Director Trade Client Strategy - Synergie Medication Collective

Blue Cross Blue Shield Association

89d • $155,000 - $175,000

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
• Understand downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
• 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 Analytics Team to collaborate on drug trends and utilization data to inform clinical policy decisions
• Serve as Trade’s primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts
• Liaise with Clinical team to review clinical data and policy requirements as needed
• Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
• Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs

Benefits

• Paid time off
• 11 holidays
• Medical/dental/vision insurance
• Generous 401(k) matching
• Lifestyle spending account
• Annual bonus incentive pay

What This Job Offers

• Education Level: Ph.D. or professional degree
• Number of Employees: 501-1,000 employees