Joshua Harvey

Joshua Harvey

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Founder & Principal Consultant
Cumming, Georgia, United States

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  • Medical Review Institute of America
    Vice President of Sales-PBM/Pharmacy
    Medical Review Institute of America
    Feb 2025 - Current (1 year 5 months)
    My role involves building strategic partnerships, driving revenue growth, and expanding market presence through innovative pharmacy solutions. I work closely with clients to understand their needs and deliver tailored, high-impact solutions that improve efficiency and outcomes in the PBM industry.
  • Medical Review Institute of America
    Senior Vice President of Sales-PBM/Pharmacy
    Medical Review Institute of America
    Feb 2025 - Nov 2025 (10 months)
    Provide leadership for sales, revenue growth, and go-to-market strategy across healthcare payer markets, with accountability for enterprise growth, strategic account expansion, and long-term commercial performance. Partner cross-functionally with clinical, operations, product, and customer success leadership to align sales strategy with utilization management solutions, clinical excellence, customer outcomes, and sustainable profitability. Lead enterprise and strategic sales efforts across Health Plans, PBMs, TPAs, self-insured employers, and value-based care organizations, engaging Medical Directors, clinical executives, procurement leaders, and C-suite stakeholders. Primary focus areas include strategic sales leadership, utilization ma
  • Prescryptive Health Inc
    Regional Vice President of Healthcare Technology Sales
    Prescryptive Health Inc
    Apr 2022 - Mar 2023 (1 year)
    Owned revenue growth across new logo acquisition and existing account expansion within the healthcare and PBM ecosystem. Led enterprise sales efforts for PBM and healthcare technology solutions, including AI-driven pricing platforms, clinical workflow tools, digital prescribing, and discount card programs. Partnered with executive leadership to develop go-to-market strategies, pricing models, and ROI frameworks for complex opportunities. Built strategic relationships with pharmacies, PBMs, health plans, and payer organizations to support market expansion, partnerships, and long-term growth.
  • P
    Founder & CEO
    PbmInnovations Joshua Harvey Consulting LLC
    Jan 2022 - Current (4 years 6 months)
    • Contract management for cash and managed care networks for pharmacies and payers • Technology leadership around PBM claims adjudication systems • Assisted PBMs with rebate aggregation • Developed pricing models and strategies around cash solutions
  • P
    Founder & Principal Consultant
    PBM Innovations Joshua Harvey Consulting LLC
    Jan 2022 - Current (4 years 6 months)
    Lead PBM Innovations, a consulting and advisory firm supporting Pharmacy Benefit Managers and healthcare organizations across commercial, government, and cash-pay markets. Focused on helping PBMs design, launch, and scale sustainable benefit programs through strategic business development, network contracting, pricing strategy, and operational optimization. Advise clients on adjudication platforms, pharmacy network strategy, discount card and cash network development, and go-to-market execution. Partner closely with executive leadership to align commercial strategy with regulatory, operational, and profitability objectives across the full PBM lifecycle, from concept through execution.
  • CoverMyMeds
    National Sales Manager of Third-Party Payers -CoverMyMeds
    CoverMyMeds
    May 2021 - Jan 2022 (9 months)
    My primary role was to sell CoverMyMeds data services and solutions directly to Third-Party Payers, hospitals, clinics, 340 entities and vendors. I also managed and facilitated direct connections utilizing the NCPDP D.0 format. I managed the contracts, negotiations, and compliance of all my opportunities. I was responsible for an 18-million-dollar book of business with the expectations of retaining 80% of the customer base and bringing in 20% new business. During this time, I led 12 sales contributors for the Savings SeekerRx product and achieved 103% of my quota in the first 10 months of this role. In my first 8 months with CMM formerly known as Relay Health, I was responsible for contracting out the pharmacy cash network for Savings Seeke
  • CoverMyMeds
    National Sales Manager of Third-Party Payers - CoverMyMeds
    CoverMyMeds
    May 2021 - Jan 2022 (9 months)
    Led national sales efforts across third-party payer markets at CoverMyMeds, a McKesson company, supporting enterprise healthcare organizations, including PBMs, health plans, pharmacies, hospitals, and 340B entities. Owned revenue performance across complex, multi-stakeholder sales cycles within a highly regulated healthcare environment. Launched Savings SeekerRx, a national discount card and cash network, including pharmacy network contracting and commercial rollout. Facilitated and sold direct third-party data connections into the RelayHealth network, enabling payer and partner integration at scale. Built and led a high-performing national sales team while driving consistent quota attainment and year-over-year revenue growth through strat
  • CoverMyMeds
    National Sales Executive Pharmacy - Relay Health
    CoverMyMeds
    Apr 2019 - May 2021 (2 years 2 months)
    Served as National Sales Executive for pharmacy markets at CoverMyMeds, a McKesson company, leading the buildout and commercialization of McKesson’s nationwide pharmacy discount card network. Owned performance against a national quota and achieved 105% of quota, earning recognition as a Sales Leader within the McKesson organization. Led the strategy, contracting, and expansion of a nationwide pharmacy cash network, partnering with national, regional, and independent pharmacies to support the launch of a startup discount card program. Worked cross-functionally across network operations, legal, pricing, and technology teams to enable scalable deployment, compliance, and market adoption across the U.S.
  • CoverMyMeds
    National Sales Executive Pharmacy- Relay Health
    CoverMyMeds
    Apr 2019 - May 2021 (2 years 2 months)
    I was hired to set up and launch the Savings SeekerRx product. This role was a sales, contracting, and business development role. My initial role was to set up and sell our discount card network to the pharmacy chains. I contracted a 40,000 pharmacy network in my first 12 months in this role. Simultaneously I sold the Relay Health services to these pharmacies, vendors and health systems. I developed contacts and relationships with almost every major pharmacy chain in the US.
  • Phoenix Benefits Management
    Co-Founder & SVP of Sales & Business Development
    Phoenix Benefits Management
    Aug 2017 - Apr 2019 (1 year 9 months)
  • Phoenix Benefits Management
    Co-Founder & VP of Sales & Business Development
    Phoenix Benefits Management
    Aug 2011 - Aug 2017 (6 years 1 month)
    Founding sales leader responsible for building and scaling the commercial organization for Phoenix Benefits Management, a startup Pharmacy Benefit Manager. Led revenue strategy, go-to-market execution, and nationwide expansion from inception through sustained growth across employer, broker, consultant, and payer markets. Built and contracted a nationwide pharmacy network supporting commercial and cash programs, while developing strategic partnerships with TPAs, brokers, consultants, employer groups, hospitals, pharmacies, and healthcare organizations. Established pricing models, sales processes, and partnership frameworks that drove consistent revenue growth and expanded Phoenix Benefits Management’s national footprint.
  • RxSense
    Data-Rx Senior Sales Executive - Managed Care
    RxSense
    Sep 2010 - Aug 2011 (1 year)
    Served as an Account and Senior Sales Executive supporting growth initiatives across self-insured employer groups and discount card programs within the PBM and healthcare technology space. Led consultative sales efforts focused on commercial benefit design, pharmacy discount solutions, and payer-adjacent programs. Developed and executed strategic sales plans to drive revenue growth, expand market presence, and establish long-term client partnerships. Built and maintained strong relationships with employers, partners, and pharmacy stakeholders, while negotiating and securing contracts with major pharmacy networks. Contributed to product ideation and innovation initiatives by translating market needs into actionable commercial strategies. L
  • RxSense
    Data-Rx_Account & Senior Sales Executive-Self-Insured Benefits & Discount Cards
    RxSense
    Sep 2010 - Aug 2011 (1 year)
    During my tenure at RxSense (formerly Data-Rx), I played a crucial role in the company's growth and success. My responsibilities included: • Leading sales efforts for Data-Rx, focusing on self-insured commercial benefits, discount card programs, and 340B solutions. • Developing and implementing strategic sales plans to achieve company revenue targets. • Building and maintaining strong relationships with key clients, partners, and stakeholders. • Negotiating and securing contracts with major pharmacy networks. • Driving innovation and product ideation to stay competitive in the market. • Mentoring and guiding sales team members to exceed sales goals. • Collaborating with cross-functional teams to deliver exceptional customer service and sup
  • RxSense
    Data-Rx Sales Executive - Managed Care
    RxSense
    Jan 2009 - Sep 2010 (1 year 9 months)
    Supported sales and account development efforts within the managed care and PBM space, working with health plans, employers, and pharmacy partners. Assisted in the execution of sales initiatives focused on pharmacy benefit solutions, discount programs, and payer-adjacent offerings. Developed foundational experience in managed care sales by supporting client outreach, account coordination, and proposal development. Collaborated with senior sales leaders to help manage opportunities, gather requirements, and support negotiations with pharmacy networks and partners. Built a strong understanding of PBM operations, adjudication platforms, and the managed care ecosystem while working cross-functionally with operations, product, and client suppo
  • RxSense
    Data-Rx_Account & Jr. Sales Executive-340B & Managed Care
    RxSense
    Jan 2009 - Sep 2010 (1 year 9 months)
Education verified_user 0% verified
  • Southeastern Oklahoma State University
    Business Administration and Management, General
    Southeastern Oklahoma State University
  • G
    Business administration, Business
    Grayson College
Projects (professional or personal) verified_user 0% verified
  • S
    SaaS analytic software for prescription cards.
    Sep 2011
    I was the visionary and team leader for the development of this SaaS analytic software. My job was to create a way for customer to see their data in a way that brought it to life. With the help of my IT department we were able to create a software that not only told a story but allowed people to see and visualize their data. This software empowered the client allowing their data to drive more revenue and to increase their business.
  • P
    Prescription Savings Card
    Oct 2009 - Aug 2011 (1 year 11 months)
    A Prescription Savings Card is a product that allows customers to get a 15-75% discount at the point of sale at a pharmacy. When I started this project for this company, there was very little revenue coming in for this product. I took this product and turned it into a highly profitable sales division for this company. When I left the company the Prescription Card Program was generating an estimated half million dollars revenue every month.
  • E
    Elite Sales
    Jun 2007 - Mar 2009 (1 year 10 months)
    Elite Sales Dinner, is a monthly award given to the top salesmen, and women in the company. This is the premier award dinner each month. It is highly sought after and difficult to achieve. I was invited to this dinner an unprecedented 24 months in a row. I was also awarded this dinner 29 out of the 32 months that I worked for Enterprise Rent a Car. I was ranked as one of the highest salesmen in the entire Dallas Metroplex.
Awards verified_user 0% verified
  • Enterprise Rentacar
    Elite Sales 24 Consecutive Months
    Enterprise Rentacar
    Jan 2009
    The elite dinner was a monthly award given to the top performers in their region.
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