Vice President, PBM Management

📋 Description

• Own the overall Medicare Advantage pharmacy strategy, aligning PBM management and pharmacy
• Lead the primary PBM relationship, driving contractual performance, service levels, cost
• Develop and execute formulary strategies that balance clinical quality, member experience
• Oversee PBM contractual compliance, vendor performance, and adherence to applicable CMS
• Identify and execute opportunities for pharmacy spend management, financial optimization, and
• Build, lead, and develop a pharmacy team responsible for supporting critical PBM and vendor

🎯 Requirements

• Significant experience leading pharmacy strategy within a Medicare Advantage plan or similarly
• Deep experience managing PBMs and pharmacy vendors, including contract oversight, performance
• Strong understanding of formulary management, PBM contract enforcement, CMS requirements, pharmacy
• Demonstrated ability to balance clinical quality, member experience, affordability, and financial
• Executive-level communication and influence skills, with the ability to present strategic
• Strong experience negotiating, managing, and enforcing complex contracts and translating

🎁 Benefits

• Base salary range of $278,000–$320,000 USD.
• Equity opportunities.
• Performance-based bonus program.
• 401(k) plan with employer matching.
• Regular compensation reviews.
• Comprehensive medical, dental, and vision coverage.