VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is seeking an excellent operational leader to join our team in Birmingham, Alabama, as Executive Director of Pharmacy!
VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan, receiving a 5 out of 5 Star rating - the highest rating a Medicare Advantage Plan can achieve. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. We also offer a great benefits package, including tuition reimbursement for employees and dependents, matching 401(k), paid parental leave, and paid community service time, just to name a few!
The Executive Director of Pharmacy is responsible for the overall operations of the Pharmacy department for all lines of business. This position is responsible for ensuring the Pharmacy department’s overall compliance, financial performance, customer experience, and operational performance. This includes developing and managing the Pharmacy leadership team and staff; also selecting, contracting and overseeing subcontractors. This position ensures the department runs efficiently, develops accurate and actionable reporting, works well with the other departments and key external stakeholders, and meets performance expectations.
The Executive Director of Pharmacy will proactively develop strategies to improve service and quality while containing costs based on industry best practices. This includes strategies around benefit design, formularies, pharmacy networks, Pharmacy Benefit Manager (PBM) contracting, application of UM edits, systems, Part D star measures, customer experience and other areas as needed to allow VIVA HEALTH to continue offering high quality pharmacy benefits and service at an affordable price.
5 years’ experience in a managerial role
7 years’ pharmacy health plan or PBM experience
Experience negotiating PBM and/or drug manufacturer contracts
Knowledge of pharmacy cost drivers and cost containment mechanisms, especially for specialty drugs
Proven high level of managerial and critical decision-making ability
Excellent interpersonal skills for frequent interaction with leadership in other departments, senior management, executives in employer groups, regulators, and external vendors
Proficient in Microsoft Office
Excellent written and oral communication skills including presentations/public speaking
Ability to identify performance gaps and to design/implement procedures/processes to address them
Master’s degree in Business, Health Administration, and/or Registered Pharmacist or Doctor of Pharmacy
7 years of management experience in a health plan
10 years of pharmacy health plan experience, including Medicare Part D and commercial benefits
Experience with CMS Part D star quality ratings
Proven ability to understand and implement complex government regulations
Viva Health, Inc. is a health maintenance organization providing quality, accessible health care. Viva Health Administration, L.L.C., is its sister company offering third party administration (TPA) services. Managed by professionals with years in the health care industry, Viva Health is also part of the renowned University of Alabama at Birmingham (UAB) Health System. All individuals and organizations connected with Viva Health work hard to simplify and improve health care through a network that includes many of the most respected physicians and hospital providers in the market.