Senior Vice President, Pharmacy

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Develop and execute a comprehensive pharmacy strategy aligned with company objectives, regulatory requirements, and market dynamics
Partner with executive leadership on long-term strategies for affordability, risk management, and competitive differentiation in pharmacy benefit design
Serve as a thought leader on emerging trends in pharmacy (e.g., biosimilars, gene therapies, specialty drug management, value-based contracting)
Oversee all aspects of pharmacy operations, including formulary development, utilization management, and clinical pharmacy programs
Lead relationships with PBMs, specialty pharmacies, and other strategic vendors, ensuring strong performance, compliance, and financial accountability
Ensure pharmacy programs are member-centered, clinically sound, cost-effective, and operationally efficient
Drive strategies to manage drug trends and medical/pharmacy integration, balancing affordability with access and quality of care
Partner with Actuarial, Finance, and Product teams to forecast pharmacy spend and inform pricing, product design, and value-based initiatives
Oversee development of innovative contracting models with pharmaceutical manufacturers, including outcomes-based agreements
Maintain oversight of pharmacy reporting, audits, and risk management processes
Build and lead a high-performing pharmacy team across clinical, operational, and strategic functions
Foster a culture of innovation, collaboration, and accountability

15+ years of progressive leadership experience in pharmacy benefit management, health plan pharmacy operations, or related healthcare environment
Deep knowledge of PBM relationships, formulary management, specialty pharmacy, and medical-pharmacy integration
Proven ability to design and execute strategies that deliver both clinical and financial outcomes
Strong executive presence, with the ability to influence boards, regulators, and industry stakeholders
Exceptional leadership skills with a track record of building and scaling high-performing teams
Advanced degree in Pharmacy (PharmD or equivalent); active pharmacist license strongly preferred
Experience overseeing pharmacy operations, formulary development, utilization management, and clinical pharmacy programs
Experience leading relationships with PBMs, specialty pharmacies, and other strategic vendors
Experience with forecasting pharmacy spend, partnering with Actuarial/Finance/Product teams
Experience with innovative contracting models, including outcomes-based agreements
Previous experience at a high growth company (extra credit)