Fort Wayne, IN · Marion, IN · Mishawaka, IN
- $68,976 to $149,392 USD / year
…content management, application support, health IT optimization, enterprise data management, business architecture, partnership and requirements management, and change…
Added 1 hour ago
VH
Supervisory Management & Program Analyst
Veterans Health Administration
Location Negotiable After Selection
- $125,776 to $163,514 USD / year
The Resource Management Manager, within VHA's Manpower Management Office, leads a team supporting manpower management and Central Office resource allocation. As a technical expert and…
Added 1 hour ago
A
Mid Market Account Executive (Brooklyn)
ADP
Brooklyn, NY
- $62,700 to $124,700 USD / year
ADP is hiring a Major Accounts Hunter District Manager, Mid-Market.
Added 1 hour ago
IA
Auditor - Term
Immigration and Customs Enforcement
Location Negotiable After Selection
- $89,508 to $172,980 USD / year
Conducting enterprise-level forensic examinations of financial records, reconstructing transactions across layered entities and multinational structures to trace concealed assets and…

TrueScripts Management Services

Director, Prior Authorization

Washington, IN, United States

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Job details

Posting language: English
Posted: Nov 4, 2026

Original job description

Description TrueScripts Management Services is a pharmacist-founded, fully transparent Prescription Benefit Manager that has been revolutionizing the PBM industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spending, achieving clinically effective outcomes, and always delivering Amazing Care.Did we mention Amazing Care? Good! Because this is so much more than just our tagline. It is the foundation upon which our business was built. We believe that Amazing Care starts from within, and our culture is reflective of this philosophy. Our team members enjoy:

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

Ok, enough about us. Here’s what we need from you: A future team members' values need to align with TrueScripts' core values of Integrity, Respect, Innovation, and Service. This match in value systems is critical for our team's chemistry and continued success. Our culture is positive, and our people possess a ‘can do, proactive attitude. Honesty and transparency are the foundation that we build upon. What sets us apart from our competitors is the programs that we bring, the education that we provide, and the utmost respect for clients and their members to assist them when and where needed.

Position Overview:

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.

Role and Responsibilities

Department Leadership

Provide overall leadership and strategic direction for the Prior Authorization department
Establish departmental goals, metrics, and priorities aligned with organizational objectives
Build, develop, and mentor leaders and team members within the department
Lead workforce planning, succession planning, and organizational design efforts for the Prior Authorization function
Foster a culture centered on service excellence, accountability, innovation, and continuous improvement
Manage performance expectations and support professional growth across the department

Operational Excellence

Direct daily Prior Authorization operations to ensure quality, efficiency, and timely service delivery
Develop and monitor key performance indicators, service level agreements, and operational dashboards
Identify trends, risks, and opportunities through ongoing analysis of departmental data
Lead process improvement initiatives that enhance efficiency, quality, and member experience
Evaluate workflows and implement operational best practices to support scalability and growth
Ensure consistency and quality across all prior authorization activities

Clinical Vendor & Partner Management

Serve as the primary relationship owner for clinical review vendors and other external partners
Establish performance expectations and monitor vendor outcomes, service levels, and quality measures
Collaborate with vendors to improve turnaround times, clinical consistency, and operational effectiveness
Evaluate vendor performance and identify opportunities for process enhancement or cost savings
Support implementation of new programs, technologies, and clinical initiatives involving external partners

Clinical Program Support

Collaborate with Clinical Programs leadership to ensure prior authorization processes align with formulary strategies, utilization management objectives, and client requirements
Provide clinical and operational consultation related to prior authorization programs
Support implementation of new clinical initiatives, products, and services
Ensure alignment between prior authorization operations and evolving client needs

Data Analytics & Continuous Improvement

Utilize operational and clinical data to identify opportunities for performance improvements
Develop reporting and insights to support decision-making and strategic planning
Monitor industry trends, emerging technologies, and best practices related to utilization management and prior authorization
Lead initiatives that improve automation, efficiency, quality, and member satisfaction
Partner with Technology and Operations teams to optimize systems and workflows

Cross-Functional Collaboration

Partner with Client Services, Operations, Member Care, Compliance, Technology, and Clinical teams to achieve organizational goals
Participate in client implementation activities as subject matter expert for prior authorization services
Support client audits, reporting requests, and operational reviews
Collaborate on enterprise initiatives impacting clinical operations and member experience

Compliance & Quality

Ensure department adherence to applicable regulatory, accreditation, and client requirements
Maintain policies, procedures, and operational standards related to prior authorization activities
Support quality assurance and audit activities
Identify and mitigate operational and compliance risks within the department
Promote a culture of quality, consistency, and continuous improvement

Requirements

Required

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

Preferred

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

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More about this job

Skills

Leadership
Team leadership
Quality assurance procedures
Process improvement
Regulatory compliance
Collaboration
Reporting
Decision making
Strategic planning
Quality assurance
Problem solving
Communication skills
Lean manufacturing

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