Vice President, Pharmacy & Dental
Healthfirst
New York, NY
Bhavesh Modi is the Vice President of Pharmacy and Dental at Healthfirst. In this role, Bhavesh leads a diverse, cross-functional team responsible for developing & executing clinical, cost-control, and quality strategies, operations, and regulatory compliance of Pharmacy & Dental benefits for a health plan covering approximately 2 million lives in New York City and over $4 billion in pharmacy and dental spend. His team is integral in the development and delivery of robust pharmacy & dental benefits, as well ensuring oversight and compliance of their PBM and dental vendors.
Over his 12 years at Healthfirst, Bhavesh has built teams overseeing the utilization and cost management of drugs accessed via the medical benefit, development of innovative quality improvement programs including key partnerships with retail community pharmacies, and prescriber outreach programs impacting formulary choice and medication adherence.
Before joining Healthfirst, Bhavesh worked 17 years at Medco where he served as a Clinical Account Executive servicing large payers in the Federal Government, State Government, and Labor sectors. He also served in leadership roles in product management focusing on development, execution, and management of drug utilization review products designed to inform physicians about the cost, quality, safety, and efficacy of the medications they’re prescribing.
Bhavesh earned his Pharmacy degree from Southwestern Oklahoma State University, and has been a member of AMCP for 27 years. He has also served as an advisor on the board of PQA, and his PBM's Health Plan Advisory Council.
(E2) Executive to Executive: Leading Managed Care Organizations Today
Tuesday, October 15, 2024
10:15 AM – 11:30 AM PT