Vice President, Clinical Pharmacy (PBM)

The Vice President of Clinical Pharmacy provides hands-on and client facing clinical leadership and expertise in the design and execution of pharmacy benefit management programs, including utilization management, cost containment strategies, and client clinical consulting. Collaborates with and supports internal teams, clients, and the Pharmacy & Therapeutics (P&T) Committee to ensure evidence-based, cost-effective medication use in alignment with FDA guidelines and URAC PBM Standards. Supports client satisfaction, retention, and performance improvement through strategic oversight and hands-on clinical insight.

PRINCIPLE RESPONSIBILITIES

include but are not limited to:

• Oversee all aspects of PBM clinical areas, including design and coordination with new and existing rebate and clinical programs , including step therapy, prior authorization, cost containment strategies, and participation in the Pharmacy & Therapeutics Committee as well as management of clinical staff .
• Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs.
• Ensure all programs align with evidence-based medicine, FDA guidelines, URAC PBM Standards, and internal performance improvement requirements .
• Partner with clients to establish clinical goals, deliver recommendations, and present performance reviews that support cost containment and trend management.
• Act as a subject matter expert for clinical discussions, client strategy sessions, and RFP/finalist activities.
• Collaborate with client services, sales, and implementation teams to ensure seamless delivery of clinical programs, client support and sales prospect clinical presentations.
• Support and mentor clinical staff, contributing to knowledge sharing, professional development, and high-quality client deliverables.
• Work across departments to integrate clinical strategies into organizational objectives.
• Monitor emer