Director of Pharmacy Strategy & Clinical Oversight

Overview Director of Pharmacy Strategy & Clinical Oversight Location: Remote About Alera Group Founded in 2017, Alera Group is one of the nation's leading independent insurance and financial services firms. We combine the strength of a national organization with the personalized service of local experts to help clients succeed across Employee Benefits, Property & Casualty Insurance, Retirement Plan Services, Wealth Services, and Human Capital Solutions. Why Join Alera Group? Collaborate with purpose – Work alongside colleagues who believe the best results come from strong partnerships, shared expertise, and supporting one another. Build your career – Expand your expertise through meaningful work, continuous learning, and opportunities to grow across a national organization. Make an impact – Help clients navigate complex challenges while contributing to solutions that make a difference for their businesses, employees, and communities. The Opportunity The Director of Pharmacy Strategy & Clinical Oversight is an Exempt position that reports directly to the VP of Vital Oversight and the Managing Director of Vital Incite. The Clinical Pharmacy Specialist supports Vital Incite’s mission by applying clinical pharmacy expertise to identify opportunities to reduce avoidable medical and pharmacy spend, improve health outcomes, and strengthen employer health plan strategies. The role combines internal strategy and product support with direct clinical oversight for complex member cases. Success requires sound clinical judgment, objective analysis, strong collaboration, and the ability to translate complex pharmacy information into clear, actionable guidance for advisors, employers, carriers, PBMs, providers, and internal teams. Responsibilities Vital Incite Strategy, Analytics, and Market Support Collaborate with the Vital Incite team on the development and refinement of reports, alerts, and analytic approaches that identify medical or pharmacy spend waste and opportunities to improve health outcomes. Answer strategist-specific questions related to pharmacy utilization, plan strategy, clinical considerations, and potential interventions. Participate in Vital Incite’s Pharmacy Impact Group and Population Health Impact Group, contributing clinical perspective, education, and practical strategy recommendations. Bring forward emerging pharmacy trends, clinical insights, and new strategy suggestions for consideration by the Vital Incite team. Lead or support the objective review and vetting of pharmacy add-on vendors, including clinical approach, member experience, service model, reporting, and alignment with employer needs. Partner with analytics, strategy, clinical, and data teams to identify new reporting needs and help translate findings into actionable recommendations. Participate in public speaking events, educational sessions, webinars, finalist presentations, and client-facing discussions as requested by the Company. Clinical Pharmacy Oversight Provide clinical pharmacy oversight for complex cases, including opportunities involving medication use, pharmacy benefits, care coordination, access, adherence, safety, cost, and site or channel of care. Review available clinical and claims information to identify inefficiencies, potential barriers, and appropriate next steps while remaining within the scope of the services provided. Communicate clearly and effectively with carriers, pharmacy benefit managers (PBMs), providers, advisors, employers, and other Vital Oversight team members to help resolve identified opportunities and illustrate potential inefficiencies. Support overall client satisfaction by setting and managing appropriate expectations regarding the purpose, scope, timing, and limitations of clinical oversight services. Assign appropriate follow-up items to, or collaborate with, the Claims Advocate or Medical Director to help investigate and resolve opportunities. Document clinical oversight activities, communications, recommendations, and outcomes in accordance with Company expectations and applicable requirements. Escalate clinical, regulatory, privacy, or service concerns to the appropriate internal leader when needed. Compliance and Collaboration Assist the Company in maintaining compliance with applicable healthcare regulations, privacy requirements, professional standards, and clinical best practices. Protect confidential and protected health information and use the minimum information necessary to perform assigned responsibilities. Participate in internal and external meetings, consultations, case discussions, and educational activities as required by the Company. Maintain current knowledge of pharmacy practice, drug trends, benefit strategies, clinical guidelines, and relevant market developments. Perform other duties and responsibilities as assigned. Qualifications Education and Licensure: Doctor of Pharmacy (PharmD) degree from an accredited school or college of pharmacy required. Current, active, and unrestricted pharmacist license in at least one U.S. jurisdiction required. Board certification in a relevant pharmacy specialty is preferred. Experience: Relevant clinical pharmacy experience in a health plan, PBM, employer benefits, managed care, health system, ambulatory care, specialty pharmacy, or population health setting. Experience evaluating complex medication-related cases and communicating recommendations across clinical and nonclinical stakeholders. Experience interpreting pharmacy and medical claims data, utilization patterns, and benefit design considerations is strongly preferred. Experience evaluating pharmacy vendors, programs, or clinical solutions is preferred. Experience with client consultation, public speaking, education, or presentations is preferred. Skills: Strong clinical reasoning and ability to translate evidence and data into practical employer strategies Excellent written and oral communication skills Strong organizational, prioritization, documentation, and time-management skills Ability to collaborate effectively with both clinical and business audiences Ability to work independently while recognizing when escalation or broader consultation is needed Proficiency with Microsoft Word, Outlook, Excel, and PowerPoint Energetic, flexible, collaborative, and proactive approach to internal and external client needs Compensation Salary Range: $160,000–$175,000 annually Benefits Eligible colleagues enjoy a comprehensive benefits package that includes: Medical, dental, and vision insurance Life and disability coverage 401(k) Generous paid time off Professional development opportunities Benefits and EEO Language Work Arrangement This position is Remote. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class. Alera Group is committed to protecting your privacy. Please review our Privacy Policy to understand what personal information we may collect and use as part of your application process.