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Director, Channel Management

External
medimpact logoMedimpact · San Diego, CA
$155K–$221K/yrFull-timeRemoteToday
Financial Modeling
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About the role

The Director of Channel Management is responsible for influencing and executing pharmacy channel management strategies that drive measurable financial, clinical, and experiential value for PBM clients. This role leads the development and execution of channel optimization initiatives across retail, mail order, specialty, and alternative pharmacy delivery models, ensuring alignment with client goals, network design, and PBM economics. Operating as a strategic individual contributor and people leader, the Director partners closely with Network Contracting, Underwriting, Analytics, Clinical, Product, and Account Management teams to translate channel strategy into actionable programs, analytics, and client ready recommendations. Essential Duties and Responsibilities include the following. Other duties may be assigned. Channel Strategy & Optimization Support the development and execution of the PBM's channel management strategy focused on reducing net cost, improving outcomes, and enhancing member experience. Analyze and optimize pharmacy utilization across retail, mail, specialty, and alternative channels using financial, clinical, and behavioral levers. Identify channel based opportunities to drive client savings, including site of care optimization, specialty channel strategies, and preferred pharmacy programs. Translate client objectives into practical channel recommendations and implementation plans. Cross Functional Influence & Execution Partner closely with Network Contracting, Underwriting, Analytics, Clinical, and Product teams to ensure channel initiatives are operationally feasible and financially sound. Influence internal stakeholders to align on channel initiatives using data driven insights rather than formal authority. Support Sales and Account Management teams in new business and renewal efforts by providing channel strategy input and analysis. Financial & Performance Analysis Conduct channel level financial modeling, scenario analysis, and cost trend analysis to quantify value creation. Partner with Underwriting and Finance to ensure channel recommendations align with pricing assumptions and margin expectations. Develop and maintain channel performance metrics, dashboards, and reporting to monitor utilization, costs, and savings. Support client facing reporting and value demonstrations related to channel initiatives. Network & Program Alignment Collaborate with Pharmacy Network Contracting to ensure channel strategies align with reimbursement structures and network design. Support the development and refinement of channel specific programs such as specialty management, limited networks, preferred pharmacy strategies, and migration initiatives. Monitor channel performance and recommend adjustments to improve outcomes and sustainability. Client Advisory & Engagement Serve as a subject matter resource for clients and internal teams on pharmacy channel strategy and utilization trends. Participate in client meetings, strategic reviews, and implementation discussions related to channel optimization. Help explain channel strategy performance, tradeoffs, and savings opportunities to non-technical audiences. Market Awareness & Innovation Track market trends, competitor strategies, regulatory developments, and emerging pharmacy channel innovations. Contribute ideas for enhancements to channel management tools, analytics, and programs. Support pilots and new initiatives that strengthen the PBM's channel management capabilities. Supervisory Responsibilities Manages assigned staff in the segment area. Responsible for t

Benefits

Health insuranceVision insurance

Additional Information

Exemption Status: United States of America (Exempt) $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." This position is not eligible for Sponsorship. MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description


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