Senior Director, Clinical Service

Lockwood

. Provide expert opinions to APS staff and clients regarding the clinical value of drugs and drug classes to payers and how payers will perceive and manage them .

Posted 11/6/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in drug information and payer management, with a strong focus on formulary development, coverage management, and benefit design. Proven ability to lead teams, facilitate payer advisory boards, and communicate effectively with clients and stakeholders.

Highest-signal resume keywords

Pharm. D Degree10+ Years Experience in Drug InformationPayer Regulatory Landscape ExpertiseTeam Management ExperienceExcellent Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Drug Information ExpertiseFormulary DevelopmentCoverage ManagementBenefit DesignClinical Policy DevelopmentP&T Committee ProcessesDrug MonographsClass ReviewsCoverage CriteriaAppeals Criteria

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationTime ManagementCollaborationFacilitation Skills

Tools & Technologies

Microsoft WordMicrosoft PowerPoint

Industry Keywords

Payer OrganizationsCommercial and MedicareMedicaidClinical Drug UseMarketplace Trends

About the role

Key responsibilities & impact

Provide expert opinions to APS staff and clients regarding the clinical value of drugs and drug classes to payers and how payers will perceive and manage them
Support staff and clients with drug information expertise across therapeutic areas, including ultra-orphan, orphan, and non-orphan disease states
Conduct drug information and clinical/non-clinical research on payer perceptions and management of new drugs and indications
Advise on payer rationales and approaches for prior authorizations, step-therapy edits, and other coverage rules
Prepare Word documents, PowerPoint slides, and other materials on commercial viability, competition, and likely payer coverage practices
Plan, conduct, and summarize payer research
Plan, develop, and facilitate virtual and in-person payer advisory boards
Review and improve client value proposition and preapproval information exchange presentations
Interact with current and prospective clients and support business development
Assist with statements of work and participate in client presentations to win new business
Monitor marketplace trends in clinical drug use and payer formulary and coverage management
Collaborate with the Chief Clinical Officer, VP of Clinical Services, APS staff, Nexus, and affiliated Lockwood companies
Manage clinical team members and freelance consultants as needed
Assist in planning and executing APS annual seminars
Perform other related duties as needed

Requirements

What you’ll need

Pharm. D degree or equivalent e.g., BS pharmacy with advanced degrees
At least 10-years of experience in a managerial/supervisory drug information position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit design
Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare
Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, clinical policies, etc.
Experience managing individuals and teams
Experience with the Commercial and Medicare lines of business; experience in Medicaid is also desirable, but not required
Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc.
Experience in P&T committee processes
Excellent written and verbal communication skills
Dedication to life-long learning and development
Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels
Ability to collaborate and support other clinical and non-clinical experts within APS and other Lockwood companies to jointly achieve company and client objectives
Excellent time management skills and ability to meet agreed upon deadlines