Associate Vice President Formulary Strategy
New
A
AffirmedRxPharmacy Benefit Management
RemoteFull-TimeVp
Salary not disclosed
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Job Details
- Experience
- 15+ years of progressive experience in formulary management, clinical pharmacy strategy, or managed care pharmacy, with at least 5 years in a PBM, health plan, or managed care organization.
Requirements
- Doctor of Pharmacy (PharmD) from an ACPE-accredited institution.
- Active pharmacist licensure.
- 15+ years of progressive experience in formulary management, clinical pharmacy strategy, or managed care pharmacy.
- At least 5 years of experience in a PBM, health plan, or managed care organization.
- At least 3–5 years in a senior leadership or people management role.
- Demonstrated expertise in formulary architecture, tier design, and drug benefit structure.
- Working knowledge of regulatory requirements including CAA, ACA, ERISA, and URAC/NCQA standards.
- Proficiency with Medi-Span or Wolters Kluwer clinical decision support platforms.
- Familiarity with RxSense or comparable enterprise PBM systems.
- Willingness and ability to travel (20-25%).
Responsibilities
- Own and evolve the organization’s formulary strategy, including multi-tier architecture and specialty drug placement.
- Lead enterprise-level evaluation and ongoing governance of formulary tier structures.
- Serve as a strategic partner to the P&T Committee, ensuring evidence-based clinical decisions.
- Build and govern a formulary pipeline communication infrastructure for clients and internal stakeholders.
- Lead formulary change management execution in compliance with CAA 2026, ACA, and ERISA requirements.
- Coach and develop the formulary team while shaping future-state team structure.
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