Vice President, Clinical Pharmacy – PBM
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Job Description
Vice President leading clinical pharmacy programs for ProCare Rx’s pharmacy benefit management business. Overseeing utilization management, cost containment, client consulting, and clinical program innovation.
Responsibilities:
- Provide hands-on and client-facing clinical leadership for pharmacy benefit management programs
- Oversee PBM clinical areas, including rebate and clinical programs, step therapy, prior authorization, cost containment strategies, and Pharmacy & Therapeutics Committee participation
- Manage clinical staff and provide clinical oversight of therapeutic trends, utilization patterns, patient outcomes, and cost-management opportunities
- Ensure programs align with evidence-based medicine, FDA guidelines, URAC PBM Standards, and internal performance improvement requirements
- Partner with clients to establish clinical goals, deliver recommendations, and present performance reviews
- Serve as a subject matter expert for clinical discussions, client strategy sessions, and RFP/finalist activities
- Collaborate with client services, sales, and implementation teams on clinical program delivery, client support, and sales presentations
- Mentor clinical staff and contribute to professional development and high-quality client deliverables
- Monitor emerging therapies, regulatory changes, and PBM trends to inform program design and innovation
- Develop or enhance clinical programs and services, including specialty pharmacy and utilization management initiatives
- Lead industry thought leadership, publications, media engagements, conferences, and promotion of the organization’s clinical value proposition
Requirements:
- Bachelor’s degree in Pharmacy from an accredited college of pharmacy
- Minimum eight years of pharmacy practice experience required, in PBM, managed care, retail, or hospital settings
- Focused managed care experience preferred
- Experience collaborating with clients and internal teams on clinical program design and delivery
- Strong clinical acumen and ability to interpret and communicate healthcare trends
- Excellent staff management, communication, presentation, and client relationship skills
- Proven time management and organizational skills to manage multiple priorities
- Adaptable, collaborative, and solution-oriented
- Willingness to travel as needed
- Doctor of Pharmacy (PharmD) preferred
- MBA or other advanced degree a plus
- Knowledge of evidence-based medicine, FDA guidelines, and URAC PBM Standards
Benefits:
- Professional development and knowledge sharing opportunities
- Mentorship and support for clinical staff
- Willingness to travel as needed
- Equal Opportunity Employer
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