President PBM - Clearscript

The President of ClearScript is a strategic and operational leader responsible for overseeing all aspects of pharmacy benefit management services. This executive has overall responsibility for business growth, innovation, operational excellence, day to day operations, budgeting, legal and regulatory compliance, sales strategy and strategic partnerships to ensure the delivery of high-quality, cost-effective pharmacy benefit solutions. The role requires deep industry knowledge, visionary leadership, and a strong ability to align cross-functional teams to achieve business goals and actively market business for growth.

Responsibilities

• Strategic Leadership Develop and execute the long-term vision and strategy for PBM growth and operations aligned with corporate objectives. Lead enterprise-wide initiatives for business growth and enhance service delivery, cost containment, and clinical outcomes. Demonstrate thought leadership to industry and executive leadership teams on PBM trends, risks, and opportunities.
• Operational Oversight Oversee end-to-end PBM operations including claims adjudication, formulary management, rebate contracting, network development, and compliance. Ensure seamless integration of clinical, legal, pricing, sales, marketing and account management functions. Drive continuous improvement through Lean, Six Sigma, or other performance excellence methodologies.
• Client & Partner Management Cultivate and manage strategic B2B relationships with employer group clients, brokers, consultants, and industry leaders. Ensure high levels of client satisfaction through proactive engagement, service delivery, and issue resolution. Lead contract negotiations and performance reviews with key trading partners.
• Financial & Performance Management Develop and manage operational budgets, forecasts, and financial performance metrics. Monitor KPIs to identify trends, risks, and opportunities for optimization. Lead initiatives to improve business growth, margin and sustainability.
• Regulatory & Compliance Ensure compliance with all federal and state regulations, including CMS, HIPAA, and ERISA. Oversee internal audits, risk assessments, and policy development to maintain operational integrity.
• Team Leadership & Culture Build and lead a high-performing executive team across client acquisition & reporting, operations, finance, IT, and client services. Foster a culture of accountability, innovation, and continuous improvement. Champion diversity, equity, and inclusion across the organization.

Required Qualifications

• B.S./B.A. Bachelor's Degree
• 15 years Experience in healthcare or PBM leadership, with at least 5 years in an executive-level role (VP or above)
• Expertise in PBM operations, managed care, pharmacy claims, rebate contracting, clinical programs, and regulatory compliance
• Proven track record of leading large-scale operational transformations and delivering measurable outcomes
• Strong financial acumen and experience managing P&L responsibilities
• Exceptional communication, negotiation, and stakeholder management skills

Preferred Qualifications

• M.A./M.S. Master's Degree in Business (MBA), PharmD, or related advanced degree
• 10 or more years in an executive-level role (VP or above)

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/careers/benefits/noncontract

The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

Salary : $271,086 - $382,720