CVS Health

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VP PBM Mail Profitability

at CVS Health

Posted: 7/17/2020
Job Reference #: 1311719BR

Job Description

Job Description
As the Vice President of the PBM Mail P&L, you will be the business owner responsible for the profitability of our pharmacy benefit mail channel. This is a new role in our organization that has not historically been in place which will allow the individual in this role to create and manage a full P&L top to bottom and manage its performance. Our PBM Mail pharmacy channel delivers $15.5B in revenue and ~$1.8B in SGP. In order to effectively deliver on the objectives of this role it will require the individual in this position to engage stakeholders across the PBM and shared services leadership teams to include, but not limited to: UW & Pricing, Product Innovation, trade, PBM sales teams, finance and mail pharmacy operations.

You will also have the ability to:

Develop business plans and deliver results promoting expansion of PBM mail Revenue and EBIT contribution for all the brand and generic drugs we dispense to our PBM members

Drive strategy to ensure revenue and profit across all of PBM lines of business (employer and health plan payer customers). Inform our contracting process via our trade organization to ensure optimal cost of goods dispensed via our mail channel.

Evaluate the market and industry opportunity and will actively identify areas for incremental revenue growth.

Target growth opportunities and direct/drive the plan toward realization of targets.

Drive profitable retail network strategies through programs like maintenance choice to improve overall enterprise economics.

Partner with Underwriting & pricing to develop and ensure profitable pricing models and execution on all new PBM bids and contract negotiations

Partner with Product Innovation to ensure that effective and competitive pricing models are operationalized and executed across all bids to remain competitive in the market along with ensuring we have strategic products through our plan design and formulary strategies that drive profitable growth in the mail channel

Partner with Trade to ensure that our COGs are optimal and deliver value via our PBM contracts

Partner with PBM sales teams to support new business sales cycle and net new PBM wins driving share in to the mail channel

Partner with Finance team to inform establishing budget targets and achievement objectives to drive P&L profitability
Partner with Mail pharmacy operations to drive cost per script metrics to optimal levels

Required Qualifications
* 10 or more years of P&L management and analytical skills
* 10 or more years of experience within the managed care or PBM healthcare industry
* 5 or more years’ experience working within specialty pharmacy
* Demonstrated success in leading cross-functional teams
* Demonstrated execution skills across specialty operations
* Ability to travel up to 25% as needed.
* Strong problem solving skills
* Intermediate MS Excel, PowerPoint, Word
* Clinical Background preferred
* Ability to effectively communicate orally and in writing
* Ability to influence and build effective working relationships

Preferred Qualifications
Masters degree

Bachelor's degree Required
Master's degree preferred

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!