Director of Pharmacy Strategy
3 weeks ago
McKesson is a leading healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. We are seeking a highly skilled Director, Pharmacy Strategy to oversee Biopharma's Payer programs and solutions.
Key Responsibilities- Develop and implement best-in-class Payor programs and solutions to the insurance and benefits market, including Preferred Pharmacy Network/Prior Authorization/Case Management/Reimbursement/Manufacturer card programs.
- Lead coordinated stakeholder strategies to engage and win clients.
- Manage the Specialty Pharmacy Kroll Central Maintenance team, the pharmacy adjudication/reporting system, Kroll.
- Conduct data analysis and provide insights on pharmacy specialty drug/program dispensing trends including pricing, billing, and revenue/margin trends.
- Strategically plan and direct pharmacy activities to reduce and mitigate claw backs from third party payer audits, documenting lessons learned and training pharmacies on best practices.
- Liaise with critical cross functional departments including PSP, INVIVA, Specialty Pharmacy, Provider Solutions, Finance, Technology, etc, to build and deliver Payor programs and ensure that business requirements are met.
- Develop financial profitability models to drive pricing and negotiation terms of new programs/solutions with clients including proformas and sensitivity analyses.
- Build and execute on short- and long-term strategic partnership roadmap for Biopharma & Provider solutions.
- Lead contract negotiations and execution with key stakeholders to optimize our participation in the PPN networks and other Payor Solutions.
- Accountable for program financial performance and oversee the budget for internal and external clinical resources, direct and optimize activities to drive results with efficiencies.
- Ensure Payor Programs are executed with excellence and operating efficiently, managing all issue resolution and escalations directly with clients.
- Drive thought leadership on the Payor Strategies and best practices through ongoing competitive market research to inform and optimize programs and solutions.
- Lead interactions within internal teams regarding PPN strategy and act as a subject matter expert in the payor space (solutions and strategies) for all McKesson teams.
- Lead identification of new business opportunities, business cases, and RFP responses for new opportunities in consultation with the business development team.
- Develop network of strong client relationships with key Payors, including influencers, securing business with key industry leaders within each stakeholder group.
- Lead relationship management activities and build product awareness with consultants and carriers and other partners as appropriate.
- Drive McKesson awareness and recognition in the Payor landscape and participate at key external meetings and events – conferences & presentations.
- Manage the Specialty Pharmacy Kroll Central Maintenance team, the pharmacy adjudication/reporting system.
- Conduct data analysis and provide insights on pharmacy specialty drug/program dispensing trends including pricing, billing, and revenue/margin trends.
- Bachelors or Advanced degree in Business Administration, Pharmacy, or equivalent experience.
- 3+ years in P&L management.
- Experience with Payor, Health and Drug benefit programs including PPNs, PSPs, copay programs, case management and reimbursement programs.
- Strong business and financial acumen.
- Ability to analyze and interpret data, trends and provide insights.
- Project/program/product management experience an asset.
- Strong communication skills: interpersonal, writing, and presentation.
- Highly proficient in Excel and PowerPoint.
- Strong Problem Solving and analytical skills.
- Ability to work independently and represent BPS interest with stakeholders.
- Strong professional presence, planning, and advanced client management skills.
- Ability to participate in collaborative teamwork and experience working with large cross functional teams.
- Manages key stakeholder interests in a constant changing culture while at the same time managing conflicting priorities and business interests.
We offer a competitive compensation package at McKesson, including a base pay range of $115,100 - $191,900.
McKesson is an Equal Opportunity Employer.
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