Company Statement
EmblemHealth is one of the nation’s largest not for profit health insurers, serving members across New York’s diverse communities with a full range of commercial and government-sponsored health plans for employers, individuals, and families. With a commitment to value-based care, EmblemHealth partners with top hospitals and doctors, including its own AdvantageCare Physicians, to deliver quality, affordable, convenient care. At over a dozen EmblemHealth Neighborhood Care locations, members and non-members alike have access to community-based health and wellness guidance and resources. For more information, visit emblemhealth.com.
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VP, Chief Pharmacy Officer
- 💼
- EmblemHealth
- 📅
- Jul 08, 2025 Post Date
Qualifications
Education, Training, Licenses, Certifications
- Bachelor of Pharmacy degree required; Doctor of Pharmacy degree preferred.
- Pharmacy Residency in Pharmacy Management / Managed Care or Masters of Business Administration preferred
- Licensed to practice pharmacy by a State Board of Pharmacy.
Relevant Work Experience, Knowledge, Skills, and Abilities
- 12 years of managed care pharmacy experience, with at least six years of pharmacy experience in a Managed Care Pharmacy environment in a director level position or higher.
- 10 years people management and budget management experience required.
- Profit & Loss (P&L) ownership experience preferred.
- Experience overseeing Medicare Advantage (MAPD), Medicare PDP, Medicare Dual Special Needs Plans (D-SNP), Medicaid, Commercial (ASO, Fully Insured, Unions, and Medicare EGWP) and Exchange (Health Insurance Marketplace) lines of business required. Experience with New York Essential Plans and City of New York PICA program preferred.
- Experience leading Medicare STAR Measures, HEDIS, and other Quality Improvement initiatives required.
- Must possess superior clinical knowledge base across benefits, both medical and pharmacy.
- Previous experience with retail pharmacy, specialty pharmacy, and 340b programs highly desirable.
- Computer proficiency in spreadsheet, data base, and word processing programs
- Strong analytical, organizational, presentation, oral and written communication skills required.
- Knowledge and understanding of regulations (Centers for Medicare and Medicaid (CMS), Boards of Pharmacy, Department of Health (DOH), Department of Insurance (DOI), State Medicaid, etc.) related to Pharmacy Benefits Management and Care Management
- Proven track record leading growth and business development initiatives for health plans specific to pharmacy.
- Ability to manage remote and in-office leaders and staff.
- Experience developing strategic plans, building department structures and staffing models, and creating and articulating business cases to senior leaders.
Security Disclosure
If you receive a job offer from EmblemHealth, the email will be from “HRTalentAcquisition” with the subject: “Offer of Employment for (job title) – Please respond online.” We will never ask you to join a Google Hangout, buy your own equipment, or pay to apply. We also do not use third-party email services like Yahoo or Gmail.
Pay Disclosure
At EmblemHealth, we prioritize transparency in our compensation practices. We provide a good faith estimate of the salary range for potential hires, which is based on key factors such as role responsibilities, candidate experience, education and training, internal equity, and market conditions. Please be aware that this estimate doesn’t account for geographic differences related to your work location. Typically, new hires may not start at the top of this range, as compensation is tailored to each individual's circumstances. For union positions, salaries will be determined according to the collective bargaining agreement. Join us at EmblemHealth, where your contributions are valued and supported by fair compensation.
EEOC Statement
We value the diverse backgrounds, perspectives, and experiences of our workforce. As an equal opportunity employer, we consider all qualified applicants for employment regardless of race, color, religion, sex, sexual orientation, gender identity, pregnancy, marital status, national origin, disability, veteran status, or any other protected characteristic protected by law.
Sponsorship Statement
At EmblemHealth, we are committed to building a diverse and talented workforce. However, we are unable to consider applicants who require, or are likely to require, either before or after hire, visa sponsorship for work authorization in the United States, including but not limited to H-1B, F-1 (STEM OPT), TN, or any other non-immigrant status. Some extremely rare exceptions may apply based on critical business needs.