Industry Relations and Clinical Strategy Manager

Exemption Status:

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary: 

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services. The Industry Relations and Clinical Strategy Manager promotes the overall vision, goals, strategies, and objectives of the PHG Industry Relations and Clinical Strategy team in line with overall company goals and objectives. Strategically develops the pharmaceutical rebate program to meet the revenue goals and business objectives of the company.

Essential Duties and Responsibilities include the following:

• Supports formulary product placement considerations through financial spend/utilization/rebate models, proposing formulary management recommendations for individual drugs and therapeutic classes, sharing market intelligence and industry analysis to assist in understanding the current and future drug marketplace, and contributing to the concepts and features associated with the overall formulary strategy intended to achieve corporate enterprise objectives of optimal rebate performance.

• Contributes to the development of the strategic vision for corporate formulary management to continually improve access, quality, and value of formulary products. Monitors and anticipates current and future marketplace trends, including the regulatory environment, evolving business conditions, customer needs, opportunities and issues. Develops and maintains PHG formularies, utilization management, specialty drug lists and other key drug lists important to internal and client needs. Communicates with appropriate internal and external stakeholders.

• Collaborates with internal and external trade relations, finance, underwriting, client services, business, IT, and formulary management teams as a subject matter expert related to contractual rebate terms, conditions, requirements, interpretation, compliance and overall rebate and formulary strategies; educates, recommends and creates value proposition messaging and positioning for client proposals in support of formulary changes that drive rebate yields and savings.  Provides information to support sales proposals and BAFOs as assigned.

• Provides clinical and rebate consultative services related to drug market trends, drug pipeline and forecasting. Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and the company’s mutual goals of lower net costs and high clinical quality. Manages client requested formulary modeling requests or clinically related questions within stated turn-around commitments.

• Develops and maintains content related to clinical, market, and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.

• As assigned, prepares and generates client materials and presents to client review committees or equivalent to support the adoption of recommended formulary and rebate strategies.

• As assigned, responsible for identifying, developing, negotiating rebate contract opportunities, and for executing comprehensive rebate agreements with prescription drug manufacturers to support the rebate objectives of the company and its clients;

• As assigned, serves as a primary point of contact for the pharmaceutical industry, routinely meeting with pharmaceutical manufacturers to establish and maintain functional business relationships, acquire industry intelligence, and to gain information on trends, product pipelines, innovative contracting methods, and other business items that facilitate enhanced contracting leverage and rebate strategies;

• Supports PHG’s and downstream client’s clinical products and services including but not limited to support of medical rebates, cash point of sale, value-based contract initiatives, and other business initiatives as assigned.
• Contributes to the oversight of PHG’s rebate vendor(s), ensuring appropriate representation of the goals, interests and direction of the enterprise as it relates to pharma negotiations and rebate strategy.

• Assist in the oversight of PHG rebate vendor operations team, ensuring that all available rebate value is invoiced appropriately and collected.

• Performs other duties as assigned.

Education and/or Experience                                             

PharmD from an accredited School of Pharmacy; 4-7+ years of directly related experience or equivalent combination of education and experience.

Certificates, Licenses, Registrations

Valid Registered Pharmacist license in any state of the US.

The Perks:

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego,
California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above
statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.