Strategic Pharmacy Solutions Director

1 month ago

Mississauga, Ontario, Canada McKesson's Corporate Full time
Director of Strategic Pharmacy Partnerships

Mckesson's impact-driven environment touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable.

Salary: $115,100 - $191,900

About the Role:

The Director of Strategic Pharmacy Partnerships will lead the development of Biopharma's Payer programs and solutions. This role is responsible for creating strategic partnerships by harnessing Payor insights and trends to develop best-in-class programs and leading the project execution and management of such programs with key clients in alignment with the Biopharma division's goals.

  • Innovate, 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.
  • 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.
  • Build and execute on short- and long-term strategic partnership roadmaps 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.
  • 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.
  • 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.

Key Qualifications:

  • Bachelor's 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.
  • 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 professional presence, planning, and advanced client management skills.

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