President PBM
2 days ago
President Of ClearScriptThe President of ClearScript is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business growth, innovation, operational excellence, day to day operations, budgeting, legal and regulatory compliance, sales strategy and strategic partnerships to ensure the delivery of high-quality, cost-effective pharmacy benefit solutions. The role requires deep industry knowledge, visionary leadership, and a strong ability to align cross-functional teams to achieve business goals and actively market business for growth.ResponsibilitiesStrategic Leadership: Develop and execute the long-term vision and strategy for PBM growth and operations aligned with corporate objectives. Lead enterprise-wide initiatives for business growth and enhance service delivery, cost containment, and clinical outcomes. Demonstrate thought leadership to industry and executive leadership teams on PBM trends, risks, and opportunities.Operational Oversight: Oversee end-to-end PBM operations including claims adjudication, formulary management, rebate contracting, network development, and compliance. Ensure seamless integration of clinical, legal, pricing, sales, marketing and account management functions. Drive continuous improvement through Lean, Six Sigma, or other performance excellence methodologies.Client & Partner Management: Cultivate and manage strategic B2B relationships with employer group clients, brokers, consultants, and industry leaders. Ensure high levels of client satisfaction through proactive engagement, service delivery, and issue resolution. Lead contract negotiations and performance reviews with key trading partners.Financial & Performance Management: Develop and manage operational budgets, forecasts, and financial performance metrics. Monitor KPIs to identify trends, risks, and opportunities for optimization. Lead initiatives to improve business growth, margin and sustainability.Regulatory & Compliance: Ensure compliance with all federal and state regulations, including CMS, HIPAA, and ERISA. Oversee internal audits, risk assessments, and policy development to maintain operational integrity.Team Leadership & Culture: Build and lead a high-performing executive team across client acquisition & reporting, operations, finance, IT, and client services. Foster a culture of accountability, innovation, and continuous improvement. Champion diversity, equity, and inclusion across the organization.Required QualificationsB.S./B.A. Bachelor's Degree15 years experience in healthcare or PBM leadership, with at least 5 years in an executive-level role (VP or above)Expertise in PBM operations, managed care, pharmacy claims, rebate contracting, clinical programs, and regulatory complianceProven track record of leading large-scale operational transformations and delivering measurable outcomesStrong financial acumen and experience managing P&L responsibilitiesExceptional communication, negotiation, and stakeholder management skillsPreferred QualificationsM.A./M.S. Master's Degree in Business (MBA), PharmD, or related advanced degree10 or more years in an executive-level role (VP or above)Benefit OverviewFairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and moreCompensation Disclaimer: The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement: EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status.
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President, PBM ClearScript
4 weeks ago
Saint Paul, United States Minnesota Staffing Full timePresident Of ClearscriptThe President of ClearScript is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business growth, innovation, operational excellence, day to day operations, budgeting, legal and regulatory compliance, sales strategy and...
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President, PBM – ClearScript
3 days ago
Saint Paul, Minnesota, United States Fairview Health Services Full timeResponsibilities/Job Description:The President of ClearScript is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business growth, innovation, operational excellence, day to day operations, budgeting, legal and regulatory compliance, sales strategy...
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VP, Chief Audit Officer
3 days ago
Saint Paul, United States Remote Staffing Full timeVP, Chief Audit Officer - RemoteAt Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. The Vice President Chief Audit Officer is responsible for developing and leading the overall...
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VP Pharmaceutical Trade Relations
2 weeks ago
Saint Paul, United States Prime Therapeutics Full timeOverview Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Title VP Pharmaceutical Trade Relations - REMOTE Job Description The Vice President Pharmaceutical Trade Relations oversees the development of Prime's pharmaceutical...