VP, Pharmacy Operations POST NUMBER: 458114
Overview:
Hiring a VP, Pharmacy Operations that will have a strategic focus on formulary strategy, Medicare Part D compliance, reporting and performance management. Opportunity to create processes and procedures from the ground up
Responsibilities:
- Ensure full compliance with federal and state healthcare regulations, including CMS requirements for Medicare Part D, while managing internal controls, reporting, and audit processes to maintain regulatory readiness.
- Attract, build, and lead a high-performing PBM team, fostering a culture of excellence, accountability, and continuous improvement to meet strategic, operational, and financial goals.
- Develop and oversee all core PBM functions, including claims adjudication, pharmacy network contracting, formulary design and management, drug utilization review (DUR), prior authorization protocols, specialty pharmacy services, and coordination with the Pharmacy & Therapeutics (P&T) Committee.
- Establish strategic partnerships with pharmaceutical manufacturers, pharmacy networks, and internal stakeholders to support access, affordability, and clinical effectiveness.
- Design and implement innovative pricing, rebate, and contracting strategies to optimize cost savings and deliver value-based pharmacy care without compromising quality.
- Champion service excellence and innovation, identifying and integrating industry best practices, technologies, and clinical programs to improve member experience, drive operational efficiency, and reduce pharmacy spending.
- Strong knowledge of PBM business models, rebate structures, formularies and cost management strategies.
- Excellent understanding of healthcare regulatory compliance and pharmacy laws.
- Strong financial acumen with the ability to develop pricing strategies and manage P&L.
- Demonstrated ability to lead cross-functional teams and drive large-scale initiatives.
- Bachelor’s Degree in Pharmacy/PharmD
- Must have strong Medicare Part D experience
- 5 years of leadership-level experience and documented record of success in pharmacy pricing negotiations
- Knowledgeable and experienced in Pharmacy operations, systems, technology, and vendors
- Strong financial acumen and PBM knowledge (pricing, rebate, formulary)
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Privacy Notice
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
- California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
- Virginia residents may access our state specific policies here.
- Residents of all other states may access our policies here.
- Canadian residents may access our policies in English here and in French here.
- Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
- the individual’s skill sets, experience and training;
- licensure and certification requirements;
- office location and other geographic considerations;
- other business and organizational needs.
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.