Bhavesh Modi
Vice President, Pharmacy & Dental @Healthfirst
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WORK HISTORY
Vice President, Pharmacy & Dental @Healthfirst
New York, NY, US
Direct enterprise strategy for pharmacy and dental benefits across 2.1M members, overseeing $5B in combined drug spend and $300M dental portfolio while maintaining cost trends and quality performance targets. • Lead a multidisciplinary team of 140 professionals, aligning clinical, operational, and financial functions to deliver integrated benefit solutions that support population health and regulatory compliance. • Architect cost-containment strategies across pharmacy and medical benefit channels, reducing PMPM spend through utilization controls, formulary optimization, and targeted provider engagement initiatives. • Oversee multi-billion-dollar vendor contracts including PBM and specialty pharmacy agreements, strengthening rebate performance, ensuring compliance, and enhancing overall value delivery.
EDUCATION
Southwestern Oklahoma State University
BS Pharmacy, Pharmacy
ABOUT BHAVESH MODI
Strategic healthcare executive with 30+ years of leadership across pharmacy benefit management, managed care, and clinical operations, overseeing multi-billion-dollar portfolios across Medicare, Medicaid, and commercial populations. Proven track record of driving cost containment, optimizing formulary strategies, and leading enterprise-wide initiatives that improve quality metrics, regulatory compliance, and financial performance. Recognized for building scalable pharmacy programs, strengthening vendor partnerships, and delivering measurable outcomes across complex healthcare ecosystems
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