Lead Negotiator, Pharmaceutical Partnerships

5 months ago

Mississauga, Canada The Cigna Group Full time

The Lead Negotiator, Pharmaceutical Partnerships is accountable for executing and delivering on ESC’s Pharmaceutical Partnerships strategy with a focus on the company’s PLA strategy.  In this role you will manage relationships with pharmaceutical manufacturers with a focus on negotiating product listing agreements (PLAs) across the country. The Lead Negotiator, Pharmaceutical Partnerships will work closely with our in-house clinical team to identify opportunities and align with clients on the viability of proposed formulary changes.  In addition, the Lead Negotiator will oversee the day-to-day activities in relation to PLAs to ensure the smooth operations and execution of the agreements.

Key Responsibilities:

  • Cross-functional collaboration with multiple internal and external stakeholders including our pharmaceutical manufacturer partners and representatives (Market Access)

  • Monitor current market and external issues impacting pharmaceutical reimbursement including industry trends, public policy, and the competitive landscape

  • Lead the execution of the PLA negotiation process with pharmaceutical manufacturers (negotiation strategy, negotiation phase, contracting) for specific drug therapies to foster the financial sustainability of drug plans

  • Understanding and aligning with the strategies of our carriers in order to deliver meaningful PLA’s across provincial regulatory boundaries

  • Responsible for coordinating appropriate legal and business review of negotiated document or research and resolution of contract interpretation questions related to rebate agreement, including providing assistance on audit and invoicing questions; must be proficient in drafting/reviewing binding legal agreements

  • Responsible for delivering annual PLA forecasts within budget

Qualifications:

  • 5+ years in pharmaceutical market access, pharmacy, health insurance industry or benefits management

  • Minimum 4 years of direct rebate negotiations experience

  • University Degree in Pharmacy, Business, Science, or related field is preferred; clinical background is considered a strong asset

  • Bilingual English and French is an asset

Knowledge, Skills and Abilities required:

  • Subject matter expertise in market access, benefits/insurance industry, value proposition development, drug reimbursement processes in the public and private payer landscape, public policy

  • Strong communication skills both verbal and written, with a demonstrated ability to create and deliver professional, and impactful presentations

  • Strong ability to negotiate and influence stakeholders

  • Demonstrated ability to manage multiple competing priorities

  • Strong analytical skills and business acumen with the ability to synthesize complex concepts/information such as clinical evaluation, pharmacoeconomic modelling, budget impact assessment

  • Demonstrated knowledge of the Canadian pharmaceutical landscape, Pharmacy Benefit Management, and Provincial Formularies and Regulations.

  • Established relationships with pharmaceutical and medical device manufacturers considered a strong asset

  • Demonstrated knowledge of the Canadian pharmaceutical landscape, Pharmacy Benefit Management, and Provincial Formularies and Regulations

  • Established relationships with pharmaceutical and medical device manufacturers considered a strong asset

Express Scripts Canada is a Cigna company

Express Scripts Canada is a subsidiary of Express Scripts, a Cigna company. Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, wellbeing and peace of mind of those we serve. Cigna offers an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioural health, pharmacy, vision, supplemental benefits, and other related products.

About Express Scripts Canada

Express Scripts Canada is a leading health benefits manager and has been recognized as one of the most innovative. Our clients include Canada's leading insurers, third party administrators and governments. We work with these clients to develop industry-leading solutions to deliver superior healthcare in a cost-controlled environment. We provide Active Pharmacy™ services to more than 7 million Canadian patients and adjudicate more than 100 million pharmacy, dental, and extended health claims annually. Through our proprietary consumer intelligence, clinical expertise, and patients-first approach, we promote better health decisions for plan members, while managing and reducing drug benefit costs for plan sponsors.

It will be a condition of employment that the successful candidate obtains an Enhanced Reliability Clearance from the Federal Government. The candidate will be required to provide supporting documentation to receive clearance if required.

We offer a competitive salary and benefits package, along with a positive work environment built on solid corporate values, integrity, mutual respect, collaboration, passion, service and alignment.

We are an equal opportunity employer that promotes a diverse, inclusive and accessible workplace. By embracing diversity, we build a more effective organization that empowers our employees to be the best that they can be.

We are committed to creating a working environment that is barrier-free and we are prepared to provide accommodation for people with disabilities.

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