Hampton Roads/ Tidewater Region, Virginia
Boston, Massachusetts
Posted: 04-Dec-25
Location: St. Paul, Minnesota
Type: Full Time
Salary: $271,086 - $382,720
Sector:
Salary Details:
Required Education:
Internal Number: 160362
Bring Your Possibilities to Fairview
At Fairview, we believe in the power of possibility — within ourselves, our teams, and the communities we serve. We believe that leadership isn’t just a title — it’s a mindset we all share. Whether you’re providing hands-on care, innovating behind the scenes, or supporting those who do, your work matters.
Job Overview
The President of ClearScript is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business growth, innovation, operational excellence, day to day operations, budgeting, legal and regulatory compliance, sales strategy and strategic partnerships to ensure the delivery of high-quality, cost-effective pharmacy benefit solutions. The role requires deep industry knowledge, visionary leadership, and a strong ability to align cross-functional teams to achieve business goals and actively market business for growth.
Responsibilities
- Strategic Leadership Develop and execute the long-term vision and strategy for PBM growth and operations aligned with corporate objectives. Lead enterprise-wide initiatives for business growth and enhance service delivery, cost containment, and clinical outcomes. Demonstrate thought leadership to industry and executive leadership teams on PBM trends, risks, and opportunities.
- Operational Oversight Oversee end-to-end PBM operations including claims adjudication, formulary management, rebate contracting, network development, and compliance. Ensure seamless integration of clinical, legal, pricing, sales, marketing and account management functions. Drive continuous improvement through Lean, Six Sigma, or other performance excellence methodologies.
- Client & Partner Management Cultivate and manage strategic B2B relationships with employer group clients, brokers, consultants, and industry leaders. Ensure high levels of client satisfaction through proactive engagement, service delivery, and issue resolution. Lead contract negotiations and performance reviews with key trading partners.
- Financial & Performance Management Develop and manage operational budgets, forecasts, and financial performance metrics. Monitor KPIs to identify trends, risks, and opportunities for optimization. Lead initiatives to improve business growth, margin and sustainability.
- Regulatory & Compliance Ensure compliance with all federal and state regulations, including CMS, HIPAA, and ERISA. Oversee internal audits, risk assessments, and policy development to maintain operational integrity.
- Team Leadership & Culture Build and lead a high-performing executive team across client acquisition & reporting, operations, finance, IT, and client services. Foster a culture of accountability, innovation, and continuous improvement. Champion diversity, equity, and inclusion across the organization.
Required Qualifications
- B.S./B.A. Bachelor's Degree
- 15 years Experience in healthcare or PBM leadership, with at least 5 years in an executive-level role (VP or above)
- Expertise in PBM operations, managed care, pharmacy claims, rebate contracting, clinical programs, and regulatory compliance
- Proven track record of leading large-scale operational transformations and delivering measurable outcomes
- Strong financial acumen and experience managing P&L responsibilities
- Exceptional communication, negotiation, and stakeholder management skills
Preferred Qualifications
- M.A./M.S. Master's Degree in Business (MBA), PharmD, or related advanced degree
- 10 or more years in an executive-level role (VP or above)