VP Pharmacy Management

Medical Mutual•Cleveland, OH

4h•Hybrid

About The Position

Develops and maintains strategies to manage pharmaceuticals that produce the best outcomes at the lowest cost. Creates plans for managing and measuring pharmacy utilization. Collaborates with various internal areas to plan, direct, and analyze pharmacy management and business development opportunities, analyze existing products, and identify emerging/leading edge products, services, or markets. Recommends a portfolio of market sensitive and cost-efficient products or services that support the Company's financial viability, marketability, maximum sales volume, and market share in accordance with corporate goals and objectives.

Requirements

Doctor of Pharmacy Degree.
10 years progressive pharmacy leadership experience at a health plan or pharmacy benefit manager (PBM).
Experience with Medicare/Commercial/ACA.
Registered Pharmacist in any state with unrestricted license and willingness to obtain Ohio License within 90 days.
Comprehensive knowledge of Ohio Medicare/ACA, Pharmacy Benefit Management (PBM), managed care pharmacy, and health plan operations, and the ability to apply advanced concepts to Companywide strategy, policies, and procedures.
Knowledge of formulary management and Medicare Part B and D regulations and guidelines.
Knowledge of Request for Proposal (RFP) and Administrative Services Only (ASO) pharmacy sales.
Intermediate to advanced Microsoft Office (Word, Excel and PowerPoint) and pharmacy systems skills; basic proficiency with Visio, Access and QMF for Windows.
Ability to communicate and present to various internal and external audiences, including top management and board members.

Responsibilities

Provides an overall definition of principal market requirements resulting in the formulation of the key strategies.
Provides input to annual business plans for new/improved products, services, programs, business opportunities.
Drive pharmacy benefit strategy and design.
PBM relationship owner and oversight of PBM performance.
Assesses the general effectiveness of cost reducing, service enhancing strategies, products, markets, and programs to increase business retention, ensure continued market responsiveness and improve customer satisfaction.
Utilizes innovative solutions and constructive thinking to recognize product and market trends/directions within the industry to keep the Company on the leading edge of new products or markets.
Identifies emerging market trends that may lead to product/service innovation.
Collaborates with internal departments and other affected parties to help develop new/enhanced programs, products and services, promote overall business growth and manage pharmacy expense.
Contributes to building physician incentive programs aimed at increasing pharmaceutical usage.
Represents the Company as an Executive Officer to key customers and other external contacts.
Stays abreast of pharmacy and payer industry changes.
Negotiates and monitors contracts with outside vendorsincluding PBM.
Reviews and approves budgets for functional operations under his/her control and administers his/her functional operations in accordance with budgeted goals and plans.
Performs other duties as assigned.

Benefits

On-site fitness centers
Gym membership reimbursement
On-site cafeteria
Discounts at many places in and around town
Opportunity to earn cash rewards for shopping with our customers
Business casual attire, including jeans
Annual bonus and Long-Term Incentive
401(k) with company match up to 4% and an additional company contribution
Health Savings Account with a company matching contribution
Medical, dental, vision, life and disability insurance
Employee Assistance Program
Company holidays
Up to 16 PTO days during the first year of employment with options to carry over unused PTO time
Parental leave for eligible employees who become parents through maternity, paternity or adoption
Career development programs and classes
Mentoring and coaching
Tuition reimbursement up to $5,250 per year
Diverse, inclusive and welcoming culture with Business Resource Groups