Define and execute enterprise network, payer, contracting, underwriting, and operational strategies across the PBM business.
Establish vision, set priorities, design scalable governance and processes, and allocate resources to achieve financial, operational, and growth objectives.
Drive enterprise level planning, payer and network strategy, portfolio performance, and market differentiation.
Oversee large chain pharmacy network contracting, PBM Underwriting, and client pricing strategy.
Manage departmental Profit & Loss (P&L), including revenue, administrative expense management, and margin optimization.
Lead payer and network contracting vision, strategy, and governance framework across all segments including Medicare and Medicaid.
Provide executive leadership for high-stakes national and regional payer negotiations, and ensure compliance with all legal and regulatory requirements.
Partner with peer leaders to lead strategic planning, market analysis and budgeting.
Requirements
BA/BS degree or equivalent plus 10+ years related experience and 8+ years SME experience
If leadership is required, 4+ years supervisory experience preferred, or approved MedImpact leadership alternative pathway.
Advanced skill set in MS Office, Teams, Word, Excel, PowerPoint, Project, and Outlook
Recognized Subject Matter Expert in Pharmacy Network and Payer Contracting within the PBM industry.
Deep expertise in MAC pricing, reimbursement models, payer economics, and network strategy.
Proven success with full P&L accountability, including revenue, COGS, and operating expense control.
Advanced knowledge of PBM underwriting methodologies and financial modeling.
Strong executive presence, negotiation skills, and ability to lead complex multi stakeholder initiatives.
Proficiency in Microsoft Office Suite and data driven decision making tools.