Vice President, Network & PBM Strategy

About the role

The Vice President, Network & PBM Strategy is a senior leader responsible for defining and executing enterprise network, payer, contracting, underwriting, and operational strategies across the PBM business. This role establishes vision, sets priorities, designs scalable governance and processes, and allocates resources to achieve financial, operational, and growth objectives aligned with the parent organization's long term strategy. Partnering closely with the sales and account management, trade relations as well as executive leadership, this position drives enterprise level planning, payer and network strategy, portfolio performance, and market differentiation. The role has direct oversight of large chain pharmacy network contracting, PBM Underwriting and will influence and drive successful client pricing strategy, with accountability for PBM P&L performance, operational excellence, and brand growth across all payer segments. Essential Duties and Responsibilities include the following. Other duties may be assigned. Financial & P&L Leadership Own departmental Profit & Loss (P&L), including revenue, cost of goods sold (COGS), administrative expense management, and margin optimization. Develop, manage, and forecast budgets; identify and execute strategies that drive sustainable profitability and scalable growth. Oversee advanced financial modeling, scenario analysis, and forecasting to support executive decision‑making on client deals. Ensure pricing, contracting, and underwriting strategies align with financial targets, risk tolerance, and long‑term client value. Enterprise Network & Payer Strategy Establish and lead the payer and network contracting vision, strategy, and governance framework across all payer segments, including commercial, Medicare, Medicaid, and specialty markets. Oversee all network‑related functions, including Pharmacy Network Contracting, Provider Contracting, Account Management, and Provider Data Management. Design and execute pharmacy and provider network strategies that optimize cost, access, quality, and performance. Contracting, Negotiation & Partnerships Provide executive leadership for high‑stakes national and regional payer, PBM, and network negotiations, including complex commercial, Medicare, Medicaid, and specialty agreements. Lead the negotiation and execution of contracts with major retail, mail‑order, specialty pharmacy networks, and payer partners to ensure competitive pricing, access, and compliance. Champion innovative contracting approaches, including value‑based, outcomes‑based, and alternative reimbursement models. Build, maintain, and expand executive‑level relationships with senior payer, PBM, and network leadership to advance long‑term strategic partnerships. PBM Underwriting & Pricing Direct PBM underwriting strategy, pricing governance, and financial risk assessment activities. Ensure underwriting models accurately reflect utilization patterns, rebate economics, network costs, reimbursement methodologies, and administrative expenses. Balance profitability, competitiveness, transparency, and client savings objectives across new business and renewals. Strategic Planning & Market Leadership Partner with peer leaders to lead strategic planning, market analysis, business mapping, budgeting, and goal setting. Anticipate and respond to regulatory, legislative, and reimbursement trends that materially impact payer economics, access strategies, and compliance obligations. Identify emerging market opportunities, competitive threats, and evolving payer dynamics withi

Benefits

Additional Information

Exemption Status: United States of America (Exempt) $208,071 - $301,704 - $395,336 "Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate." This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description

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