10 PBM contracting experts

Experience: Director - Pharma Strategy & Contracting · Express Scripts Pharmacy Benefit Services

Former Director - Pharma Strategy & Contracting at Express Scripts Pharmacy Benefit Services (2016–2020), later in Market Access at Sunovion Pharmaceuticals (2021) and Lead Director, Specialty Trade Relations at CVS Health since January 2023. The profile cites specialization in pricing, negotiation, rebate strategy and Commercial, Medicare and Medicaid contract development across the PBM and pharma industries.

Experience: Vice President, Pharma Contracting & Strategy · Express Scripts Pharmacy Benefit Services

Former Vice President, Pharma Contracting & Strategy at Express Scripts Pharmacy Benefit Services (2022–2026), after serving as Sr. Director, Pharma Contracting & Strategy there (2020–2022). The profile says he led the team responsible for pharmaceutical manufacturer trade relations, GPO relationship management and client pharma strategy, including the relationship with its commercial rebate contracting GPO.

Experience: Vice President Pharma Strategy & Contracting · Express Scripts Pharmacy Benefit Services

Vice President Pharma Strategy & Contracting at Express Scripts Pharmacy Benefit Services since January 2023, following Drug Strategy & Business Development - Managing Director (2022–2023) and Director - Trend Solutions (2016–2019) there. A pharmacist (PharmD, BCPS), he cites over 20 years in pharmacy benefit management including pharma contracting, formulary development and utilization management strategy.

Experience: OptumRx-Senior Director of Network Contracting · UnitedHealth Group

Former OptumRx-Senior Director of Network Contracting at UnitedHealth Group (2018–2021), after OptumRx-Director of Network Contracting (2017–2018), and later OptumRx-VP, Pricing Strategy and Health Plan Growth (2022–2024). Since August 2024 VP Plan Sponsor Pharmacy Benefit Consulting at Pharmaceutical Strategies Group - PSG, which the profile says helps employers, health systems, unions and trusts improve rebate and pricing transparency.

Experience: Director, Pharma Strategy & Contracting · Express Scripts Pharmacy Benefit Services

Director, Pharma Strategy & Contracting at Express Scripts Pharmacy Benefit Services, a role the profile lists as current with a start date of March 1993. The profile headline gives the title as Director, Pharmaceutical Contracting at Express Scripts, Inc., and lists the position at the Director level.

Experience: Manager Pharmaceutical Rebate Contract Administration · CVS Health

Former Manager Pharmaceutical Rebate Contract Administration at CVS Health (2000–2005), Clinical Director, Government Accounts there (2005–2018) and Senior Director, Value Based Contracts and Health Economics at CVS Health (2020–2023), where the profile describes supporting the development of value based contracts within the trade relations organization. The current role, since November 2023, is Independent PBM Client Consultant.

Experience: Director Pharmaceutical Contracting & Consulting · Medco Health Solutions

Former Director Pharmaceutical Contracting & Consulting at Medco Health Solutions (2004–2007), then Sr Director Pharmaceutical Strategies & Solutions at Medco Health Solutions\Express Scripts (2007–2012). In the senior director role the profile says he negotiated formulary contracts for brand drugs, biologic drugs and devices and led a consulting staff of 8 analysts modeling plan design, formulary placement and copay structure.

Experience: Director, Specialty Contracting · CVS Health

Director, Specialty Contracting at CVS Health since February 2012, after serving as Manager, Specialty Contracting there (2005–2012). The profile says the role covers national contracting of specialty drugs and the direct negotiation of CVS Caremark's high-profile and strategic health plan and payor agreements. Earlier, Director of Managed Care Contracting and Provider Relations at UChicago Medicine (2002–2003).

Experience: Commercial & Medicare Contracting & Analysis · Novartis

Held the Commercial & Medicare Contracting & Analysis role at Novartis (2018–2019), and the profile says he negotiated pharmaceutical rebate contracts with pharmacy benefit managers. He also led Cambridge Advisory Group's pharmacy benefit management consulting practice as Managing Director (2020–2021), was Vice President, Drug Pricing at EnvisionRxOptions (2015–2018) and has been Director, Pharmacy Underwriting at Cigna Healthcare since December 2024.

Experience: Director, Managed Care Services · United Drugs

Former Director, Managed Care Services at United Drugs (2013–2016) and at Arete Pharmacy Network LLC (2016–2017), then Vice President, Managed Care Services at Arete Pharmacy Network until retiring in 2018. The profile describes direct experience with PBMs on contracting and contract consulting for independent pharmacies; earlier he was Executive Manager, Pharmacy Networks at United Drugs (1996–2013).