Vice President, Phamarcy Networks

Network Strategy & Contracting

• Lead Network Strategy: Design and execute the overarching strategy for SmithRx’s national and custom pharmacy networks, ensuring alignment with our transparent business model and client needs.
• Contract Negotiation: Lead high-level negotiations with major retail chains, PSAOs, specialty pharmacies, and mail-order partners to secure competitive reimbursement rates and favorable contract terms without relying on spread pricing.
• Strategic Partnerships: Identify and develop innovative network programs (e.g., high-performance or narrow networks, direct-to-consumer delivery models) to drive down drug costs and improve member access.

Network Management & Operations

• Oversee Network Performance: Monitor and manage the ongoing performance of the pharmacy network against defined SLAs, ensuring adherence to contractual terms, quality standards, and pricing accuracy.
• Credentialing & Compliance: Direct the credentialing and re-credentialing processes, ensuring all network pharmacies comply with federal, state, and SmithRx regulatory standards.
• Audit & Fraud Prevention: Oversee the pharmacy audit team to manage network integrity, minimize Fraud, Waste, and Abuse (FWA), and execute audit recoveries effectively.
• Government programs readiness: Implementation of needed policies and procedures to meet CMS oversight requirements.

Cross-Functional Leadership

• Internal Alignment: Partner closely with Sales, Customer Success, Clinical Strategy, Pricing/Underwriting, and Product teams to ensure network capabilities are accurately represented in the market and successfully integrated into our technology platforms.
• Data & Analytics: Collaborate with data and analytics teams to monitor network profitability, utilization trends, and cost models to proactively identify areas for financial optimization.
• Team Development: Build, mentor, and scale a high-performing team of network managers, contracting specialists, and analysts. Foster a culture of accountability, integrity, and courage.

Requirements

• 12+ years of progressive leadership experience in pharmacy network management, pharmacy contracting, or PBM operations.
• Experience across lines of business: Commercial, Medicare, Medicaid, Exchange.
• Deep understanding of the PBM ecosystem, pharmacy reimbursement models (AWP, MAC, NADAC), and the operational differences between traditional and pass-through/transparent PBMs.
• Proven track record of successfully negotiating complex, multi-million dollar contracts with major national pharmacy chains and PSAOs.
• Demonstrated experience building, leading, and mentoring cross-functional and remote teams in a high-growth environment.
• Strong financial and analytical skills with the ability to understand complex pricing models and translate data into actionable network strategies.
• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; PharmD or Master’s degree (MBA/MHA) is highly preferred.

Compensation & Benefits

• Base Salary: $238,000—$280,000 USD (varies by zone but same range across Zone A/B/C).
• Total Rewards: Eligible for bonuses, commissions, or equity.
• Benefits include: Medical, Pharmacy, Dental, Vision, Life and AD&D Insurance, Flexible Spending Benefits, 401(k) Retirement Savings Program, Short-term and long-term disability, Discretionary Paid Time Off, Paid Company Holidays, Wellness Benefits, Commuter Benefits, Paid Parental Leave, Employee Assistance Program (EAP), Professional development and training opportunities.