IEHP · 6 days ago
Vice President, Pharmacy
IEHP is dedicated to healing and inspiring the human spirit, and they are seeking a Vice President of Pharmacy to provide strategic direction and operational excellence across pharmacy-related functions. This role is responsible for ensuring access to safe, effective, and affordable medications for members while collaborating with executive peers and external partners to align pharmacy operations with strategic goals.
Responsibilities
Providing strategic direction, clinical oversight, and operational excellence across all pharmacy-related functions at IEHP
Accountable for pharmacy benefit design, formulary management, utilization strategies, specialty pharmacy oversight, and vendor partnerships
Ensuring pharmacy operations are aligned with IEHP’s mission to deliver quality, member-focused managed care
Ensuring full compliance with regulatory requirements (i.e., DHCS, DMHC, CMS and NCQA)
Driving improvements in optimization of Pharmacy Benefit Management (PBM) performance, cost-effective utilization, quality performance (NCQA, CMS Stars etc.), and population health
Collaborating cross-functionally with executive peers, clinical leaders, and external partners
Serving as a thought leader in pharmacy innovation, leveraging data, technology, and policy insights to shape the future of pharmacy services at IEHP for all lines of business
Incorporating IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation
Qualification
Required
Ten (10) or more years of experience of leading the strategic direction, operational efficiency, and financial performance of the pharmacy department. This role encompasses various responsibilities, including leading teams, managing budgets, ensuring compliance, and driving quality improvement initiatives
Ten (10) or more years of experience of senior level management, policy development and decision-making, with development and implementation of management best practices
Ten (10) or more years of experience of senior level management of a pharmacy benefit program spanning Medicare, Medi-Cal and Exchange
Ten (10) or more years of experience of Pharmacy Benefit Management (PBM) oversight (CMS and Commercial)
Doctor of Pharmacy or Medicine from an accredited institution required
Possession of an active, unrestricted, and unencumbered Registered Pharmacist license issued by the California State Board of Pharmacy required
Preferred
Master's degree in Business Administration, or related field, from an accredited institution preferred
Valid California Driver's License preferred
Benefits
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Life, short-term, and long-term disability options
Career advancement opportunities and professional development
Wellness programs that promote a healthy work-life balance
Flexible Spending Account – Health Care/Childcare
CalPERS retirement
457(b) option with a contribution match
Paid life insurance for employees
Pet care insurance
Company
IEHP
With a mission to heal and inspire the human spirit, Inland Empire Health Plan (IEHP) is one of the top 10 largest Medicaid health plans, the largest not-for-profit Medicare-Medicaid public health plan in the country, and for the fourth year in a row, certified as A Great Place To Work®.
Funding
Current Stage
Late StageTotal Funding
$32.38M2021-02-04Grant· $32.38M
Leadership Team
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