Associate Vice President Formulary Strategy

About the Company

AffirmedRx is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact.

Responsibilities

  • Own and evolve the organization’s formulary strategy, including multi-tier architecture and therapeutic category management
  • Lead enterprise-level evaluation and governance of formulary tier structures
  • Partner with Rebate Strategy and Account Management to align architecture with financial objectives
  • Serve as a strategic partner to the P&T Committee to ensure evidence-based decisions
  • Oversee the development of clinical monographs and therapeutic review materials
  • Lead formulary change management execution in compliance with CAA 2026, ACA, and ERISA
  • Provide leadership and coaching to the formulary strategy team

Requirements

  • Doctor of Pharmacy (PharmD) from an ACPE-accredited institution
  • Active pharmacist licensure
  • 15+ years of experience in formulary management, clinical pharmacy strategy, or managed care pharmacy
  • 5+ years in a PBM, health plan, or managed care organization
  • 3–5 years in a senior leadership or people management role
  • Expertise in formulary architecture, tier design, and rebate-aligned strategy
  • Working knowledge of regulatory requirements including CAA, ACA SBC, ERISA, and URAC/NCQA
  • Experience with Medi-Span or Wolters Kluwer clinical decision support platforms
  • Ability to travel 20-25%

Preferred Qualifications

  • Familiarity with the RxSense PBM platform or comparable enterprise PBM systems
  • Background in rebate strategy or formulary-rebate alignment
  • Experience building formal formulary communication programs
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