Vice President, Pharmacy
- Compensation
- Not disclosed
- Location
- La Grange, KY
- Work setup
- Hybrid
- Seniority
- C level
- Employment
- Full time
- Experience
- Not specified
- Category
- Not specified
- Posted
Skills
Must have
- Progressive leadership experience in pharmacy operations, pharmacy benefit management, healthcare claims, payment integrity, or a closely related operational domain, including experience managing mana
- Demonstrated track record of improving operational performance — measurable gains in productivity, quality, recovery, or cost — through process redesign rather than headcount alone.
- Working fluency with operational systems and data: able to learn a new platform quickly, work in it directly, and identify errors and inefficiencies without relying solely on delegated answers.
- Experience partnering with technology teams to define requirements and deliver tooling or automation improvements.
- Executive-level written and verbal communication skills, with experience presenting to senior leadership and to external clients.
- Experience building and executing consistent, well-documented performance management processes.
Nice to have
- Direct experience in pharmacy claims review, prescription drug recovery, or PBM audit environments.
- Familiarity with the regulatory environment, reimbursement mechanics, claims auditing, coordination of benefits (COB), and compensation structures relevant to healthcare claims or pharmacy benefits.
- Demonstrated performance in accounts receivable management (ARM), overpayment recovery, or revenue cycle management.
- Experience scaling an operations team through a period of rapid growth or significant process change.
- Clinical pharmacy credentials (PharmD, RPh, or CPhT) are a plus but not required.
Full description
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Pharmacy team, you will lead and scale our pharmacy operations organization. This is a senior leadership role for an operator who is equally comfortable in a client-facing strategy conversation and in the production system reviewing a claim line by line.
The VP owns the performance, culture, and continuous improvement of a multi-layered pharmacy payment integrity organization that serves U.S. health insurers, employers, and pharmacy benefit managers by identifying, recovering, and preventing pharmacy claim overpayments. This role has significant autonomy and significant expectations. Success is measured in recovery performance, operational efficiency, and the strength of the team you build.
What you’ll doPeople Leadership
- Lead a pharmacy operations organization with direct reports ranging from Senior Manager through Director level, and overall accountability for the broader team beneath them.
- Build and sustain a culture that holds team members to demanding performance standards while making Machinify a place people want to work. These are complementary objectives.
- Coach and train managers to recognize underperformance early and conduct clear, constructive, well-documented performance conversations.
- Recognize and publicize excellent work; create visible standards for what great performance looks like.
- Champion and lead employee engagement and cultural initiatives; remain visible and accessible to employees at every level of the organization.
- Partner closely with People Operations on hiring, workforce planning, policy development, and consistent enforcement of expectations.
Workflow and Performance Optimization
- Continuously identify efficiency opportunities across pharmacy operations workflows and eliminate steps that do not create value.
- Re-engineer unnecessarily manual processes, selecting the most effective solution path for each problem: