Vice President, Pharmacy
IEHP
full-time
Posted on:
Location Type: Hybrid
Location: Rancho Cucamonga • California • 🇺🇸 United States
Visit company websiteSalary
💰 $280,842 - $393,182 per year
Job Level
Lead
About the role
- Develop and lead the execution of IEHP’s enterprise-wide pharmacy strategy to support and advance clinical excellence, affordability, and member satisfaction across all lines of business.
- Develop and implement a pharmacy strategy aligned with organizational goals for Medi-Cal, Medicare, and Exchange lines of business.
- Serve as a strategic partner to leaders across Provider Services, Quality, Case Management, Finance, and Actuarial to drive improved member health, experience operations and pharmacy innovation.
- Represent the pharmacy department in cross-functional meetings, regulatory discussions, and industry forums.
- Lead innovation in pharmacy benefit models, including value-based care and outcomes-driven programs.
- Oversee pharmacy financial performance, including budget development, forecasting, and strategic cost management.
- Identify and implement cost containment strategies that preserve clinical integrity, member access, and high-quality care.
- Monitor and respond to drug spend trends, including specialty and advanced therapies, and implement strategies to mitigate rising costs.
- Lead strategy and oversight in coordination with Medical Policy for specialty pharmacy treatments, including biologics, oncology, and rare disease treatments.
- Design, develop, and manage innovative programs for cell and gene therapies, ensuring appropriate utilization, affordability, and member access.
- Collaborate with providers, manufacturers, and regulators to establish evidence-based pathways and coverage policies for advanced therapies.
- Monitor emerging therapies and proactively design coverage policies to balance innovation with sustainability.
- Lead and mentor pharmacy leadership teams, fostering a culture of innovation and accountability.
- Build cross-functional collaboration across medical management, quality, and provider relations.
- Represent IEHP in industry forums, regulatory discussions, and community partnerships.
Requirements
- 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.
- Senior level management, policy development and decision-making, with development and implementation of management best practices.
- Senior level management of a pharmacy benefit program spanning Medicare, Medi-Cal and Exchange.
- Pharmacy Benefit Management (PBM) oversight (CMS and Commercial).
- Doctor of Pharmacy or Medicine from an accredited institution required.
- Master’s degree in Business Administration, or related field, from an accredited institution preferred.
- Possession of an active, unrestricted, and unencumbered Registered Pharmacist license issued by the California State Board of Pharmacy required.
- Valid California Driver’s License preferred.
- Expert comprehensive knowledge and understanding of:
- CMS, DHCS, DMHC and NCQA pharmacy regulations.
- Business principles and techniques of administration, organization, and management within the healthcare industry.
- Strategic and operational planning.
- Personnel administration.
- Federal and state of California healthcare statutes, regulations, and rules.
- Healthcare industry trends.
- Negotiating with various pharmacy industry stakeholders.
- Technical understanding of Health Plan Part D requirements including, but not limited to, drug plan customer service, member complaints, member experience, and drug safety and accuracy of drug pricing.
- Understanding in building high performing teams, as well as leading teams.
- Knowledge of computers including Microsoft Office (Word, Excel, PowerPoint) and reporting, database, analytics applications.
- Strong managerial, motivational, and presentation skills.
- Clinical data analysis and trending skills.
- Training, teaching, and mentoring skills.
- Decision making and problem-solving skills.
- Skilled in supervising and leading high performing teams to meet deadlines.
- Superior communication skills, at all levels of the organization, including writing and presentation skills.
- Attention to detail.
- Ability to work independently and within a team environment.
- Change agent.
- Customer service orientation.
Benefits
- Competitive salary
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
pharmacy strategy developmentbudget managementpharmacy benefit managementclinical data analysiscost containment strategiesvalue-based careoutcomes-driven programsspecialty pharmacy treatmentscell and gene therapieshealth plan Part D requirements
Soft skills
leadershipstrategic planningteam buildingcommunicationproblem-solvingmentoringnegotiationattention to detailcustomer service orientationchange management
Certifications
Doctor of PharmacyRegistered Pharmacist licenseMaster’s degree in Business Administration