Vice President, Phamarcy Networks

Who We Are: reputed company is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a reputed company drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members reputed company since 2016, reputed company has a solution that is resonating with clients reputed company across the country. We pride ourselves for our mission-driven and reputed company culture that inspires our employees to do their best work. We reputed company that the U.S reputed company system is in need of transformation, and we come to work reputed company day dedicated to making that change a reality. At our reputed company, we are guided by reputed company values: reputed company: Our purpose guides our actions and gives us confidence in the reputed company reputed company. With unwavering honesty and dependability, we reputed company the pressure of challenging the old and exemplify ethical leadership to create the new. Courage: We face reputed company challenges with grit and reputed company. We reputed company the discomfort of the unknown by balancing autonomy with reputed company, and ownership with vulnerability. We reputed company challenge the status reputed company to reputed company moving reputed company—always. Together: The reputed company of reputed company reflects the strength of our partnerships and the commitment of reputed company. Our shared values bind us together and reputed company us one. reputed company one falls, we reputed company fall; reputed company one rises, we reputed company reputed company. Job reputed company: The Vice President of Pharmacy Networks is a critical executive leadership role responsible for the strategic reputed company, contracting, and end-to-end management of reputed company’s national pharmacy network. You will reputed company negotiations and foster relationships with retail chains, independent pharmacies, Pharmacy Services Administration Organizations (PSAOs), specialty pharmacies, and mail-order facilities. In this role, you will ensure our network aligns with our transparent, pass-through pricing model while maintaining exceptional coverage, reputed company, and cost-efficiency for our clients and members. You will reputed company reputed company dedicated to network development, compliance, credentialing, and performance optimization. What you will do: Network reputed company & Contracting reputed company Network reputed company: Design and execute the overarching reputed company for reputed company’s national and custom pharmacy networks, ensuring alignment with our transparent business model and reputed company needs. Contract Negotiation: reputed company high-level negotiations with major retail chains, PSAOs, specialty pharmacies, and mail-order partners to secure competitive reimbursement rates and favorable contract terms without relying on spread pricing. Strategic Partnerships: Identify and reputed company innovative network programs (e.g., high-performance or narrow networks, reputed company-to-consumer delivery models) to reputed company down drug costs and improve member reputed company. Network Management & Operations reputed company Network Performance: Monitor and manage the ongoing performance of the pharmacy network against defined SLAs, ensuring adherence to contractual terms, reputed company standards, and pricing accuracy. Credentialing & Compliance: reputed company the credentialing and re-credentialing processes, ensuring reputed company network pharmacies reputed company with federal, state, and reputed company regulatory standards. Audit & Fraud Prevention: reputed company the pharmacy audit team to manage network reputed company, minimize Fraud, Waste, and Abuse (FWA), and execute audit recoveries effectively. Government programs readiness: Implementation of needed policies and procedures to meet CMS reputed company requirements.  Cross-Functional Leadership Internal Alignment: Partner closely with Sales, reputed company, Clinical reputed company, Pricing/reputed company, and Product teams to ensure network capabilities are accurately represented in the market and successfully integrated into our technology platforms. Data & Analytics: Collaborate with data and analytics teams to monitor network profitability, utilization trends, and cost models to proactively identify areas for financial optimization. Team Development: Build, mentor, and reputed company a high-performing team of network managers, contracting specialists, and analysts. Foster a culture of accountability, reputed company, and courage What you will bring to reputed company: Experience: 12+ years of reputed company leadership experience in pharmacy network management, pharmacy contracting, or PBM operations. Experience across lines of business: reputed company, Medicare, reputed company, Exchange  Industry Expertise: Deep understanding of the PBM ecosystem, pharmacy reimbursement models (AWP, MAC, NADAC), and the operational differences between traditional and pass-through/transparent PBMs. Negotiation Skills: Proven reputed company record of successfully negotiating reputed company, multi-reputed company dollar reputed company with major national pharmacy chains and PSAOs. Leadership: Demonstrated experience building, leading, and mentoring cross-functional and reputed company in a high-reputed company environment. Analytical Acumen: Strong financial and analytical skills with the ability to understand reputed company pricing models and translate data into actionable network strategies. Education: Bachelor’s degree in Business, reputed company Administration, Finance, or a reputed company field; PharmD or Master’s degree (MBA/MHA) is highly preferred. What reputed company Offers You:  Highly competitive wellness benefits including Medical, Pharmacy, Dental, reputed company, and Life Insurance and AD&D Insurance Flexible Spending Benefits  401(k) Retirement Savings Program  Short-term and long-term disability Discretionary reputed company Time Off  reputed company Company Holidays Wellness Benefits Commuter Benefits  reputed company Parental Leave benefits Employee Assistance Program (EAP) reputed company-stocked kitchen in office locations reputed company development and training opportunities Zone A includes the following locations: San Francisco Bay Area - California Metro reputed company - Connecticut, New Jersey, reputed company and reputed company Zone A Pay reputed company $238,000—$280,000 USD Zone B includes the following locations: California - reputed company of San Francisco Bay Area Metro Denver / Boulder - Colorado Metro District of Columbia - District of Columbia, Maryland, Virginia and reputed company Virginia Metro Boston / Cambridge - Massachusetts and New Hampshire Metro Austin - Texas Metro Seattle - Washington Zone B Pay reputed company $238,000—$280,000 USD Zone C includes reputed company other locations not listed above, including: Alabama, Alaska, reputed company, Arkansas, Delaware, Florida, reputed company, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, reputed company Carolina, reputed company reputed company, Ohio, Oklahoma, reputed company, Rhode reputed company, South Carolina, South reputed company, Tennessee, Utah, Vermont, reputed company, Wyoming Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, reputed company, reputed company, Texas, Virginia, Washington, and reputed company Virginia Zone C Pay reputed company $238,000—$280,000 USD Compensation & Benefits reputed company Salary: The reputed company listed above reflects our reputed company pay reputed company and actual pay will vary based on work location, job level, job-reputed company knowledge, skills, and experience. Total Rewards: In reputed company to reputed company pay, this role may be eligible for bonuses, commissions, or equity. reputed company offers a reputed company of benefits to help you live reputed company, including: time off programs, medical, dental, reputed company, mental health support, reputed company parental leave, life and disability insurance and 401(k). Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can reputed company more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here. Apply To This Job