Overview
Remote
$240000
Full Time
Job Details
100% remote in US, EST Hours
Overview:
Hiring a VP, Pharmacy Operations that will have a strategic focus on formulary strategy, Medicare Part D compliance, reporting and performance management. Opportunity to create processes and procedures from the ground up
Responsibilities:
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.
Overview:
Hiring a VP, Pharmacy Operations that will have a strategic focus on formulary strategy, Medicare Part D compliance, reporting and performance management. Opportunity to create processes and procedures from the ground up
Responsibilities:
- Ensure full compliance with federal and state healthcare regulations, including CMS requirements for Medicare Part D, while managing internal controls, reporting, and audit processes to maintain regulatory readiness.
- Attract, build, and lead a high-performing PBM team, fostering a culture of excellence, accountability, and continuous improvement to meet strategic, operational, and financial goals.
- Develop and oversee all core PBM functions, including claims adjudication, pharmacy network contracting, formulary design and management, drug utilization review (DUR), prior authorization protocols, specialty pharmacy services, and coordination with the Pharmacy & Therapeutics (P&T) Committee.
- Establish strategic partnerships with pharmaceutical manufacturers, pharmacy networks, and internal stakeholders to support access, affordability, and clinical effectiveness.
- Design and implement innovative pricing, rebate, and contracting strategies to optimize cost savings and deliver value-based pharmacy care without compromising quality.
- Champion service excellence and innovation, identifying and integrating industry best practices, technologies, and clinical programs to improve member experience, drive operational efficiency, and reduce pharmacy spending.
- Strong knowledge of PBM business models, rebate structures, formularies and cost management strategies.
- Excellent understanding of healthcare regulatory compliance and pharmacy laws.
- Strong financial acumen with the ability to develop pricing strategies and manage P&L.
- Demonstrated ability to lead cross-functional teams and drive large-scale initiatives.
- Bachelor’s Degree in Pharmacy/PharmD
- Must have strong Medicare Part D experience
- 5+ years of leadership-level experience and documented record of success in pharmacy pricing negotiations
- Knowledgeable and experienced in Pharmacy operations, systems, technology, and vendors
- Strong financial acumen and PBM knowledge (pricing, rebate, formulary)
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.
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