Vice President, Network & PBM Strategy

🕒 Julho 13

🏄 California – Remoto

🏄 California – Remote

💵 $180.242 - $337.053 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

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MedImpact Healthcare Systems, Inc.

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 1988

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 $1.400.000 Seed Round em 2013-09

Consulting • Insurance • Logistics

MedImpact Healthcare Systems, Inc. é uma administradora de benefícios de farmácia que trabalha com planos de saúde para tornar os benefícios de farmácia mais acessíveis e acessíveis para os membros. A empresa atende a mais de 20 milhões de membros e lida com mais de US$ 40 bilhões anualmente em transações de farmácia. A MedImpact oferece uma variedade de serviços, incluindo lembretes de medicação, entrega em domicílio e mais, para capacitar os indivíduos a gerenciar suas prescrições de forma eficaz. Ao aproveitar a tecnologia e os recursos, a MedImpact visa oferecer uma melhor escolha no mercado de benefícios de farmácia e apoia soluções de saúde para garantir o acesso conveniente e confiável a medicamentos para seus membros.

Descrição

• Define and execute enterprise network, payer, contracting, underwriting, and operational strategies across the PBM business. • Establish vision, set priorities, design scalable governance and processes, and allocate resources to achieve financial, operational, and growth objectives. • Drive enterprise level planning, payer and network strategy, portfolio performance, and market differentiation. • Oversee large chain pharmacy network contracting, PBM Underwriting, and client pricing strategy. • Manage departmental Profit & Loss (P&L), including revenue, administrative expense management, and margin optimization. • Lead payer and network contracting vision, strategy, and governance framework across all segments including Medicare and Medicaid. • Provide executive leadership for high-stakes national and regional payer negotiations, and ensure compliance with all legal and regulatory requirements. • Partner with peer leaders to lead strategic planning, market analysis and budgeting.

🎯 Requisitos

• BA/BS degree or equivalent plus 10+ years related experience and 8+ years SME experience • If leadership is required, 4+ years supervisory experience preferred, or approved MedImpact leadership alternative pathway. • Advanced skill set in MS Office, Teams, Word, Excel, PowerPoint, Project, and Outlook • Recognized Subject Matter Expert in Pharmacy Network and Payer Contracting within the PBM industry. • Deep expertise in MAC pricing, reimbursement models, payer economics, and network strategy. • Proven success with full P&L accountability, including revenue, COGS, and operating expense control. • Advanced knowledge of PBM underwriting methodologies and financial modeling. • Strong executive presence, negotiation skills, and ability to lead complex multi stakeholder initiatives. • Proficiency in Microsoft Office Suite and data driven decision making tools.

🏖️ Benefícios

• Medical / Dental / Vision / Wellness Programs • Paid Time Off / Company Paid Holidays • Incentive Compensation • 401K with Company match • Life and Disability Insurance • Tuition Reimbursement • Employee Referral Bonus