Vice President, Pharmacy

Overview

What you can expect! 

 

Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!

 

Reporting to the Chief Medical Officer, the Vice President of Pharmacy serves as a key member of the executive leadership team, providing strategic direction, clinical oversight, and operational excellence across all pharmacy-related functions at IEHP ensuring members have access to safe, effective, and affordable medications. This role is accountable for pharmacy benefit design, formulary management, utilization strategies, specialty pharmacy oversight, and vendor partnerships (including PBMs), while ensuring pharmacy operations are aligned with IEHP’s mission to deliver quality, member-focused managed care. As a senior leader, the Vice President ensures full compliance with regulatory requirements (i.e., DHCS, DMHC, CMS and NCQA) and drives improvements in optimization of Pharmacy Benefit Management (PBM) performance, cost-effective utilization, quality performance (NCQA, CMS Stars etc.), and population health.

This position collaborates cross-functionally with executive peers, clinical leaders, and external partners to align pharmacy operations with IEHP’s strategic goals, fiscal stewardship, and commitment to health equity. The Vice President also serves as a thought leader in pharmacy innovation, leveraging data, technology, and policy insights to shape the future of pharmacy services at IEHP for all lines of business.

 

Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Additional Benefits

Perks

 

IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.

• Competitive salary
• State of the art fitness center on-site
• Medical Insurance with Dental and Vision
• Life, short-term, and long-term disability options
• Career advancement opportunities and professional development
• Wellness programs that promote a healthy work-life balance
• Flexible Spending Account – Health Care/Childcare
• CalPERS retirement
• 457(b) option with a contribution match
• Paid life insurance for employees
• Pet care insurance

Key Responsibilities

1. Strategic Leadership & Enterprise Pharmacy Oversight:

• Develop and lead the execution of IEHP’s enterprise-wide pharmacy strategy to support and advance clinical excellence, affordability, and member satisfaction across all lines of business.
• Develop and implement a pharmacy strategy aligned with organizational goals for Medi-Cal, Medicare, and Exchange lines of business.
• Serve as a strategic partner to leaders across Provider Services, Quality, Case Management, Finance, and Actuarial to drive improved member health, experience operations and pharmacy innovation.
• Represent the pharmacy department in cross-functional meetings, regulatory discussions, and industry forums.
• Lead innovation in pharmacy benefit models, including value-based care and outcomes-driven programs

2. Financial Stewardship

• Oversee pharmacy financial performance, including budget development, forecasting, and strategic cost management.
• Identify and implement cost containment strategies that preserve clinical integrity, member access, and high-quality care.
• Monitor and respond to drug spend trends, including specialty and advanced therapies, and implement strategies to mitigate rising costs.

3. Specialty & Advanced Therapies

• Lead strategy and oversight in coordination with Medical Policy for specialty pharmacy treatments, including biologics, oncology, and rare disease treatments.
• Design, develop, and manage innovative programs for cell and gene therapies, ensuring appropriate utilization, affordability, and member access.
• Collaborate with providers, manufacturers, and regulators to establish evidence-based pathways and coverage policies for advanced therapies.
• Monitor emerging therapies and proactively design coverage policies to balance innovation with sustainability.

4. Leadership & Team Development

• Lead and mentor pharmacy leadership teams, fostering a culture of innovation and accountability.
• Build cross-functional collaboration across medical management, quality, and provider relations.
• Represent IEHP in industry forums, regulatory discussions, and community