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Director, Industry Relations & Clinical Strategy

External
medimpact logoMedimpact · San Diego, CA
$155K–$221K/yrContractRemote3w ago
ComplianceForecastingLeadership
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About the role

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 company's 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 RFP's. 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 PHG's and downstream client's 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 PHG's 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 t

Benefits

Health insuranceVision insurance

Additional Information

Exemption Status: United States of America (Exempt) Exemption Status: $155,380 - $221,416 - $287,451 "Pay 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


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