Director, Trade Client Relations

Blue Cross Blue Shield Association•Washington, DC

5d•$155,000 - $175,000•Remote

About The Position

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.

Requirements

Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint

Nice To Haves

Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans
Experience with contract language and risk mitigation concepts

Responsibilities

Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Partner with the following stakeholders: Analytics Team, Client Relations, Clinical Team, Invoicing Team, Product Team