VP, Clinical Pharmacy PBM Strategy & Client Leadership

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

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