Senior Pharmacy Strategy Director

5 days ago

Mississauga, Ontario, Canada McKesson's Corporate Full time
Director of Pharmacy Strategy and Innovation

Mckesson's mission is to improve the lives of patients, communities, and healthcare professionals by providing innovative solutions and services that make quality care more accessible and affordable.

Job Summary:

The Senior Pharmacy Strategy Director will be responsible for leading Biopharma's payer programs and solutions. The incumbent will oversee the creation of strategic partnerships with key payors, including insurance carriers, third-party administrators, benefit advisors, and consultants. This involves developing best-in-class programs, executing projects, and managing relationships with clients in alignment with the Biopharma division's goals.

  • Innovate, develop, and implement best-in-class payer programs and solutions for the insurance and benefits market, including preferred pharmacy networks, prior authorization, case management, reimbursement, and manufacturer card programs.
  • Manage the Specialty Pharmacy Kroll Central Maintenance team, the pharmacy adjudication and 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 a short- and long-term strategic partnership roadmap for Biopharma & Provider Solutions.
  • Lead contract negotiations and execution with key stakeholders to optimize participation in PPN networks and other payer 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 payer programs are executed with excellence and operating efficiently, managing all issue resolution and escalations directly with clients.
  • Develop a 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 and reporting system.
  • Conduct data analysis and provide insights on pharmacy specialty drug/program dispensing trends, including pricing, billing, and revenue/margin trends.

Requirements:

  • Bachelor's or advanced degree in Business Administration, Pharmacy, or equivalent experience.
  • 3+ years in P&L management.
  • Experience with payer, 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.
  • Manages key stakeholder interests in a constantly changing culture while at the same time managing conflicting priorities and business interests.

Estimated Salary:$145,500 - $234,000

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