Director, Industry Relations & Clinical Strategy

MedImpact Healthcare Systems, Inc.•San Diego, CA

1d•Hybrid

About The Position

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. PHG focuses on developing the most effective strategies for optimizing drug access and spend through its suite of formulary and rebate services. The Director, Industry Relations and Clinical Strategy 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. This role is responsible for strategically developing the pharmaceutical rebate program to meet the revenue goals and business objectives of the company.

Requirements

BA/BS Degree or equivalent
10 years’ related experience
10 years of SME (Subject Matter Expert) in respective area(s)
8 years supervisory experience; OR 10 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Director level or above that must be completed within 12 months in new position
Competence with Microsoft Word, Excel, Access and PowerPoint software
Capable of becoming proficient with internal systems such as MedOptimize or other business intelligence software, as well as with proprietary MedImpact systems such as MedAccess and systems/databases used by MedImpact Formulary Services
Valid Registered Pharmacist license in any state of the US
Strong communication skills, both verbal and written, in a wide variety of business and professional settings
Excellent negotiation / influence, collaboration, and listening skills
Demonstrated ability to present information to maximize customer impact and influence
Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems
Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
Ability to manage difficult or emotional client situations
Ability to respond promptly to client needs
Ability to solicit client feedback to improve service
Ability to respond to requests for service and assistance from clients
Ability to meet commitments to clients
Ability to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables
Flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required
Valid passport and ability to leave the United States (for travel)

Responsibilities

Leads 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.
Establishes 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.
Leads the development and maintainanance of 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.
Transforms knowledge into results-generating strategies and product development roadmaps.
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.
Leads clinical and rebate consultative services related to drug market trends, drug pipeline and forecasting.
Manages 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.
Responsible for the development and maintainanance of content related to clinical, market, and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.
Responsible for highly influential accounts in the pharmaceutical industry.
Routinely meets with account managers and senior leadership 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.
Responsible for the strategic direction, management, and implementation of annual pharmaceutical manufacturer Medicare and Medicaid RFP’s.
Develop and manage members of the PHG Clinical Strategy and/or PHG Rebate Operations team.
Support staff training, structure, succession planning, and budget as needed.
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.
Leads 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.
Manages the PHG rebate vendor operations team, ensuring that all available rebate value is invoiced appropriately and collected.
Responsible for the maintenance, accuracy and timely submission of all documentation needed for PHG rebate vendor billing.
Manages assigned staff in the segment area.
Responsible for the overall direction, coordination, and evaluation of the unit.
Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.
Manage difficult or emotional client situations.
Respond promptly to client needs.
Solicit client feedback to improve service.
Respond to requests for service and assistance from clients.
Meet commitments to clients.