Vice President, Clinical Pharmacy

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

About the Role

Direct the pharmacy benefit management (PBM) companies who are vendor partners with Sedgwick in all aspects of day-to-day activities, including managing the team of colleagues who operationally interact with the pharmacy benefit managers (PBMs). Direct the team of pharmacists who work collaboratively to provide direction and guidance to the complex pharmacy management and pharmacy utilization review nurses and physicians on proper prescribing and weaning protocols.

Responsibilities

• Provide senior, VP-level leadership across the pharmacy program, shaping strategy, direction, quality, and performance.
• Bring deep workers' compensation pharmacy expertise across program strategy, design, clinical decision-making, and complex pharmacy management.
• Act as a client-facing leader, partnering directly with clients, representing pharmacy strategy in engagements, and translating program capabilities into client value.
• Own the review, refinement, and continuous improvement of pharmacy programs, elevating consistency, quality, defensibility, and outcomes.
• Provide analysis of claims data and book-of-business metrics, translating trends into actionable strategy.
• Serve as an external thought leader, representing the organization in industry forums and strengthening its market reputation.
• Partner cross-functionally with operational, clinical, and business leaders to align pharmacy strategy with organizational objectives.
• Work with pharmacy benefit managers on pricing models, reporting, and specific program development such as the development of a pharmacy benefit network (PBN), new formularies, and creating new and improved edits to custom triggers.
• Work with client services to create custom reporting for large clients; meet with clients to explain complexities of the program and demonstrate the benefits.
• Strategically support pharmacy benefit management vendor partnerships and the Sedgwick team who operationally support the product for clients.
• Prepare and deliver presentations for national conferences and client meetings.
• Stay ahead of the marketplace and assist client services in maintaining client relationships by clarifying offerings, value of products, and defining real savings.
• Understand the entire workers compensation pharmacy industry landscape and what that means to Sedgwick and clients.
• Work directly with clients and client services to develop solutions and discuss formularies and current pharmacy issues and trends in the industry.
• Determine the feasibility of bringing pharmacy benefit services as a Sedgwick offering; conduct research and determine if there is a business case.
• Delve into the details of pharmacy networks and push vendor partners to offer a transparent cost model with potential insight into rebates.
• Administer company personnel policies in all areas and follow company staffing standards and training recommendations.
• Interview, hire, and establish colleague performance development plans; conduct colleague performance discussions.
• Provide support, guidance, leadership, and motivation to promote maximum performance.

Requirements

• PharmD degree from an accredited university or school of pharmacy preferred or Bachelor’s degree with commensurate experience in PBM management and health care benefit knowledge.
• Active unrestricted license to practice pharmacy as a PharmD or clinical pharmacist in at least one state in the United States preferred.
• Ten (10) years of related experience or equivalent combination of education and experience required to include two (2) years of recent clinical practice experience and two (2) years of management experience.
• Workers' Compensation industry experience preferred.

Skills & Knowledge

• Knowledge of current pharmacy trends and alternative resources and treatments in outpatient and alternative care settings.
• Substantial workers’ compensation pharmacy background and command of the WC managed care landscape.
• Demonstrated client-facing experience with senior stakeholders.
• Strong analytical skills, with the ability to interpret claims and book-of-business data to inform strategy.
• Track record of pharmacy program leadership, development, quality improvement, and innovation.
• Recognized or emerging thought leader, comfortable representing an organization externally.
• Executive-level presence, communication, and cross-functional leadership skills.
• Understands how the brand drug rebate process works and if there is potential to provide this back to clients.
• Knowledge of utilization management and workers' compensation.
• Analytical and interpretive skills.
• Proven management/leadership skills.
• Excellent oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products.
• Excellent interpersonal skills.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Benefits

• Medical, dental, and vision coverage.
• 401K with company matching.
• Paid time off (PTO).
• Disability and life insurance.
• Employee assistance program.
• Flexible spending or health savings account.
• Additional voluntary benefits.

Benefits begin on your first day of employment.

Pay

The range of starting pay for this role is $140,000 - $165,000/year.

Work Environment

• When applicable and appropriate, consideration will be given to reasonable accommodation.
• Physical: Computer keyboarding, travel as required.
• Auditory/visual: Hearing, vision, and talking.
• Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem-solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.