DIRECTOR TRADE CLIENT STRATEGY - SYNERGIE MEDICATION COLLECTIVE
Company: Blue Cross and Blue Shield Association
Location: Rolling Meadows
Posted on: September 30, 2024
|
|
Job Description:
The hiring range for this role is: -$170,000.00 -
$190,000.00This is the lowest to highest salary we, in good faith,
believe we would pay for this role at the time of this posting. -
We may ultimately pay more or less than the hiring range and this
hiring range may also be modified in the future. A candidate's
position within the hiring range may be based on several factors
including, but not limited to, specific competencies, relevant
education, qualifications, certifications, relevant experience,
skills, seniority, performance, shift, travel requirements, and
business or organizational needs. -This job is also eligible for
annual bonus incentive pay. -We offer a comprehensive package of
benefits including paid time off, 11 holidays,
medical/dental/vision insurance, generous 401(k) matching,
lifestyle spending account and many other benefits to eligible
employees. -Note: No amount of pay is considered to be wages or
compensation until such amount is earned, vested, and determinable.
The amount and availability of any bonus, commission, or any other
form of compensation that are allocable to a particular employee
remains in the Company's sole discretion unless and until paid and
may be modified at the Company's sole discretion, consistent with
the law. -Synergie Medication Collective is a new medication
contracting organization founded by a group of Blue Cross and Blue
Shield affiliated companies to serve both Blues and select
independent health plans. Synergie is focused on improving
affordability and access to costly medical benefit drugs - ones
that are injected or infused by a health care professional in a
clinical setting - for nearly 100 million Americans. The Trade
Client Strategy Director liaises with Synergie Participants and
manages clinical policies to comply with manufacturer contracts,
implements Trade strategies and initiatives, and collaborates with
and supports Synergie's Client Relations team for Trade related
inquiries. This includes medical and pharmacy drug policies, cross
benefit management, and rebate qualification for manufacturer
contracts. This position will establish and maintain cross
functional partnerships with internal teams to drive the
identification, development and successful execution of Synergie's
rebate programs. This position will be the primary Trade point of
contact for Synergie's Participant facing activities and will
support clinical decision making at the Participant level to comply
with manufacturer contracts.Primary Job FunctionsConsult with
Client Relations team on Trade related inquiries, initiatives, and
opportunity pull through with ParticipantsUnderstands downstream
impact of rebate and formulary strategy and can convey appropriate
messaging to health plan participants for adoption of said
strategies and policiesHas working knowledge of PBM operations and
understanding of drug and UM strategy and policy implementationHas
experience in reading and interpreting pharmaceutical manufacturer
drug contracts and understanding how to align terms and conditions
and translate into UM policy and criteriaManage medical and
pharmacy clinical policies with Participants to ensure manufacturer
contract complianceCollaborate and support Client Relations team
for Trade related inquiries from ParticipantsPartner with the
following stakeholders:Analytics Team - Collaborate on drug trends
and utilization data to inform clinical policy decisions, medical
policy and formulary compliance, drug share shift and utilization
management strategiesClient Relations - Serve as Trade's primary
point of contact for all Participant questions on Trade initiatives
and manufacturer contracts and escalate issues as needed to Trade's
leadershipClinical Team - Liaise with Clinical team to review
clinical data and policy requirements as needed Invoicing Team -
Maintain current library of Participant medical and pharmacy
policies and support Invoicing team with manufacturer inquiries
regarding clinical policiesProduct Team - Provide medical policy
support for manufacturer related contracts including, but not
limited to, cell and gene therapies and other outcomes programs
---Education, Experience, and CertificationPharmacy degree and
Pharm D. preferred5-7 years of related work experience in
healthcare, pharmacy benefit management (PBM), utilization
management, pharmaceutical contracting, client relations, or
analytical contractingMust be eligible to work in the United States
without need for work visa or residency sponsorshipExcellent verbal
and written presentation skillsAbility to establish rapport and
build relationships at all levels within an organizationPractical
application of clinical data to drive financial valueStrong
business and financial acumen, with advanced proficiency in Excel
and PowerPointKnowledge, Skills, and AbilitiesPharmacy residency
training or equivalent experienceExperience within the PBM
industry, Medicaid, Medicare, and health plansExperience with
contract language and risk mitigation conceptsTravel Requirements:
Up to 10% of the time.Work is generally performed in a remote
setting.#LI_REMOTESummaryLocation: Chicago or Washington, D.C.Type:
Full time
Keywords: Blue Cross and Blue Shield Association, Glenview , DIRECTOR TRADE CLIENT STRATEGY - SYNERGIE MEDICATION COLLECTIVE, Executive , Rolling Meadows, Illinois
Click
here to apply!
|