Dedicated Pharmaceutical Solutions Professional

7 days ago

Melbourne, Victoria, Australia beBeeManager Full time $100,000 - $140,000

Pharmacy Integrity Manager Job

This role is responsible for overseeing the implementation of pharmacy policies and practices that align with regulatory requirements and company goals, while contributing to the development of health insurance products.

The Pharmacy Integrity Manager will be a member of the Claims Integrity & Provider Capability Transformation (IC&PCT) Leadership Team and play a critical role in ensuring the safe, effective, and cost-efficient delivery of pharmaceutical benefits within Bupa Health Insurance.

The position involves managing and maintaining the Drug Database and related collateral, ensuring medications listed for reimbursement align with Pharmacy and Product Policies.

Key responsibilities include providing expert pharmaceutical advice to product teams, ensuring compliance with private health insurance legislation and regulations, and reviewing and assessing high-cost drug claims for alignment with hospital agreements and health insurance policies.

The successful candidate will have a strong foundation in pharmacy practice and a strategic mindset that extends beyond day-to-day operations. They will bring:

  • Registered Pharmacist with a Bachelor of Pharmacy (or equivalent)
  • 5+ years' experience across clinical, hospital, community, or industry settings
  • Strong knowledge of high-cost medicines, funding frameworks, and relevant regulations (PBS, TGA, private health insurance)
  • Strategic thinker with the ability to challenge the status quo and shape forward-looking initiatives
  • Skilled communicator with proven influence across senior leaders, clinicians, and operational teams
  • Adaptable problem-solver who thrives in complex environments

This is a full-time, permanent position based in Melbourne, Sydney, Brisbane, or Adelaide. The role uniquely blends the clinical expertise of pharmacy with the strategic, corporate side of healthcare.

Requirements

  • Registration as a Registered Pharmacist
  • Bachelor of Pharmacy (or equivalent)
  • Minimum 5 years' experience in clinical, hospital, community, or industry settings
  • Strong knowledge of high-cost medicines, funding frameworks, and relevant regulations
  • Proven ability to communicate effectively with senior leaders, clinicians, and operational teams

About You

You are a self-motivated individual with a passion for pharmacy practice and a drive to succeed in a dynamic environment.

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