Vice President, Clinical Pharmacy

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve.

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Vice President, Clinical Pharmacy

PRIMARY PURPOSE:  To direct the pharmacy benefit management (PBM) companies who are vendor partners with Sedgwick in all aspects of day-to-day activities including managing the team of colleagues who operationally interact with the pharmacy benefit managers (PBMs).  To direct the team of pharmacists who work collaboratively to provide direction and guidance to the complex pharmacy management and pharmacy utilization review nurses and physicians on proper prescribing and weaning protocols.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE:

• Provide senior, VP-level leadership across the pharmacy program, shaping strategy, direction, quality and performance.
• Bring deep workers' compensation pharmacy expertise across program strategy, design, clinical decision-making, and complex pharmacy management.
• Act as a client-facing leader, partnering directly with clients, representing pharmacy strategy in engagements, and translating program capabilities into client value.
• Own the review, refinement, and continuous improvement of pharmacy programs, elevating consistency, quality, defensibility, and outcomes.
• Provide analysis of claims data and book-of-business metrics, translating trends into actionable strategy.
• Serve as an external thought leader, representing the organization in industry forums and strengthening its market reputation.
• Partner cross-functionally with operational, clinical, and business leaders to align pharmacy strategy with organizational objectives.
• Works with pharmacy benefit managers on pricing models, reporting and specific program development such as the development of a pharmacy benefit network (PBN), new formularies and creating new and improved edits to custom triggers.
• Works with client services to create custom reporting for large clients; meets with clients to explain complexities of the program and demonstrate the benefits.
• Strategically supports our pharmacy benefit management vendor partnerships and the Sedgwick team who operationally support the product for clients.
• Prepares and delivers presentations for national conferences and client meetings.
• Stays ahead of the marketplace and assists client services in maintaining client relationships by clarifying offerings, value of products and defining real savings.
• Responsible for understanding the entire workers compensation pharmacy industry landscape and what that means to Sedgwick and clients.
• Works directly with clients and client services to develop solutions and discusses formularies and current pharmacy issues and trends in the industry.
• Responsible for determining the feasibility of bringing pharmacy benefit services as a Sedgwick offering; conducts research and determines if there is a business case.
• Delves into the details of pharmacy networks and pushes vendor partners to offer a transparent cost model with potential to have insight into rebates.

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

Education & Licensing

PharmD degree from an accredited university or school of pharmacy preferred or Bachelor’s degree with commensurate experience in PBM management and health care benefit knowledge.  Active unrestricted license to practice pharmacy as a PharmD or clinical pharmacist in at least one state in the United States preferred.

Experience

Ten (10) years of related experience or equivalent combination of education and experience required to include two (2) years of recent clinical practice experience and two (2) years of management experience. Workers' Compensation industry experience preferred.

Skills & Knowledge