Job Description

Summary:

The Director of GTM Strategy – Pharmacy Benefit Management will play a pivotal role in driving strategic growth and enhancing the value proposition of SPS Health’s PSAO (Pharmacy Services Administrative Organization). As part of a lean, entrepreneurial team, this role offers the opportunity to work in a newly launched product vertical with significant long-term growth potential. You will be instrumental in developing and maintaining strategic partnerships with PBMs, optimizing the network of pharmacies, and shaping the company’s go-to-market (GTM) strategy through actionable feedback loops. Reporting directly to the Chief Revenue Officer, this position provides a chance to make a tangible impact on the trajectory of SPS Health’s newest division.

Essential Duties and Responsibilities

This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities as management may deem necessary from time to time.

Strategic PBM Engagement and Negotiation

• Lead negotiations with PBMs to secure competitive and mutually beneficial contractual terms that align with SPS Health’s strategic goals.
• Develop a feedback loop with PBMs to gather insights that shape and enhance SPS Health’s GTM strategy.
• Monitor PBM compliance with contractual terms, ensuring adherence to regulatory requirements and identifying areas for improvement.
• Oversee the financial analysis of network contracts to evaluate performance and impact.
• Position SPS Health’s PSAO as a trusted and valued partner by effectively communicating the organization’s value proposition.

Strategy and Go-To-Market Opportunities

• Analyze market trends and competitive landscapes to identify opportunities for expanding and optimizing the pharmacy network.
• Lead the go-to-market strategy for SPS Health’s PSAO solutions, including identifying and defining new solutions, pricing models, and product-market fit
• Collaborate cross-functionally with teams such as finance, marketing, analytics, operations, IT, and the executive leadership to align PBM strategies with overall business objectives.

Relationship Management and Growth

• Build and nurture long-term, strategic partnerships with PBMs to identify growth opportunities and drive innovation in pharmacy services.
• Act as a trusted advisor to key customers, ensuring satisfaction with SPS Health’s PSAO services and fostering loyalty.

Thought Leadership and Brand Building

• Represent SPS Health at industry conferences, trade shows, and networking events to promote the PSAO division and build brand recognition.
• Deliver compelling, tailored presentations and proposals that resonate with PBM partners and the LTC customer base.

Qualifications:

• Bachelor's degree required; advanced degree preferred.
• Requires 6+ years professional work experience including at least 3+ years from a top tier management consulting firm with a focus in the healthcare industry.
• Understanding of the U.S. payer landscape, including commercial and Medicare Advantage lines of business. Knowledge of Medicaid managed care and exchange plans is highly valued.
• Proven experience in strategic negotiation and partnership development, ideally in healthcare services sector.
• Exceptional communication and consultative selling skills with the ability to frame solutions to address customer challenges proactively with a strong executive presence.
• Strong analytical skills, with experience interpreting financial and market data to inform strategy.
• Willingness to travel for client meetings and industry engagements as needed.

Work Environment

This role is a hybrid position with office presence required at our Denver, CO office. Travel within the U.S. is estimated at 30% per year. The emphasis is on travel for impact.

The above statement reflects the general details necessary to describe the principal functions of the occupation and shall not be construed as a detailed description of all the work that may be inherent in the occupation.

EEO Statement

SPS Health, LLC and all its affiliates, are equal opportunity employers committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. The Company makes hiring decisions based solely on qualifications, merit, and business needs at the time. The company complies with the Colorado Healthy Families & Workplaces Act.

Why Join SPS Health?

This is a unique opportunity to join a lean, entrepreneurial team working on a newly launched vertical with significant long-term growth potential. As Director of GTM Strategy – Pharmacy Benefit Management , you will play a central role in shaping the PSAO division, driving growth, and influencing the future of pharmacy services. This role offers the chance to build something new within a proven organization and make a meaningful impact in the healthcare space. If you’re a strategic thinker with a passion for innovation, we’d love to hear from you.

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