New

VP, PBM

Vaco
$200,000.00 - $220,000.00 / yr
401(k), retirement plan
United States, Indiana, Crown Point
Jul 03, 2025
Hiring a VP of PBM for a startup healthcare client 100% remote in US only Duties/Responsibilities: Lead the development and launch of Company's in-house Pharmacy Benefit Manager (PBM), defining the vision, strategy, and roadmap to transition from external vendors to internal operations. Manage the strategic shift from outsourced PBM services, ensuring a seamless, cost-effective transition with minimal service disruption. Oversee core PBM functions: claims adjudication, pharmacy contracting, formulary management, DUR, prior authorization, specialty pharmacy services, and P&T Committee coordination. Prepare PBM BID files for CMS submission and coordinate timely delivery to the Product Manager. Ensure compliance with all federal and state regulations, including Medicare Part D, and manage internal controls, audits, and reporting. Recruit, build, and lead a high-performing PBM team focused on excellence, accountability, and continuous improvement. Develop strategic partnerships with manufacturers, pharmacy networks, and internal teams to support access, affordability, and clinical outcomes. Implement innovative pricing, rebate, and contracting strategies to optimize cost savings while maintaining quality. Promote service excellence by adopting best practices and technologies to enhance member experience, improve efficiency, and reduce costs. Perform additional duties and special projects as assigned. Required Skills/Abilities: Deep knowledge of PBM operations, rebate structures, formularies, and cost-containment strategies. Strong grasp of healthcare regulations and pharmacy compliance. Financial expertise, including pricing strategy and P&L management. Proven leadership of cross-functional teams and complex initiatives. Strong communication, negotiation, and relationship-building skills. Excellent time management, attention to detail, and problem-solving abilities. Education and Experience: Bachelor's in business, healthcare administration, pharmacy, or related field (MBA or advanced degree preferred). Minimum 5 years of Medicare Part D experience. Pharmacist background preferred. At least 5 years in leadership roles with demonstrated success in pharmacy pricing and negotiation. Expertise in pharmacy operations, technology, and vendor management. Proven record of strategic planning and innovation. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply. EEO Notice Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law. Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com . Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal. Privacy Notice Vaco by Highspring and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") respects your privacy and are committed to providing transparent notice of our policies. California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here. Virginia residents may access our state specific policies here. Residents of all other states may access our policies here. Canadian residents may access our policies in English here and in French here. Residents of countries governed by GDPR may access our policies here. Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual's skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.