Pharmaceutical Industry Strategy Director
2 weeks ago
The Pharmaceutical Industry Strategy Director will oversee Biopharma's Payer programs and solutions. This key 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.
Key Responsibilities- 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, to build and deliver Payor programs and ensure that business requirements are met.
- 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.
- 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.
We are seeking a highly experienced individual who holds a Bachelors or Advanced degree in Business Administration, Pharmacy, or equivalent experience. You must have 3+ years in P&L management and extensive knowledge of Payor, Health and Drug benefit programs including PPNs, PSPs, copay programs, case management and reimbursement programs. Strong communication skills: interpersonal, writing, and presentation, as well as high proficiency in Excel and PowerPoint are essential. You should be able to manage key stakeholder interests in a constant changing culture while at the same time managing conflicting priorities and business interests.
What We Offer$115,100 - $191,900 per year, depending on experience. McKesson is an Equal Opportunity Employer and provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information.
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