Vice President of Implementation overseeing deployment of OneRail’s delivery orchestration platform for enterprise customers. Leading team and ensuring technical excellence in implementations.
About the role
- Vice President of Pharmacy overseeing pharmacy-related functions at IEHP. Responsible for strategic direction, compliance, and operational excellence in medication access for members.
Responsibilities
- Providing strategic direction, clinical oversight, and operational excellence across all pharmacy-related functions at IEHP.
- Ensuring members have access to safe, effective, and affordable medications.
- Accountable for pharmacy benefit design, formulary management, utilization strategies, specialty pharmacy oversight, and vendor partnerships.
- Ensuring pharmacy operations are aligned with IEHP’s mission.
- Collaborates cross-functionally with executive peers, clinical leaders, and external partners to align pharmacy operations with strategic goals, fiscal stewardship, and commitment to health equity.
- Serves 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.
- Drives improvements in optimization of Pharmacy Benefit Management (PBM) performance, cost-effective utilization, quality performance, and population health.
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.
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
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