Vice President Pharmacy Network Operations Payer

Position Summary

The VP, Operations provides strategic and operational leadership for the teams responsible for building, supporting, and optimizing the company’s Network pillar. This role oversees operational leaders across these functions, ensuring consistent execution, strong performance, scalable operations, and alignment with the company’s strategic objectives.

The VP will establish operating standards, performance metrics, and accountability mechanisms across Network operations while identifying opportunities to improve productivity, quality, partner experience, and financial performance. This leader will work closely with Clinical, Product, Technology, Commercial, Finance, and other functions to ensure Network strategies translate into effective, scalable operational execution.

The ideal candidate is a strong operator and people leader who can bring structure across multiple functions, develop leaders, leverage data to improve performance, and successfully lead organizational change.

Essential Duties & ResponsibilitiesStrategic & Operational Leadership

• Develop and execute the operational strategy for the Network pillar in alignment with company objectives.

• Provide leadership and oversight to operational leaders across Network functions.

• Translate strategic priorities into clear operational plans, goals, performance expectations, and measurable outcomes.

• Establish consistent operating rhythms, governance, and accountability across Network operations.

• Identify operational capabilities and investments required to support growth and evolving business needs.

• Lead organizational and operational change initiatives across the Network pillar.

Operational Performance & Execution

• Establish and monitor KPIs, productivity measures, quality metrics, service levels, and other operational performance indicators.

• Drive consistent execution and accountability across Network teams.

• Identify performance gaps, operational risks, and opportunities for improvement.

• Lead initiatives to improve efficiency, quality, productivity, and scalability.

• Ensure operating processes and resource models can support business growth.

• Establish mechanisms to proactively identify and resolve operational issues and escalations.

Network Performance

• Partner with Network leaders to develop strategies that improve network participation, engagement, and performance.

• Ensure operational teams have the processes, tools, reporting, and support needed to execute Network strategies effectively.

• Use Network performance data and operational insights to identify trends and improvement opportunities.

• Support resolution of significant Network partner issues and operational escalations.

• Ensure Network feedback and operational needs are effectively communicated to Product, Technology, Clinical, and other stakeholders.

Process Improvement & Scalability

• Evaluate end-to-end operational processes to identify inefficiencies, bottlenecks, duplication, and opportunities for simplification.

• Standardize processes and operating procedures where appropriate.

• Champion automation and technology-enabled process improvement.

• Partner with Product and Technology teams to prioritize capabilities that improve operational efficiency and Network performance.

• Develop scalable operating models that support growth without unnecessary organizational complexity.

• Promote disciplined continuous improvement across operational teams.

Financial & Resource Management

• Partner with Finance and functional leaders on workforce planning, budgeting, forecasting, and resource allocation.

• Evaluate staffing models and capacity requirements against expected business demand.

• Identify opportunities to improve operating leverage and optimize resources.

• Develop business cases for operational investments and improvement initiatives.

• Monitor financial and operational performance and take corrective action when appropriate.

Leadership & Talent Development

• Lead and develop a high-performing team of operational leaders.

• Establish clear expectations and accountability for performance.

• Coach leaders to strengthen operational, analytical, and people leadership capabilities.

• Partner with People leadership on organizational design, workforce planning, succession planning, and talent development.

• Build leadership depth and succession readiness within Network operations.

• Promote a culture of accountability, collaboration, continuous improvement, and execution.

Cross-Functional Leadership

• Partner closely with Clinical, Product, Technology, Commercial, Finance, Compliance, and People teams.

• Represent Network operations in enterprise planning and decision-making.

• Ensure operational implications are considered when new products, programs, capabilities, or customer commitments are developed.

• Coordinate cross-functional initiatives required to improve Network performance.

• Serve as an executive escalation point for complex operational issues.

Knowledge, Skills & Abilities

• Strong operational and business acumen.

• Demonstrated ability to lead through other leaders and manage multiple operational functions.

• Strong analytical skills with the ability to translate data into operational decisions.

• Demonstrated experience establishing KPIs and performance-management frameworks.

• Strong process improvement and organizational transformation capabilities.

• Ability to develop scalable operating models in a complex environment.

• Strong financial acumen and experience with workforce and resource planning.

• Excellent executive communication and influencing skills.

• Ability to navigate ambiguity and establish structure in evolving organizations.

• Strong cross-functional leadership and relationship-management skills.

• Demonstrated ability to lead change while maintaining operational performance.