VP, PBM & Payor Contracting
BrightSpring Health Services
Our Company
PharMerica
Overview
The Vice President of PBM and Payor Contracting is a senior leadership role responsible for developing, leading, and executing the Company’s contracting strategy with Pharmacy Benefit Managers (PBMs), health plans, and other third-party payors. This position will drive revenue and market access by securing advantageous contract terms, managing key relationships, and leading a high-performing team.
Responsibilities
+ Develops and implements a comprehensive payor and PBM contracting strategy that aligns with the Company’s overall strategic goals, financial objectives, and market access priorities
+ Leads or directs the negotiation and execution of contracts with national and regional PBMs, managed care organizations (MCOs), health insurance plans, and other payors to ensure optimal reimbursement rates, favorable formulary positioning for preferred Company’s preferred formulary, and viable terms
+ Builds, maintains, and strengthens long-term strategic relationships with key executives and decision-makers within payor organizations, PBMs, and trade associations
+ Oversees the financial analysis and modeling of proposed contracts to evaluate their impact on revenue and profitability. Oversee tracking of contractual performance to contractual guarantees
+ Makes data-driven recommendations to the executive team. Utilize data to enforce compliance with contractual terms with PBMs, payors and the like.
+ Stays abreast of industry trends, competitor activities, legislative changes, and shifts in the payor landscape to proactively identify risks and opportunities
+ Works closely with internal departments, including Sales, Marketing, Finance, Legal, and Operations to ensure contracting strategies are integrated and supported throughout the organization
+ Leads, mentors, and develops, the contract and market access team. Foster a culture of accountability, performance, and continuous improvement
+ Monitors the performance of existing contracts to ensure compliance with all terms and conditions. Lead renegotiation efforts as needed to address performance issues or changing market dynamics
+ Prepares and present regular updates to the executive leadership team on contracting activities, market trends, and performance metrics
+ Supervisory Responsibility: Yes
Qualifications
+ Bachelor’s degree in pharmacy, Business Administration, Healthcare Administration, Finance, or a related field.
+ Minimum of 10-15 years of progressive experience in the healthcare industry, with at least 8 – 10 years focused directly on PBM and payor contracting
+ Extensive experience negotiating complex, high-value contracts with major national PBMs and health plans.
+ Proven experience in a senior leadership role, with demonstrated ability to manage and develop a team.
+ Experience in long term care, hospice, infusion, and/or specialty a plus
+ Deep knowledge of drug pricing, reimbursement methodologies, rebate structures, and formulary access.
+ Exceptional negotiation, influencing, and persuasion skills desired
+ Superior strategic thinking and business acumen desired
+ Strong analytical skills and proficiency in financial modeling and contract analysis desired
+ Excellent written and verbal communication skills, with the ability to present complex information clearly to a variety of audiences desired
+ Proven ability to build and maintain strong professional relationships desired
+ Decisive and results-oriented leadership style desired
+ Ability to thrive in a fast-paced dynamic environment desired
+ Percentage of Travel: 25-75%
+ Travel as needed (estimated 25 – 30%) for negotiations and relationship management
+ Driving Position: No
**To perfom this role will require frequently sitting and typing on a keyboard with fingers, and occasionally standing, walking, bending, reaching, and climbing (stairs/ladders). The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, is a full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations, and post-acute care organizations. PharMerica is one of the nation's largest pharmacy companies, offering unmatched company culture, employee development, and advancement opportunities. For more information, please visitwww.pharmerica.com. Follow us onFacebook (https://www.facebook.com/PharMericaCorp) ,LinkedIn (https://www.linkedin.com/company/pharmerica) , andX (https://x.com/PharMericaCorp) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-KY-LOUISVILLE
ID 2025-175716
Line of Business PharMerica
Position Type Full-Time
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