Bhavesh Modi, RPh

Healthfirst


Bhavesh Modi is the Vice President of Pharmacy at Healthfirst. In this role, Bhavesh leads a cross-functional team responsible for the clinical and cost-control strategies, quality, operations, and regulatory compliance of Pharmacy benefits and programs impacting over 1.4 million lives in New York City and over $2.2 billion in pharmacy spend. His team is integral in the compliance and oversight of formulary administration & utilization management as well as the implementation and execution of quality improvements programs impacting Stars and HEDIS measures. Additionally, Bhavesh has been an advisor to CVS Caremark through participation on their Health Plan Advisory Council for the past 3 years.

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 since 1997, and PQA since 2013.