--- title: 'Clinical Program Director - Pharmacy Solutions at NeueHealth' canonical: 'https://feeny.ai/job/clinical-program-director-pharmacy-solutions-neuehealth-doral-florida-j7pev8rn5cfe' type: 'job' last_seen: '2026-09-07' --- # Clinical Program Director - Pharmacy Solutions at NeueHealth - **Company:** NeueHealth - **Location:** Doral Florida, United States - **Posted:** 2026-08-21 - **Last confirmed live:** 2026-09-07 - **Apply:** https://job-boards.greenhouse.io/neuehealth/jobs/6150801004 ## Job description ## WHO WE ARE NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all. ## JOB SUMMARY The Clinical Program Director of Pharmacy Solutions will develop and manage pharmacy pathways for various health conditions. Responsibilities include applying deep knowledge of clinical information and regulatory requirements to develop clinical pathways that will provide decision support for our employed and affiliated providers. This position will also provide leadership and manage cross-functional work teams and provide core clinical subject matter expertise for Specialty Solutions’ overall strategies. ## DUTIES & RESPONSIBILITIES The following job description is intended to point out major responsibilities within the role, but it is not limited to these items. - Collaborate with the Medical Director of value-based care to develop and manage pharmacy pathways for various health conditions. - Develop the pharmacy pathways section of the tool for all conditions, including incorporating dosage adjustments, contraindications, interactions, side effects, special population adjustments, and allergies in the tool. - Maintain the most updated pharmacy database in NeuePulse Guide, our clinical decision support tool. - Support management of the NeuePulse Guide dashboard to educate and correct physician behavior and align physicians with the pathways. - Work with the Chief Medical Officer and case managers to analyze high-cost patient data for medication improvements, GDR, Polypharmacy. - Develop and maintain the Centrum Health formulary and generic vs brand drug recommendations. - Analyze GDR prescription patterns for Centrum members both in and outside of Centrum clinics and recommend generic opportunities. - Support clinical governance processes. Maintain comprehensive documentation for all clinical guidelines, including rationale, version history, evidence sources, and review schedules. - Contribute to the development of the methodology and processes to measure and evaluate ongoing performance. Utilize clinical data and system usage metrics to inform updates and refinements. - Ensure clinical guidelines align with internal policies, applicable regulatory Federal and State requirements, and accreditation standards. - Identify opportunities for quality and process improvements necessary to facilitate best use of NeuePulse Guide. - Contribute to training materials, user guides, and clinical documentation. As needed, provide education for staff. - Other duties and responsibilities as assigned. ## EDUCATION AND PROFESSIONAL EXPERIENCE - Doctor of Pharmacy (PharmD) is required. - 10+ years of professional experience is required, including 5 years developing and/or managing clinical programs, products, and services. Experience within clinical program management, clinical guideline development, clinical compliance, Utilization Management / Case Management, and / or clinical research preferred. - Working knowledge and understanding of clinical guidelines required. - Previous experience managing cross-functional teams on large scale projects required. - Prior experience with a highly regulated environment including Federal, State and national accreditation standards preferred. ## PROFESSIONAL COMPETENCIES - Experience with problem management, change control and how to influence change without direct control within a decentralized business unit culture. - Experience managing cross-functional teams with high visibility across products/business capabilities with experience identifying and managing dependencies within and across teams preferred. - Excellent writing skills, particularly in determination notification writing. - Ability to develop strong cross-functional and collaborative relationships with internal and external partners, including the ability to work with a wide variety of people and personalities. - Must be self-motivated, able to take initiative, and ability to thrive and drive results in a collaborative environment. - Must possess strong organizational and prioritization skills and competence and capacity to handle multiple initiatives while managing conflicting priorities. - Experience in using the Microsoft Office Suite including Excel and Word as well as demonstrated ability to learn/adapt to other computer-based systems and tools. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. ## About NeueHealth ## Company Overview - **One-liner**: NeueHealth is a value-driven healthcare company that aligns the interests of health consumers, providers, and payors to deliver high-quality, coordinated care across the ACA Marketplace, Medicare, and Medicaid. - **Entity Type**: Public (NYSE: NEUE) – acquired by New Enterprise Associates in December 2024 - **Headquarters**: Doral, Florida, United States - **Founded**: 2021 (IPO date; predecessor Bright Health Group founded earlier) - **Founders**: Not publicly listed as a single founder entity; leadership includes G. Mike Mikan (CEO) and Robert J. Sheehy (Executive Chairman) ## Core Business - **Primary industry**: Healthcare – value-based care delivery and provider enablement - **Target customers**: Health consumers (patients), independent providers/medical groups, and payors (health plans, government programs) - **Mission or purpose**: "Driving value in healthcare for all" – making high-quality, coordinated healthcare accessible and affordable to all populations ## Products & Services - **NeueCare**: A value-driven care delivery business that manages risk in partnership with external payors. Operates 66 owned primary care clinics (in-person and virtual) in Florida and Texas, with embedded pharmacy, laboratory, radiology, and population health focused specialty services. Serves ACA Marketplace, Medicare, and Medicaid populations. - **NeueSolutions**: A provider enablement business offering technology, services, and clinical care solutions to independent providers and medical groups. Helps them succeed in performance-based arrangements through financial alignment, population health tools, and partnerships with leading health plans and government programs (including CMMI’s ACO REACH program). Serves approximately 42,000 value-based care consumers. ## Market Standing - **Valuation/Market Cap**: Acquired by New Enterprise Associates in December 2024 for $1.3 billion (private now). Prior public market cap varied. - **Key Metric**: Annual Revenue of approximately $890 million (latest available); manages $2.5 billion in medical expense; serves 600,000+ health consumers; works with 3,000+ affiliated providers and 21 payor partners. - **Notable Investors/Partners**: Parent company is New Enterprise Associates, Inc. (NEA). Key payor partners include leading health plans and government programs (Medicare, Medicaid, ACA Marketplace). - **Growth Signals**: Acquired Centrum Health in July 2021; headcount of ~106 employees with +4.5% yearly growth; 26,171 LinkedIn followers (+3.6% yearly); 8 active job postings (though down 85.2% year-over-year, indicating post-acquisition consolidation). ## Competitive Advantages - **Value-driven alignment**: Uniquely aligns interests of consumers, providers, and payors to drive value, rather than volume. - **Integrated care model**: Owns clinics (NeueCare) and enables external providers (NeueSolutions), creating a hybrid delivery system with embedded pharmacy, lab, and specialty services. - **Risk management expertise**: Deep experience in performance-based arrangements, including participation in CMMI’s ACO REACH program. - **Scale and reach**: Serves hundreds of thousands of consumers across multiple insurance programs (ACA, Medicare, Medicaid) with a national provider network. ## Strategic Focus - **Current priorities**: Advancing value-driven, consumer-centric care; expanding NeueCare clinics in Florida and Texas; deepening NeueSolutions provider enablement tools and partnerships; integrating post-acquisition operations under NEA ownership. - **Direction for growth**: Scaling performance-based arrangements with payors, increasing the number of affiliated providers, and improving health outcomes for all populations served. ## Why Work Here - **Culture highlights**: "Transforming healthcare to make it work the way it should for everyone" – mission-driven environment focused on positive impact. Collaborative work environment with supportive clinical staff (e.g., dedicated Medical Assistant for providers). - **Remote/hybrid/office policy**: Several roles listed as "Work from home" (e.g., UM Coordinator, Associate, Affiliate Growth). Clinics require in-person presence. Hybrid likely for corporate roles. - **Notable perks**: Comprehensive benefits including flexible medical/dental/vision plans, virtual visits, Health Savings Account company contributions, 401(k) with competitive match, flexible paid time off, company holidays, Employee Assistance Program (counseling, legal/financial advice). For providers: Monday–Friday schedule with limited/compensated on-call time, guaranteed base salary with annual bonus, sign-on bonus eligibility, annual CME reimbursement. - **Engineering/technical culture**: Small but growing AI engineering team (Director of AI Engineering listed); technical roles in product, project management, and consulting. Talent drawn from UnitedHealth Group, Bright Health, Optum, Centrum Health, and PwC. ## Sources 1. [NeueHealth.com](https://neuehealth.com/) 2. [NeueHealth Careers Page](https://neuehealth.com/careers) 3. [LinkedIn – NeueHealth](https://www.linkedin.com/company/neuehealth) 4. [Reuters – NeueHealth Inc](https://www.reuters.com/markets/companies/NEUE.N) 5. 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