VP, National Pharmacy Services

Ponos Management, LLC is a mission-driven healthcare organization dedicated to improving outcomes for Medicaid populations through a physician-led, value-based care model. Our integrated approach addresses social, behavioral, physical, and economic barriers to care by delivering coordinated services designed to improve quality of life and reduce unnecessary hospital utilization.

Ponos Care supports individuals living with complex and chronic conditions by providing personalized care pathways that integrate medical treatment, behavioral health services, and community-based resources. Through collaboration with interdisciplinary teams, we ensure members receive holistic and continuous care that supports long-term stability and improved health outcomes.

Ponos Care continues to expand nationally, delivering innovative care management and eligibility alignment solutions that improve member outcomes and support healthcare system efficiency.

The Vice President, National Pharmacy Services serves as the executive leader responsible for the strategic direction, operational performance, clinical effectiveness, regulatory compliance, and growth of all pharmacy-related programs and services across Ponos Care.

This role is responsible for building and leading a national pharmacy model that integrates medication optimization, specialty pharmacy management, value-based care initiatives, predictive medicine, population health analytics, and pharmacist-led interventions to improve member outcomes while reducing healthcare costs.

The Vice President will work collaboratively with Clinical Operations, Behavioral Health, Engagement, Eligibility, Information Technology, Data Analytics, and Provider Relations teams to create a fully integrated pharmacy ecosystem supporting members with complex chronic conditions.

This leader will be responsible for designing and implementing innovative pharmacy strategies that align with payer expectations, value-based contracts, quality measures, and Ponos Care's long-term growth strategy.

• Develop and execute the national pharmacy services strategy.
• Serve as the executive pharmacy leader for all markets and future state expansions.
• Establish pharmacy goals, objectives, and key performance indicators.
• Develop annual operating plans and budgets for pharmacy services.
• Provide strategic recommendations to the Executive Leadership Team.
• Participate in organizational growth planning and expansion initiatives.
• Represent pharmacy services during payer, provider, client, and board meetings.

• Design and oversee pharmacist-led care management programs.
• Establish medication optimization programs across all disease states.
• Develop specialty pharmacy management strategies.
• Implement evidence-based medication therapy management programs.
• Create medication adherence and compliance initiatives.
• Oversee medication reconciliation and transition-of-care programs.
• Establish clinical pathways and medication intervention protocols.

• Provide pharmacy oversight and intervention strategies for:
  Multiple Sclerosis, Human Immunodeficiency Virus, Crohn's Disease, Ulcerative Colitis, Rheumatoid Arthritis, Psoriatic Arthritis, Sickle Cell Disease, Chronic Kidney Disease, Heart Failure, Diabetes, and Behavioral Health Conditions
• Develop clinical protocols that improve outcomes while reducing total cost of care.
• Collaborate with Information Technology and Predictive Medicine teams.
• Utilize predictive analytics to identify high-risk members.
• Develop pharmacy intervention triggers based upon risk scoring.
• Create pharmacist review workflows for identified members.
• Monitor medication utilization trends and adherence patterns.
• Utilize artificial intelligence and predictive models to improve intervention effectiveness.
• Develop pharmacy dashboards and reporting tools.

• Support all value-based care contracts and payer initiatives.
• Develop pharmacy-specific quality improvement strategies.
• Improve medication adherence performance measures.
• Reduce avoidable hospital admissions and emergency department…