JobMesh

VP, PBM & Payor Contracting

BrightSpring Health Services · Louisville, Kentucky, US

Our Company PharMerica Overview The Vice President of PBM and Payor Contracting is a senior leadership role responsible for developing, leading, and executin...

Job description

Our Company PharMerica: Overview: The Vice President of PBM and Payor Contracting is a senior leadership role responsible for developing, leading, and executing the Company’s contracting strategy with Pharmacy Benefit Managers (PBMs), health plans, and other third-party payors. This position will drive revenue and market access by securing advantageous contract terms, managing key relationships, and leading a high-performing team. Responsibilities: - Develops and implements a comprehensive payor and PBM contracting strategy that aligns with the Company’s overall strategic goals, financial objectives, and market access priorities - Leads or directs the negotiation and execution of contracts with national and regional PBMs, managed care organizations (MCOs), health insurance plans, and other payors to ensure optimal reimbursement rates, favorable formulary positioning for preferred Company’s preferred formulary, and viable terms - Builds, maintains, and strengthens long-term strategic relationships with key executives and decision-makers within payor organizations, PBMs, and trade associations - Oversees the financial analysis and modeling of proposed contracts to evaluate their impa...