Vice President, Network & PBM Strategy

🕒 il y a 26 jours

🏄 California – Distant

🏄 California – Remote

💵 $180 242 - $337 053 / an

⏰ Temps Plein

🔴 Expert

👔 Vice-président

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MedImpact Healthcare Systems, Inc.

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 1988

💼 Conseil

🛡️ Assurance

📦 Logistique

💰 €1 400 000 Seed Round en 2013-09

Consulting • Insurance • Logistics

MedImpact Healthcare Systems, Inc. est un gestionnaire de prestations pharmaceutiques qui collabore avec les régimes de santé pour rendre les avantages pharmaceutiques plus accessibles et abordables pour les membres. L'entreprise dessert plus de 20 millions de membres et gère chaque année plus de 40 milliards de dollars de transactions pharmaceutiques. MedImpact offre une variété de services, y compris des rappels de médicaments, la livraison à domicile, et bien d'autres, pour permettre aux individus de gérer efficacement leurs prescriptions. En exploitant la technologie et les ressources, MedImpact vise à offrir un meilleur choix sur le marché des avantages pharmaceutiques et soutient les solutions de santé en assurant un accès pratique et fiable aux médicaments pour ses membres.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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