drjobs Senior Director Utilization and Contracting Management Hybrid

Senior Director Utilization and Contracting Management Hybrid

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1 Vacancy
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Job Location drjobs

Bloomfield - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Overall

Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary utilization management SafeGuard and other trend solutions.

Essential Functions:

  • Ability to manage development and of clinical UM strategy. This would include both the ongoing updates to existing UM solutions and the evolution of UM to both incorporate new technologies and meet the changing demands of both clients and regulators

  • Ability to understand and ensure alignment with clinical guidance within our trend solutions and contracting efforts. Meet with clinical leadership and SMEs to support efforts to update clinical guidance and its application to create solutions that provide financial savings with a clinicalfirst mindset

  • Ability to understand and negotiate contracting language to protect formulary and trend solutions from unintended conflicts across commercial Medicare and product offerings that depend on those contracts.

  • Support of negotiator teams to drive efficient communication of asks and the resulting internal stakeholder evaluation of newly obtained contracted rates and/or language

  • Ability to collaborate and support PBM solutions and supply chain strategic initiatives

  • Ability to work and influence crossfunctional partners to achieve key initiatives and corporate goals

  • Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines

  • Ability to work cross functionally with finance to model opportunities and track the financial value of the programs

  • Effectively communicate with clients pharmaceutical manufacturers and other external stakeholders/partners to support adoption of new solutions demonstrate Evernorth expertise and to promote the PBMs ability to serve clients and patients

  • Lead a team of multiple direct reports and their associated teams. Responsible for the identification and development of talent within the team to ensure continuity and to support the growth of new leaders. Ensure the team drives both the consistency and innovation necessary to accomplish the financial and outcome goals in support of Evernorth commitments

Qualifications:

  • Bachelors degree or beyond in an applicable area of study which could include business/product strategy business development pharmacy or healthcare management

  • 8 years relevant experience

  • Licensed pharmacist in good standing if degree is Pharmacy

  • Excellent verbal presentation and written communication skills required; proven leadership skills teamorientation a proactive management style and strong commitment to client service a must; ability to work on multiple tasks prioritize resolve complex issues and have strong project management skills; ability to learn multiple internal reporting and analytic tools use advanced problemsolving skills; work independently as well as collaboratively.

  • Intellectual curiosity and strong professional judgement. Demonstrated ability for creative analysis and creative problemsolving.

  • Strong financial acumen

  • Ability to handle complex analysis from issue identification to proposal to solution implementation.

  • Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines.

  • Strong relationship development capabilities with ability to work effectively with Senior Management.

  • Strong detail orientation organization and management of multiple parallel projects with fluid timelines.

  • Strong ability to work independently and to lead diverse teams.

  • Experienced people leader with a focus on facilitating a positive and inclusive team culture

  • Knowledge of PBM industry/Managed care/ healthcare industry is desirable


If you will be working at home occasionally or permanently the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Evernorth Health Services

Evernorth Health Services a division of The Cigna Group creates pharmacy care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race color age disability sex childbirth (including pregnancy) or related medical conditions including but not limited to lactation sexual orientation gender identity or expression veteran or military status religion national origin ancestry marital or familial status genetic information status with regard to public assistance citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobaccofree policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama Alaska Arizona Arkansas Delaware Florida Georgia Hawaii Idaho Iowa Kansas Maryland Massachusetts Michigan Nebraska Ohio Pennsylvania Texas Utah Vermont and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances.


Required Experience:

Exec

Employment Type

Full-Time

Company Industry

About Company

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