Vice President, Clinical Pharmacy

Sedgwick

1d•$140,000 - $165,000

About The Position

This role directs the pharmacy benefit management (PBM) companies who are vendor partners with Sedgwick in all aspects of day-to-day activities, including managing the team of colleagues who operationally interact with the PBMs. The position also directs the team of pharmacists who provide direction and guidance to complex pharmacy management and pharmacy utilization review nurses and physicians on proper prescribing and weaning protocols. The ideal candidate thrives in a collaborative environment and is driven to deliver great work.

Requirements

PharmD degree from an accredited university or school of pharmacy preferred or Bachelor’s degree with commensurate experience in PBM management and health care benefit knowledge.
Active unrestricted license to practice pharmacy as a PharmD or clinical pharmacist in at least one state in the United States preferred.
Ten (10) years of related experience or equivalent combination of education and experience required to include two (2) years of recent clinical practice experience and two (2) years of management experience.
Workers' Compensation industry experience preferred.
Knowledge of current pharmacy trends and alternative resources and treatments in out-patient and alternative care settings
Substantial workers’ compensation pharmacy background and command of the WC managed care landscape
Demonstrated client-facing experience with senior stakeholders
Strong analytical skills, with the ability to interpret claims and book-of-business data to inform strategy
Track record of pharmacy program leadership, development, quality improvement, and innovation
Recognized or emerging thought leader, comfortable representing an organization externally
Executive-level presence, communication, and cross-functional leadership skills
Understands how the brand drug rebate process works and if there is a potential to provide this back to clients
Knowledge of utilization management
Knowledge of workers' compensation
Analytical and interpretive skills
Proven management/leadership skills
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Excellent interpersonal skills
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Responsibilities

Provide senior, VP-level leadership across the pharmacy program, shaping strategy, direction, quality and performance.
Bring deep workers' compensation pharmacy expertise across program strategy, design, clinical decision-making, and complex pharmacy management.
Act as a client-facing leader, partnering directly with clients, representing pharmacy strategy in engagements, and translating program capabilities into client value.
Own the review, refinement, and continuous improvement of pharmacy programs, elevating consistency, quality, defensibility, and outcomes.
Provide analysis of claims data and book-of-business metrics, translating trends into actionable strategy.
Serve as an external thought leader, representing the organization in industry forums and strengthening its market reputation.
Partner cross-functionally with operational, clinical, and business leaders to align pharmacy strategy with organizational objectives.
Works with pharmacy benefit managers on pricing models, reporting and specific program development such as the development of a pharmacy benefit network (PBN), new formularies and creating new and improved edits to custom triggers.
Works with client services to create custom reporting for large clients; meets with clients to explain complexities of the program and demonstrate the benefits.
Strategically supports our pharmacy benefit management vendor partnerships and the Sedgwick team who operationally support the product for clients.
Prepares and delivers presentations for national conferences and client meetings.
Stays ahead of the marketplace and assists client services in maintaining client relationships by clarifying offerings, value of products and defining real savings.
Responsible for understanding the entire workers compensation pharmacy industry landscape and what that means to Sedgwick and clients.
Works directly with clients and client services to develop solutions and discusses formularies and current pharmacy issues and trends in the industry.
Responsible for determining the feasibility of bringing pharmacy benefit services as a Sedgwick offering; conducts research and determines if there is a business case.
Delves into the details of pharmacy networks and pushes vendor partners to offer a transparent cost model with potential to have insight into rebates.
Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
Provides support, guidance, leadership and motivation to promote maximum performance.