Chief Operating Officer, Pharmacy Management

About the position

As Chief Operating Officer, Pharmacy Management, you will be responsible for the direct leadership and oversight of the Pharmacy management department. Focused on deriving overall pharmacy value with an emphasis on access to high quality, cost efficient therapies, you will need to be capable of leading diverse teams and working in a highly matrixed organization. The Chief Operating Officer, Pharmacy Management leads the development of the pharmacy management strategy - including improving the synergy between medical and pharmacy programs and benefits. In this role, you will translate an integrated pharmacy value story to internal and external stakeholders to increase pharmacy benefit carve-in by self-funded employer groups and optimization of the pharmacy program for all lines of business. Additional responsibilities include improving planning and coordination between all management levels, partnering on the development of innovative pharmacy cost containment efforts, and working collaboratively with senior leaders and numerous internal partners. The Chief Operating Officer, Pharmacy Management sets policy and direction for the Pharmacy area and mitigates challenges.

Responsibilities

• Responsible for developing and overseeing the implementation and success of the Pharmacy Strategic plan and business initiatives.
• Contributes to the organization's overall strategy and goals by providing consistent, innovative leadership to the Pharmacy area and ensure interconnected performance with other teams and divisions.
• Responsible for leading the Pharmacy Benefit Management (PBM) oversight process and ensuring contractual obligations are being met.
• Provides overall leadership, direction and decision-making for the pharmacy drug cost/trend management and quality-improvement strategies.

Requirements

• Bachelor's degree in a job related field.
• Ten (10) years of practice experience with a health plan's pharmacy services, managed care pharmacy environment, and/or retail or hospital pharmacy service.
• Five (5) years of practice experience with pharmacy services and pharmacy benefit management (PBM) contracting for delegated functions and services.
• Five (5) years of experience managing pharmacy teams or staff.
• Proficient in the principles and practices of managed care pharmacy.
• Broad based knowledge in a variety of pharmacy disciplines.
• Knowledge of Medicare and Medicaid regulations and guidelines regarding pharmacy benefits, coverage determinations, network management, and performance metrics.
• Knowledge of contract negotiations and drivers of drug spending/funding.
• Knowledge of health plan pharmacy operations and PBM operations, functionality, and capabilities.
• Demonstrated experience with integration of pharmacy management with clinical operations.
• Highly organized and process driven.

Nice-to-haves

• PharmD or Master's Degree in Finance, Accounting, or Economics.
• 10+ years of practice experience with a health plan pharmacy services, managed care pharmacy environment, and/or retail or hospital pharmacy service.
• Experience with financial aspects of pharmacy agreements including underwriting and structuring of deals.
• Eight (8) years of practice experience with pharmacy services and pharmacy benefit management (PBM) contracting for delegated functions and services.
• Eight (8) years of experience managing pharmacy teams or staff.
• Executive level presentation skills.

Benefits

• Subsidized health plans, dental and vision coverage.
• 401k retirement savings plan with company match.
• Life Insurance.
• Paid Time Off (PTO).
• On-site cafeterias and fitness centers in major locations.
• Education Assistance.
• Service Recognition.
• National discounts to movies, theaters, zoos, theme parks and more.