Vice President of Pharmacy Operations

The Company is in search of a strategic Vice President of Pharmacy Operations to spearhead the establishment and management of its in-house pharmacy benefit management (PBM) function. The successful candidate will be responsible for leading the transition from outsourced PBM services to an internally managed model, with a focus on building the necessary processes, infrastructure, and team for long-term success. This role is pivotal in overseeing core PBM functions, including claims adjudication, pharmacy network contracting, formulary management, and drug utilization review, as well as ensuring compliance with Medicare Part D responsibilities. The VP will also be tasked with developing and executing strategies to optimize pharmacy costs, improve member experience, and strengthen compliance. Applicants must have a minimum of 5 years' experience in Medicare Part D, at least 5 years in a leadership role with a proven track record in pharmacy pricing negotiations, and a Bachelor's degree in a relevant field. Strong knowledge of PBM business models, healthcare regulatory compliance, and financial acumen is essential. The ideal candidate will be a process-driven leader with the ability to build and lead a high-performing team, and will be adept at collaborating across various functions. A background in pharmacy or an advanced degree such as an MBA is preferred. The role requires a candidate who can balance strategic vision with practical execution, and who is adept at driving operational improvements within a decentralized organization.