Vice President Pharmacy Programs - Priority Health

Priority Health; Grand Rapids (MI); On-site; USD 150,000 - 220,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay program

Discounts directory

Traditional and Roth retirement options

Job summary

Priority Health in Grand Rapids is seeking a Vice President, Pharmacy Programs to drive innovative pharmacy benefit strategies and collaborate with pharmacy leadership. This executive role will lead the pharmacy department, managing clinical programs, operations, and more.

The ideal candidate holds a Doctorate degree in Pharmacy and has at least 10 years of leadership experience. The position offers a comprehensive benefits package, and requires a licensed Clinical Pharmacist in Michigan.

Qualifications

• 10 years of relevant leadership experience in pharmacy services.
• Licensed Clinical Pharmacist in the State of Michigan upon hire.
• Ability to develop and implement innovative pharmacy strategies.

Responsibilities

• Lead the pharmacy benefit program for Priority Health.
• Develop and execute annual budgets and five-year plans.
• Negotiate and manage vendor relationships related to pharmacy.

Skills

Leadership

Pharmacy Benefit Management

Negotiation

Strategic Planning

Education

Doctorate Pharmacy Degree

Doctorate Pharmacy Practice Residency

Master's Degree (MBA, MHA, or MPH)

Job description

About Priority Health

We are the second largest and fastest‑growing health plan in Michigan focused on improving the health and lives across the state, and we couldn't do it without the incredible talent of our employees. It is their commitment that continues to drive our success as a nationally recognized nonprofit health benefits company. As part of the Corewell Health system, our team members have a unique ability to grow and advance their career while maintaining their seniority and benefits.

Position Overview

The Vice President, Pharmacy Programs is responsible for developing and driving innovative pharmacy benefit and operational strategies that ensure an excellent experience for Priority Health customers and will also work in collaboration with the Corewell Health Pharmacy leadership to proactively lower the cost of care. This key position will provide executive leadership to a team responsible for the organization’s pharmacy department including clinical programs, pharmacy administration, pharmacy operations, pharmacy government programs, drug company contracting and rebate management, pharmacy client account management, pharmacy sales & marketing, and pharmacy strategic initiatives. The VP, Pharmacy Programs will develop metrics, both financial and non‑financial, to ensure efficient and effective programs in all areas of responsibility in order to meet bottom‑line marketability and corporate operating margins.

Essential Functions

• Lead the pharmacy benefit program to create an excellent experience for Priority Health customers and ensure that Priority Health is considered the health plan of choice throughout the service area. Work with Corewell Health Enterprise Pharmacy Executive leader and leadership team to proactively lower the cost of care by sharing data and ideas.
• Develop and implement cutting edge strategies for management of pharmaceutical service to budget. Be accountable for performance to budget utilization and cost targets for all pharmacy services, including the pharmacy and medical benefit.
• Work to develop and execute on the strategic vision, goals, objectives, policies and decision‑making for the organization related to pharmacy performance and operations. Inform and advise the senior leaders within the organization as well as the executive leadership teams regarding current trends, problems and activities in the pharmacy program to facilitate informed decision‑making and strategic objective formulation.
• Effectively negotiate and manage the contracted vendor relationships supporting the pharmacy benefit including claims administration, retail pharmacy network, mail service network, specialty pharmacy network, rebate management, and auditing services. Collaborate on the Corewell Health inpatient and outpatient formulary management and planning. If claims are increasing for specific services, work with Corewell Health on models that can fit the needs for both Priority Health and Corewell Health.
• Support the market‑specific business needs for all markets including developing benefit designs, attending sales presentations, providing market‑specific pharmacy operational data, etc.
• Develop and execute on the annual budgets and five‑year plans, in accordance with corporate and regional targets, and monitor/manage actual performance.

Qualifications

• Doctorate (Registered Pharmacist or Doctor of Pharmacy Degree). Required
• Doctorate Pharmacy Practice Residency. Preferred
• Master’s Degree (MBA, MHA, or MPH). Preferred
• 10 years of relevant leadership experience. Required
• Licensed Clinical Pharmacist – State of Michigan Upon Hire. Required

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On‑demand pay program powered by Payactiv.
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more.
• Optional identity theft protection, home and auto insurance.
• Traditional and Roth retirement options with service contribution and match savings.
• Eligibility for benefits is determined by employment type and status.

Primary Location

SITE – Priority Health – 1231 E Beltline Ave NE – Grand Rapids

Department Name

Executive Medical Director – PH Managed Benefits

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 a.m. to 5 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A

EEO Statement

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug‑free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on‑site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.