Vice President, Network & PBM Strategy

🕒 July 13

🏄 California – Remote

🏄 California – Remote

💵 $180.2k - $337.1k / year

⏰ Full Time

🔴 Lead

👔 Vice President

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MedImpact Healthcare Systems, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1988

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 $1.4M Seed Round on 2013-09

Consulting • Insurance • Logistics

MedImpact Healthcare Systems, Inc. is a pharmacy benefit manager that works with health plans to make pharmacy benefits more accessible and affordable for members. The company serves over 20 million members and handles more than $40 billion annually in pharmacy transactions. MedImpact provides a variety of services including medication reminders, home delivery, and more to empower individuals to manage their prescriptions effectively. By leveraging technology and resources, MedImpact aims to offer a better choice within the pharmacy benefits market and supports health solutions in ensuring convenient and reliable access to medications for its members.

📋 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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