SmithRx - Vice President, Phamarcy Networks

• Network Strategy & Contracting • Lead Network Strategy: Design and execute the overarching strategy for SmithRx’s national and custom pharmacy networks, ensuring alignment with our transparent business model and client needs. • Contract Negotiation: Lead high-level negotiations with major retail chains, PSAOs, specialty pharmacies, and mail-order partners to secure competitive reimbursement rates and favorable contract terms without relying on spread pricing. • Strategic Partnerships: Identify and develop innovative network programs (e.g., high-performance or narrow networks, direct-to-consumer delivery models) to drive down drug costs and improve member access. • Network Management & Operations • Oversee Network Performance: Monitor and manage the ongoing performance of the pharmacy network against defined SLAs, ensuring adherence to contractual terms, quality standards, and pricing accuracy. • Credentialing & Compliance: Direct the credentialing and re-credentialing processes, ensuring all network pharmacies comply with federal, state, and SmithRx regulatory standards. • Audit & Fraud Prevention: Oversee the pharmacy audit team to manage network integrity, minimize Fraud, Waste, and Abuse (FWA), and execute audit recoveries effectively. • Government programs readiness: Implementation of needed policies and procedures to meet CMS oversight requirements. • Cross-Functional Leadership • Internal Alignment: Partner closely with Sales, Customer Success, Clinical Strategy, Pricing/Underwriting, and Product teams to ensure network capabilities are accurately represented in the market and successfully integrated into our technology platforms. • Data & Analytics: Collaborate with data and analytics teams to monitor network profitability, utilization trends, and cost models to proactively identify areas for financial optimization. • Team Development: Build, mentor, and scale a high-performing team of network managers, contracting specialists, and analysts. Foster a culture of accountability, integrity, and courage • Experience: 12+ years of progressive leadership experience in pharmacy network management, pharmacy contracting, or PBM operations. • Experience across lines of business: Commercial, Medicare, Medicaid, Exchange • Industry Expertise: Deep understanding of the PBM ecosystem, pharmacy reimbursement models (AWP, MAC, NADAC), and the operational differences between traditional and pass-through/transparent PBMs. • Negotiation Skills: Proven track record of successfully negotiating complex, multi-million dollar contracts with major national pharmacy chains and PSAOs. • Leadership: Demonstrated experience building, leading, and mentoring cross-functional and remote teams in a high-growth environment. • Analytical Acumen: Strong financial and analytical skills with the ability to understand complex pricing models and translate data into actionable network strategies. • Education: Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; PharmD or Master’s degree (MBA/MHA) is highly preferred. • What SmithRx Offers You: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance • Flexible Spending Benefits • 401(k) Retirement Savings Program • Short-term and long-term disability • Discretionary Paid Time Off • Paid Company Holidays • Wellness Benefits • Commuter Benefits • Paid Parental Leave benefits • Employee Assistance Program (EAP) • Well-stocked kitchen in office locations • Professional development and training opportunities • Zone A includes the following locations: • San Francisco Bay Area - California • Metro New York City - Connecticut, New Jersey, New York and Pennsylvania