Location:
Work from home (Pennsylvania)
Shift:
Days (United States of America)
Scheduled Weekly Hours:
40
Worker Type:
Regular
Exemption Status:
Yes
Job Summary:
Leads pharmacy growth, sales, and market strategy across commercial health plans, employer groups, and PBM partnerships. As an organization's senior pharmacy expert, drives revenue through pharmacy benefit sales, PBM contracting, market differentiation, and strategic client engagement with employers, brokers, consultants, and PBMs.
Job Duties:
- Lead enterprise pharmacy sales strategy and drive revenue growth across commercial, employer, and PBM channels.
- Serve as the senior pharmacy leader in employer, broker, consultant, and client sales discussions.
- Partner with health plan sales teams to position pharmacy benefits as a key competitive differentiator.
- Develop and execute market growth strategies to expand employer and commercial business.
- Lead negotiations for PBM agreements, mail-order services, specialty pharmacy contracts, and distribution partnerships.
- Evaluate and optimize pharmacy channel economics, including pricing, rebates, margins, fees, and performance guarantees.
- Identify opportunities to expand specialty pharmacy access, limited distribution networks, and strategic partnerships.
- Design and commercialize innovative pharmacy products, benefit strategies, and cost-management solutions.
- Translate clinical pharmacy programs into marketable, financially compelling offerings for employers and health plan customers.
- Lead pharmacy strategy for RFP responses, employer proposals, finalist presentations, and contract negotiations.
- Collaborate with Finance, Actuarial, and Pharmacy leadership to develop pricing strategies, trend assumptions, and profitability targets.
- Monitor financial performance of pharmacy programs, contracts, and distribution channels to support growth and margin improvement.
- Provide pharmacy market intelligence and competitive insights to guide strategic planning and innovation.
- Partner with executive leadership to align pharmacy initiatives with enterprise growth, affordability, quality, and access goals.
- Build, lead, and develop a high-performing pharmacy sales and strategy team focused on accountability, innovation, and results.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Position Details:
- Required experience: Sevenyears in managed care pharmacy, PBM, health plan, or related industry; seven years of leadership experience
- Strongly preferred experience: Employer group sales and contracting, PBM negotiations and contracting, specialty pharmacy and distribution channel management, commercial insurance product development, pharmacy benefit design and pricing
Education:
Master's Degree- (Required), Master's Degree-Business Administration/Healthcare Management (Preferred)
Experience:
Minimum of 10 years-Pharmacy (Required), Minimum of 7 years-Managerial/Supervisory (Required)
Certification(s) and License(s):
Skills:
