VP, PBS Technology

OVERVIEW:

Reporting directly to the SVP of Express Scripts and Care Management Technology, we are looking for a passionate, innovative, mission-based leader to guide our Technology organizations supporting the PBS Business. This leader will be responsible for product management, planning, engineering and platform strategy for the Evernorth Pharmacy Benefit Management (PBM) systems.

Working closely with Business, Operations, and Technology partners (Cigna and Evernorth), along with leveraging technology and a transformational skillset, this leader will provide strategic and technical leadership for delivering business capabilities while driving thought leadership and innovation with business partners.

RESPONSIBILITIES:

* Leverage a deep understanding of the PBS landscape, our enterprise strategy, and emerging technologies to partner closely with the business to optimize current PBM solutions and technology ecosystem.

* Build and cultivate key relationships across the enterprise to align and drive expected results.

* Create & deliver new solutions by helping partners to see the art-of-the-possible and influencing the change needed to execute and deliver successfully.

* Responsible to establish, maintain and implement a technology vision and strategy aligned with a strategic roadmap and its priorities.

* The PBS+ leader will not only be critical to delivering on an aggressive portfolio and strategic roadmap but also be key in helping build out an expansion plan to transform the current technology systems to demonstrate the ability to provide innovative solutions that will be instrumental in growing our EVERNORTH business.

* Lead a global team of ~1,500 total resources comprised of Engineering, Product and Planning functions and ensure diverse, highly engaged and performing talent and an optimized structure with a focus on developing skills, capabilities, leaders and operating mechanisms that will drive horizontal innovation and successfully deliver on strategic priorities

* Team comprised of Benefits and Eligibility, Drug Utilization Review, Sales CRM, Contractor Lifecycle Management, Supply Chain/Retail Networks, Consumer Directed Healthcare, Adjustments, Billing & Remittance, Claims Router, and Claims Adjudication

* Drive decisions relative to strategy, approach, purpose, prioritizations, trade-offs, investments, and funding, managing a budget of ~$260M.

Experience

* At least 15 years of experience in technology leadership, preferably within the healthcare or PBM industry.

* Proven leadership driving innovation and transformation in technology systems for healthcare companies, prepared to lead a global matrix organization of approx. 1,500 resources (700 FTE's)

* Proven track record in leading large-scale IT initiatives, preferably in healthcare systems, or insurance technology environments.

* Ability to apply knowledge of the healthcare landscape to achieve strategic goals, including capability development and recommendations for partnerships or M&A.

* Skilled at explaining technical concepts to non-technical audiences, influencing stakeholders, vendors, and clients.

* Experience in recruiting, motivating, and developing technology teams globally.

* Experience building relationships, engaging with and shaping the perspectives of internal business partners, supporting organizations (Infrastructure, CIP, Digital, contact center) and key external customers to gain support on key issues and/or create a favorable business environment.

* Capable of adapting to changing business environments and managing ambiguity.

* Vendor management experience, especially with healthcare and PBM technology vendors, to manage partnerships and contracts.

Technical Skills

* Experience with data management and analytics platforms, especially in the context of healthcare data.

* Familiarity with cloud computing and modern IT architectures.

* Knowledge of machine learning, AI, and data analytics in optimizing PBM processes.

* Expertise in integration of PBM technology with insurance carriers, healthcare providers, and other stakeholders in the healthcare ecosystem.

* Understanding of software development methodologies (Agile, Dev Ops) and…