VP, PBM & Payor Contracting
BrightSpring Health Services
Welcome page Returning Candidate? Log back in! VP, PBM & Payor Contracting Job Locations US-KY-LOUISVILLE ID 2026-189681 Line of Business PharMerica Position Type Full-Time Our Company
PharMerica
OverviewThe 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 prioritiesLeads 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 termsBuilds, maintains, and strengthens long-term strategic relationships with key executives and decision-makers within payor organizations, PBMs, and trade associationsOversees the financial analysis and modeling of proposed contracts to evaluate their impact on revenue and profitability. Oversee tracking of contractual performance to contractual guaranteesMakes 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 opportunitiesWorks closely with internal departments, including Sales, Marketing, Finance, Legal, and Operations to ensure contracting strategies are integrated and supported throughout the organizationLeads, mentors, and develops, the contract and market access team. Foster a culture of accountability, performance, and continuous improvementMonitors 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 dynamicsPrepares and present regular updates to the executive leadership team on contracting activities, market trends, and performance metricsSupervisory 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 contractingExtensive 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 plusDeep knowledge of drug pricing, reimbursement methodologies, rebate structures, and formulary access.Exceptional negotiation, influencing, and persuasion skills desiredSuperior strategic thinking and business acumen desiredStrong analytical skills and proficiency in financial modeling and contract analysis desiredExcellent written and verbal communication skills, with the ability to present complex information clearly to a variety of audiences desiredProven ability to build and maintain strong professional relationships desiredDecisive and results-oriented leadership style desiredAbility to thrive in a fast-paced dynamic environment desiredPercentage of Travel: 25-75%Travel as needed (estimated 25 – 30%) for negotiations and relationship managementDriving 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, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
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