Vice President, Network & PBM Strategy

🔥 8 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $180.2k - $337.1k / year

⏰ Full Time

🔴 Lead

👔 Vice President

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

MedImpact Healthcare Systems, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1988

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

💰 $1.4M Seed Round on 2013-09

Healthcare Insurance • Pharmaceuticals • SaaS

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