Director, Revenue Strategy and Innovation – Specialty Pharmacy Contracting & Payer Strategy
About The Position
Responsible for directing an enterprise-level function within RSI (part of Finance) and on behalf of Mayo Clinic. The function will entail significant impact to Mayo Clinic revenue performance and involve deep domain expertise. The Director will be responsible for implementing strategies for the assigned function, overseeing work outputs and priorities of the team, leading projects and initiatives, and driving ongoing operational and analytic processes. Director provides these services as necessary at an enterprise, region, site, and service-specific level. This role will focus on specialty pharmacy and pharmacy benefit contracting strategy, including payer and pharmacy benefit manager (PBM) engagement, specialty pharmacy network participation, and reimbursement optimization for specialty medications. The role conducts duties with a view on maintaining and growing revenue, supporting Mayo Clinic strategic plans and objectives, and supporting the priorities of RSI. Director shall maintain a deep knowledge of market trends, opportunities, and risks in the assigned functional area and be highly knowledgeable on Mayo Clinic’s methods and strategies. The Director will lead payer and PBM contracting strategy and execution, including direct negotiation of agreements, advancement of specialty pharmacy network participation, and development of strategies to improve prescription capture. The Director is expected to be a strong leader of assigned staff and to operate within provided budgets. The Director will lead payer and PBM contracting strategy and execution, including direct negotiation of agreements, advancement of specialty pharmacy network participation, and development of strategies to improve prescription capture. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.
Requirements
- Minimum five (5) years in a professional role in a health care organization, with at least three (3) years direct experience in the specific assigned functional area, and involved in the strategic, financial, and technical elements of the function. Experience may also include payer contracting across medical and/or pharmacy benefits, including specialty pharmacy contracting. Specific assigned functional areas can include Pricing/Charge Master, Medicare Reimbursement, Actuarial Science, Payment Reform, and Reimbursement/Revenue Analytics.
- Bachelors’ degree, preferably in a business-related field is required.
- Must have outstanding skills in team leadership, stakeholder relationship management, planning, decision making and detail-oriented quantitative analysis.
- Needs strong skills in verbal and written communications and managing multiple tasks concurrently.
- Positive attitude and persuasive skills are essential for success.
- Authorization to work and remain in the United States, without necessity for Mayo Clinic sponsorships now, or in the future (for example, be a U.S. Citizen, national, or permanent resident, refugee, or asylee). Mayo Clinic does not participate in the F-1 STEM OPT extension program.
Nice To Haves
- Experience with pharmacy benefit manager (PBM) contracting or specialty pharmacy payer strategy
- Experience with specialty pharmacy network participation and limited distribution drug access
- Familiarity with pharmacy benefit reimbursement models (e.g., AWP-based contracting and specialty drug pricing structures)
- Experience working in or with specialty pharmacy, payer organizations, or PBMs
- Experience in integrated health systems, PBMs, or national specialty pharmacy organizations preferred
- Demonstrated success leading payer-facing negotiations in complex healthcare environments
- Demonstrated ability to translate analytics into strategy and articulate value propositions
- MBA, MHA, or similar advanced degree preferred but not required
- Pharmacy degree preferred but not required
Responsibilities
- implementing strategies for the assigned function
- overseeing work outputs and priorities of the team
- leading projects and initiatives
- driving ongoing operational and analytic processes
- maintaining and growing revenue
- supporting Mayo Clinic strategic plans and objectives
- supporting the priorities of RSI
- leading payer and PBM contracting strategy and execution, including direct negotiation of agreements, advancement of specialty pharmacy network participation, and development of strategies to improve prescription capture
- maintain a deep knowledge of market trends, opportunities, and risks in the assigned functional area and be highly knowledgeable on Mayo Clinic’s methods and strategies
- be a strong leader of assigned staff and to operate within provided budgets
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What This Job Offers
Job Type
Full-time
Career Level
Director
Number of Employees
5,001-10,000 employees
