Apply on Employer Site

AffirmedRx, a Public Benefit Corporation · 13 hours ago

Vice President, Pharmacy Clinical & Specialty Strategies

United States

Full-time

Onsite

Director/Executive

12+ years exp

AffirmedRx is on a mission to improve healthcare outcomes through pharmacy benefit management. The Vice President, Pharmacy Clinical & Specialty Strategies will shape and execute the pharmacy strategy, focusing on formulary management, specialty drug programs, and clinical policy development while leading a high-performing team and driving innovation.

Employee BenefitsHealth CarePharmaceutical

Responsibilities

Oversee teams creating and maintaining comprehensive formularies ensuring alignment with organizational goals and regulatory requirements

Ensure highest level of cross-functional collaboration to implement formulary changes seamlessly

Guide specialty pharmacy strategy, including pipeline forecasting, biosimilar adoption, and high-cost drug management

Provide thought leadership and expertise across Clinical regulatory compliance requirements in support of URAC and Quality Management initiatives

Remain abreast of industry trends, emerging therapies

Oversee development of drug coverage policies, prior authorization criteria, and utilization management protocols

Lead teams that manage the Pharmacy and Therapeutics committee meetings

Ensure materials created for Pharmacy and Therapeutics committee meetings are aligned with clinical guidelines and membership needs

Collaborate extensively with cross-functional teams to implement and monitor prior authorization protocols effectively

Support new Business Development activity, interfacing with current and prospective clients, providing clinical expertise and guidance

Lead initiatives to improve member outcomes and reduce total cost of care through innovative pharmacy programs

Build, lead, and inspire clinical teams comprised of Prior Authorizations, Clinical Operations, Formulary Strategies, and Medication Therapy Management fostering a collaborative and dynamic culture

Ensure accuracy and efficiency in formulary input and maintenance within the management system, holding the team to high standards of performance and precision

Utilize deep industry knowledge to influence and guide the strategic direction of formulary management, utilization management, and related initiatives

Manage strategic clinical relationships with key partners in the Pharmacy Benefits Management industry inclusive of vendor relationships and rebate aggregators

Leverage your experience in Managed Care, PBM or Clinical Pharmacy to navigate industry challenges, drive innovation, and shape the organization’s approach to formulary strategy

Provide Executive level Clinical expertise and client support to new business development opportunities in collaboration with the AffirmedRx Sales team inclusive of finalist meetings and contracting requirements

Qualification

PharmDPharmacist licenseManaged Care experiencePharmacy Benefit ManagementClinical Pharmacy expertiseAnalytical mindsetRegulatory compliance knowledgeDrug utilization managementPharmacy benefit designHealthcare trends knowledgeLeadership skillsCommunication skillsRelationship-building skillsTeam leadershipCollaboration skills

Required

PharmD required with an active and unrestricted Pharmacist license, not state specific

12-15+ years of industry experience in Managed Care, PBM, or Clinical Pharmacy

Demonstrated success in leadership roles, preferably in formulary development and management at a strategic level

Expertise in pharmacy benefit design, drug utilization management, and healthcare regulations

Strong strategic and analytical mindset, with the ability to translate complex data into actionable strategies

Exceptional leadership, communication, and relationship-building skills

A proactive, solution-oriented approach, paired with emotional intelligence, curiosity, and adaptability

Proven ability to collaborate effectively across functions, both internally and externally

In-depth understanding of pharmaceuticals, therapeutic categories, and evolving healthcare trends

Willingness to travel as needed (10%-20%)

Benefits

Health, dental, vision and other benefits

Company

AffirmedRx, a Public Benefit Corporation

AffirmedRx, PBC, is the only Public Benefit Corporation leading the next generation of Pharmacy Benefit Management solutions for employer groups, health plans, hospital groups and other payers.

Founded in 2021

San Francisco, California, USA

51-200 employees