VP Pharmacy Management

About the role

Develops and maintains strategies to manage pharmaceuticals that produce the best outcomes at the lowest cost. Creates plans for managing and measuring pharmacy utilization. Collaborates with various internal areas to plan, direct, and analyze pharmacy management and business development opportunities, analyze existing products, and identify emerging/leading edge products, services, or markets. Recommends a portfolio of market sensitive and cost-efficient products or services that support the Company's financial viability, marketability, maximum sales volume, and market share in accordance with corporate goals and objectives.

Responsibilities

• Provides an overall definition of principal market requirements resulting in the formulation of the key strategies.
• Provides input to annual business plans for new/improved products, services, programs, business opportunities.
• Drive pharmacy benefit strategy and design.
• PBM relationship owner and oversight of PBM performance.
• Affirms the general effectiveness of cost reducing, service enhancing strategies, products, markets, and programs to increase business retention, ensure continued market responsiveness and improve customer satisfaction.
• Utilizes innovative solutions and constructive thinking to recognize product and market trends/directions within the industry to keep the Company on the leading edge of new products or markets.
• Identifies emerging market trends that may lead to product/service innovation.
• Collaborates with internal departments and other affected parties to help develop new/enhanced programs, products and services, promote overall business growth and manage pharmacy expense.
• Contributes to building physician incentive programs aimed at increasing pharmaceutical usage.
• Represents the Company as an Executive Officer to key customers and other external contacts.
• Stays abreast of pharmacy and payer industry changes.
• Negotiates and monitors contracts with outside vendors including PBM.
• Reviews and approves budgets for functional operations under his/her control and administers his/her functional operations in accordance with budgeted goals and plans.

Qualifications

• Doctor of Pharmacy Degree.
• 10 years progressive pharmacy leadership experience at a health plan or pharmacy benefit manager (PBM).
• Experience with Medicare/Commercial/ACA.
• Professional Certification(s): Registered Pharmacist in any state with unrestricted license and willingness to obtain Ohio License within 90 days.
• Technical Skills And Knowledge: Comprehensive knowledge of Ohio Medicare/ACA, Pharmacy Benefit Management (PBM), managed care pharmacy, and health plan operations, and the ability to apply advanced concepts to Companywide strategy, policies, and procedures.
• Knowledge of formulary management and Medicare Part B and D regulations and guidelines.
• Knowledge of Request for Proposal (RFP) and Administrative Services Only (ASO) pharmacy sales.
• Intermediate to advanced Microsoft Office (Word, Excel and PowerPoint) and pharmacy systems skills; basic proficiency with Visio, Access and QMF for Windows.

Benefits

• Annual bonus and Long-Term Incentive.
• 401(k) with company match up to 4% and an additional company contribution.
• Excellent medical, dental, vision, life and disability insurance.
• Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• Parental leave for eligible employees who become parents through maternity, paternity or adoption.
• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.