Director of HealthBenefits; Medical & Pharmacy

Shaw Industries Group, Inc. is a leader in flooring and other surface solutions designed for residential housing, commercial spaces and outdoor environments. Leveraging strengths in design, innovation and operational excellence, the company takes a people-centered, customer-focused, and growth-minded approach to meet diverse market needs. It creates differentiated customer experiences through its expansive portfolio of brands:
Anderson Tuftex, COREtec, Shaw Floors, Patcraft, Philadelphia Commercial, Shaw Contract, Shaw Sports Turf, Shawgrass, Southwest Greens, Watershed Geo and more. Headquartered in Dalton, Georgia, Shaw is a wholly owned subsidiary of Berkshire Hathaway, Inc. with more than $6 billion in annual sales and 18,000 associates worldwide.

This position is a hybrid role that will require the associate to be in the office (Dalton, GA) at least 2 days a week.

Shaw is seeking a Director of Employee Health & Welfare Benefits to lead the strategy and hands‑on execution of our self‑funded medical, pharmacy, and dental programs covering 27,000+ enrolled lives nationally, with an additional global footprint. Reporting to the Director of Health & Wellness, this role serves as the primary owner of medical and PBM plan design, carrier and vendor relationships, RFP execution, and full‑cycle implementation management.

This is a highly accountable player‑coach role. The Director will balance thoughtful plan design and cost strategy with detailed operational ownership, including vendor onboarding, file feeds, Workday setup, invoicing oversight, and service center leadership, to ensure seamless execution and a strong associate experience.

• Lead the strategy and ongoing design of Shaw’s medical and pharmacy benefit programs, ensuring alignment with organizational objectives, financial sustainability, and associate well‑being.
• Own medical and pharmacy plan design, including formulary strategy, specialty drug management, and clinical policy decisions.
• Serve as the enterprise subject‑matter expert for medical and pharmacy plan design, contracting, and operational governance.
• In partnership with leadership, shape the long‑term medical and pharmacy roadmap while ensuring day‑to‑day execution excellence.
• Ensure compliance with all federal, state, and regulatory requirements of medical and pharmacy benefit plans.

• Lead contract negotiations, renewals, and RFPs with medical carriers, PBMs, and third‑party vendors; serve as a primary stakeholder in finalist evaluations and vendor selection.
• Establish and manage vendor governance structures, performance metrics, and accountability standards.
• Synthesize complex claims and utilization data to identify cost drivers and deliver actionable plan design recommendations.
• Partner with brokers/consultants and internal finance stakeholders to develop cost projections, contribution modeling, and financial forecasting.
• Conduct competitor benchmarking and policy analyses to ensure plan competitiveness and market alignment.

• Own the full lifecycle of medical and pharmacy implementations, including vendor onboarding, contract transition, and operational readiness.
• Oversee file feeds, system configuration (including Workday setup), invoicing oversight, eligibility integrations, and cross‑functional coordination.
• Partner with HRIS, Payroll, Finance, and external vendors to ensure accurate data flows and seamless member experience.
• Provide leadership oversight to Shaw’s Health & Wellness Service Center operations, ensuring service excellence and operational efficiency.
• Manage direct reports including service center leadership and clinical program oversight (e.g., VIRTA rollout and future vendor integrations).

• Bachelor’s degree in Business, HR, Health Administration, Public Health, Pharmacy, or related field (or equivalent experience).
• 10+ years progressive experience preferably in employer benefits/health plan strategy, health plan operations, benefits…