Advisor, Managed Care Market Management

Cardinal Health

13d

About The Position

Network and Payor Relations contributes to Cardinal Health Marketing is responsible for assessing customer needs, market conditions and competition to inform business strategy. Marketing implements the strategy through developing, commercializing and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development and management of business relationships with Pharmacy Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal Health and its Pharmacy Services Administrative Organizations (PSAOs). This involves identifying and evaluating strategic opportunities for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship between Cardinal Health PSAOs and the Cardinal Health network of retail independent pharmacies as well as the various sales teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.

Requirements

5-8 years’ experience in managed care, preferred
Proficient with Microsoft Office products including: Word, Excel, and PowerPoint.
Knowledge of PBM and payor contracting.
Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
May contribute to the development of policies and procedures
Works on complex projects of large scope
Develops technical solutions to a wide range of difficult problems
Solutions are innovative and consistent with organization objectives
Completes work; independently receives general guidance on new projects
Work reviewed for purpose of meeting objectives
May act as a mentor to less experienced colleagues

Nice To Haves

Supervisory and management skills are preferred
Strong presentation skills preferred
Bachelor's degree in related field, or equivalent work experience, preferred

Responsibilities

Supports account management of strategic customers within territory.
Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related to reimbursement.
Support sales including prospecting, QBR' s and RFP's when there are questions specific to managed care.
Creates and executes training for sales related to managed care.
Maintains advanced knowledge on managed care industry trends expert.
Demonstrates advanced understanding and experience in payor contracting, pharmacy revenue cycles, and pharmacy revenue opportunities.
Identifies market opportunities, develops, implements and manages solutions, and provides subject matter expertise in complex situations.
Assesses financial implications, including profitability and viability, for complex product/market portfolios or segments that have a significant organizational impact.
Ability to travel to sales meetings and industry conferences.
Understands and manages life-cycle implications and make recommendations to achieve sustainable economic success for complex product/market portfolios or segments that have significant organizational impact.

Benefits

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs