Vice President, Pharmacy Clinical & Specialty Strategies
AffirmedRx, a Public Benefit Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Lead
About the role
- 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
Requirements
- 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
- To impact industry change in the pharmacy benefits management space, while delivering the highest quality patient outcomes
- To work in a culture where people thrive because when OUR team thrives, OUR business thrives
- Competitive compensation, including equity, with health, dental, vision and other benefits
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
formulary developmentdrug utilization managementpharmacy benefit designpipeline forecastingbiosimilar adoptionhigh-cost drug managementprior authorization criteriautilization management protocolsclinical regulatory complianceclinical expertise
Soft skills
leadershipcommunicationrelationship-buildingstrategic mindsetanalytical skillssolution-oriented approachemotional intelligencecuriosityadaptabilitycollaboration
Certifications
PharmDactive and unrestricted Pharmacist license