Senior Vice President, Pharmacy

Caresource Dayton , OH 45401

Posted 3 weeks ago

Role and Responsibility:

  • Analyze and review pharmacy utilization and cost data for all lines of business; identify issues and determine ways to improve

  • Responsible for the three to five year strategy and vision

  • Develop and maintain the PDL (Preferred Drug List)

  • Serve as CareSource liaison to our provider community, including our regulators as well as our physician providers. Engage and meet providers' needs

  • Represent Pharmacy on designated internal and external company-wide committees responsible for risk management, strategic and financial oversight.

  • Responsible for Executive level oversight of PBM relationship as well as key vendors continuously assess whether contract requirements and business needs are met

  • Assure excellence in operational functions

  • Maintain and create superior work force and working environment

  • Create and lead strategic approach for pharmaceutical contracting

  • Continuously review and improve business workflows to produce scalable processes for future growth; processes will be supported by policies and procedures and workflow documentation

  • Achieve excellence and be a thought leader in operations/workflow

  • Complete employee evaluations and maintain discipline as needed

  • Design and implement programs to reduce cost of pharmaceuticals, to improve the quality of services

  • Oversee Directors within pharmacy responsible for various areas within pharmacy including specialty pharmacy, operations, Medicare operations, Formulary operations, retail pharmacy strategies and Clinical Initiatives

  • Support HEDIS and other corporate wide requirements

  • Adapt and drive implementation of new business opportunities

  • Executive oversight of medication therapy management and other clinical programs

  • Support and lead direct contracting

  • Perform any other job related instructions, as requested


Education / Experience:

  • Completion of an accredited degree program (PharmD or BS and Masters ) is required

  • Ten to Fifteen (10-15) years of pharmacy experience is required

  • Seven to ten (7-10) years of Managed Care experience is required

  • Seven to ten (7-10) years of managerial experience is required

Required Competencies / Knowledge /

  • Beginning level Microsoft Word, PowerPoint and Excel Proficiency

  • Strategic and forward thinking; ability to lead within a matrixed organization

  • Strong leadership and management skills

  • Expertise in a variety of Pharmacy/Healthcare topics, to include: Specialty pharmacy, Medicare products (e.g. Part D), Medicaid, HEDIS, and Accreditation (NCQA, URAC)

  • Strong operational skills

  • Retail pharmacy operations

  • Knowledge of pharmaceutical regulations

  • Strong financial background

  • Strong interpersonal skills

  • Pharmaceutical industry and its trends

  • Strong communication skills

  • People management skills

  • Ability to work independently and within a team environment

  • Attention to detail and follow through

  • Expertise within healthcare field

  • Critical listening and thinking skills

  • Training/teaching skills

  • Negotiation skills/experience

  • Proper phone etiquette

  • Customer service oriented

  • Decision making/problem solving skills

  • Collaboration skills

Licensure / Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit/stand for long periods of time

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Senior Vice President, Pharmacy