Director, Industry Relations & Clinical Strategy
San Diego, CA - USA
Job Summary
Exemption Status:
United States of America (Exempt)Exemption Status:
$155380 - $221416 - $287451Pay scale information is not necessarily reflective of actual compensation that may be earned nor a promise of any specific pay for any selected candidate or employee which is always dependent on actual experience education qualifications and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.
Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers patients and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services.
Job Description
Summary
Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers patients and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services. Industry Relations and Clinical Strategy Manager promotes the overall vision goals strategies and objectives of the PHG Industry Relations and Clinical Strategy team in line with overall company goals and objectives. Strategically develops the pharmaceutical rebate program to meet the revenue goals and business objectives of the company.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Leads formulary product placement considerations through financial spend/utilization/rebate models proposing formulary management recommendations for individual drugs and therapeutic classes sharing market intelligence and industry analysis to assist in understanding the current and future drug marketplace and contributing to the concepts and features associated with the overall formulary strategy intended to achieve corporate enterprise objectives of optimal rebate performance.
- Establishes the strategic vision for corporate formulary management to continually improve access quality and value of formulary products. Monitors and anticipates current and future marketplace trends including the regulatory environment evolving business conditions customer needs opportunities and issues. Leads the development and maintainanance of PHG formularies utilization management specialty drug lists and other key drug lists important to internal and client needs. Communicates with appropriate internal and external stakeholders. Transforms knowledge into results-generating strategies and product development roadmaps.
- Collaborates with internal and external trade relations finance underwriting client services business IT and formulary management teams as a subject matter expert related to contractual rebate terms conditions requirements interpretation compliance and overall rebate and formulary strategies; educates recommends and creates value proposition messaging and positioning for client proposals in support of formulary changes that drive rebate yields and savings. Provides information to support sales proposals and BAFOs as assigned.
- Leads clinical and rebate consultative services related to drug market trends drug pipeline and forecasting. Manages related analytic needs to support recommendations being considered by assigned clients that align with both the clients and the companys mutual goals of lower net costs and high clinical quality.
- Responsible for the development and maintainance of content related to clinical market and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.
- Responsible for highly influential accounts in the pharmaceutical industry. Routinely meets with account managers and senior leadership to establish and maintain functional business relationships acquire industry intelligence and to gain information on trends product pipelines innovative contracting methods and other business items that facilitate enhanced contracting leverage and rebate strategies.
- Responsible for the strategic direction management and implementation of annual pharmaceutical manufacturer Medicare and Medicaid RFPs.
- Develop and manage members of the PHG Clinical Strategy and/or PHG Rebate Operations team. Support staff training structure succession planning and budget as needed.
- Supports PHGs and downstream clients clinical products and services including but not limited to support of medical rebates cash point of sale value-based contract initiatives and other business initiatives as assigned.
- Leads the oversight of PHGs rebate vendor(s) ensuring appropriate representation of the goals interests and direction of the enterprise as it relates to pharma negotiations and rebate strategy.
- Manages the PHG rebate vendor operations team ensuring that all available rebate value is invoiced appropriately and collected.
- Responsible for the maintenance accuracy and timely submission of all documentation needed for PHG rebate vendor billing
Supervisory Responsibilities
Manages assigned staff in the segment area. Responsible for the overall direction coordination and evaluation of the unit. Carries out supervisory responsibilities in accordance with the organizations policies and applicable laws. Responsibilities include interviewing hiring and training employees; planning assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner taking corrective action whenever necessary.
Client Responsibilities
This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
Qualifications
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
BA/BS Degree or equivalent; plus 10 years related experience; 10 years of SME in respective area(s); (or equivalent combination of education and experience); and 8 years supervisory experience; Supervisory experience may be substituted with 10 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Director level or above that must be completed within 12 months in new position.
Computer Skills
To perform this job successfully an individual should have a competence with Microsoft Word Excel Access and PowerPoint software. The individual must also be capable of becoming proficient with internal systems such as MedOptimize or other business intelligence software as well as with proprietary MedImpact systems such as MedAccess and systems/databases used by MedImpact Formulary Services.
Certificates Licenses Registrations
Valid Registered Pharmacist license in any state of the US
Other Skills and Abilities
- Strong communication skills both verbal and written in a wide variety of business and professional settings.
- Excellent negotiation / influence collaboration and listening skills. Demonstrated ability to present information to maximize customer impact and influence.
Reasoning Ability
- Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
Mathematical Skills
- Ability to apply concepts such as fractions percentages ratios and proportions to practical situations.
Language Skills
- Ability to effectively present information and respond to questions from groups of managers clients customers and the general public.
Competencies To perform the job successfully an individual should demonstrate the following competencies:
Business Acumen
Directing Others
Organizational Agility
Conflict Management
Drive for Results
Political Savvy
Customer Focus
Innovation Management
Strategic Agility
Decision Quality
Managerial Courage
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger handle or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
This position may regularly be exposed to or encounter moving mechanical parts high precarious places fumes or airborne particles toxic or caustic chemicals outdoor weather conditions risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers light traffic).
Work Location
This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees colleagues clients or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.
Travel
This position requires both domestic and international travel of up to 20% of the time. A valid passport and ability to leave the United States is required
The Perks:
Medical / Dental / Vision / Wellness Programs
Paid Time Off / Company Paid Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
MedImpact is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego California. Our solutions and services positively influence healthcare outcomes and expenditures improving the position of our clients in the market. MedImpact offers high-value solutions to payers providers and consumers of healthcare in the U.S. and foreign markets.
Equal Opportunity Employer Male/Female/Disabilities/Veterans
OSHA/ADA:
To perform this job successfully the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are
representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Disclaimer:
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified.
Required Experience:
Director
About Company
MedImpact Healthcare Systems fills the prescription for keeping its customers' bottom line in healthy condition. The company provides and manages prescription benefit programs for self-insured employers, health plans, unions, insurers, third-party administrators and others, covering s ... View more