Clinical Product & Operations Lead Pharmacist

Develop Health

. Own customer support for moderate-to-complex prior authorization and benefit verification cases .

Posted 11/11/2026full-timeMenlo Park • California • United StatesSenior💰 $170,000 - $220,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in prior authorization and benefit verification processes, leveraging clinical judgment and operational metrics to enhance pharmacy operations. Skilled in cross-functional collaboration and effective communication to drive product improvements and training initiatives.

Highest-signal resume keywords

Licensed Pharmacist (PharmD)Prior Authorization WorkflowsBenefit Verification ExperiencePharmacy Operations ExperienceExcellent Written And Verbal Communication

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical JudgmentWorkflow DocumentationMetrics TrackingProcess ImprovementTraining Design

Soft Skills

Customer CommunicationCross-Functional CollaborationProblem-Solving

Tools & Technologies

AI ToolsSlack

Certifications & Qualifications

Licensed Pharmacist (PharmD)

Industry Keywords

Payer CriteriaFormulary RequirementsPBM StructuresPatient Access JourneySpecialty Pharmacy

About the role

Key responsibilities & impact

Own customer support for moderate-to-complex prior authorization and benefit verification cases
Serve as the primary point of contact for escalations and provide clinical context, status, and resolution paths
Apply clinical judgment to navigate payer criteria, formulary requirements, and appeals
Document workflows, write playbooks and SOPs, and turn one-off fixes into repeatable processes
Surface customer pain points, flag errors in AI-generated determinations, and help prioritize product fixes
Work with engineering to improve AI agents for real casework and shape agentic workflows
Manage customer communication across email, calls, and Slack
Own and maintain the operational playbook for complex PA and BV cases
Build and track metrics including resolution time, approval rates, and automation effectiveness
Translate support insights into product improvements
Design and scale training for pharmacists and technicians
Help shape pharmacy operations and support functions as the company expands
Partner with engineering to determine what to automate and where human review remains necessary

Requirements

What you’ll need

Licensed pharmacist (PharmD) with hands-on prior authorization and benefit verification experience
3–5+ years in pharmacy operations, specialty pharmacy, or a payer/PBM environment
Strong working knowledge of PA workflows, payer criteria, formularies, and PBM structures
Excellent written and verbal communication, including real customer-facing experience explaining clinical concepts simply
Comfort working cross-functionally with product, engineering, and operations in a fast-paced startup
Applicants must be based in the US
Availability to work on-site in Menlo Park at least three days per week
Bonus: Experience building QA processes or supervising pharmacists and technicians
Bonus: Deep understanding of the patient access journey, from prescription to dispensing
Bonus: Comfort using AI tools to work faster day to day

Benefits

Comp & perks

Meaningful early-stage equity
Health, dental, and vision coverage
Flexible PTO
High-end workstation & tooling budget