Vice President, Clinical Pharmacy (PBM)

ProCare Pharmacy Benefit Manager, Inc.; Gainesville (GA); On-site; USD 190,000 - 270,000; Full time

Job summary

ProCare Pharmacy Benefit Manager, Inc. seeks a Vice President of Clinical Pharmacy to lead PBM clinical programs with hands-on, client-facing leadership.

You will design and execute utilization management, cost containment, and client clinical consulting aligned with FDA guidelines and URAC PBM Standards. You will partner with clients, internal teams, and the P&T Committee to ensure evidence-based, cost-effective medication use, oversee clinical staff, and drive performance improvement while

Qualifications

• Bachelor’s degree in Pharmacy from an accredited college of pharmacy.
• Doctor of Pharmacy (PharmD) preferred; MBA or other advanced degree a plus.
• Minimum eight years of pharmacy practice experience (PBM, managed care, retail, or hospital) required, focused managed care experience preferred.
• Experience collaborating with clients and internal teams on clinical program design and delivery.

Responsibilities

• Oversee all aspects of PBM clinical areas, including design and coordination with rebate and clinical programs, step therapy, prior authorization, cost containment, and P&T Committee management.
• Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs.
• Ensure 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.
• 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 presentations.
• Support and mentor clinical staff, contributing to knowledge sharing and professional development.
• Work across departments to integrate clinical strategies into organizational objectives.
• Monitor emerging therapies, regulatory changes, and PBM trends to inform program design and innovation.
• Contribute to new or enhanced clinical programs and services to strengthen client value.
• Support specialty pharmacy and utilization management initiatives tailored to evolving client needs.
• Lead industry thought leadership efforts, including clinical insights for publication and conferences.

Skills

Clinical leadership

Client relationship

Staff management

Communication

Education

Bachelor’s degree in Pharmacy

Doctor of Pharmacy (PharmD)

MBA or advanced degree

Job description

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.

Principal Responsibilities

• 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 emerging therapies, regulatory changes, and PBM trends to inform clinical program design to inform innovation, guide program design, and identify opportunities for potential emulation.
• Contribute to the development of new or enhanced clinical programs and services that strengthen client value.
• Support specialty pharmacy and utilization management initiatives tailored to evolving client needs.
• Lead and contribute to industry thought leadership efforts, including developing clinical insights for publication, participating in media engagements, representing the organization at conferences, and promoting the organization’s clinical value proposition across professional and public channels.

Qualifications and Requirements

• Bachelor’s degree in Pharmacy from an accredited college of pharmacy.
• Doctor of Pharmacy (PharmD) preferred; MBA or other advanced degree a plus.
• Minimum eight years of pharmacy practice experience (PBM, managed care, retail, or hospital) required, focused managed care experience preferred
• Experience collaborating with clients and internal teams on clinical program design and delivery.
• Strong clinical acumen with the ability to interpret and communicate healthcare trends.
• Excellent staff management, communication, presentation, and client relationship skills.
• Proven time management and organizational skills to manage multiple priorities effectively.
• Adaptable, collaborative, and solution-oriented, with willingness to travel as needed.

Physical Demands

Requires sitting, standing and occasional light lifting.

Equal Opportunity Employer

ProCare Rx is an Equal Opportunity Employer.

Equal Opportunity Employer
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