Pharmacy Contract Consultant

Highmark Health • PA, Working at Home - Pennsylvania, WA

9d • $79,300 - $127,100 • Onsite

About The Position

This job serves as the primary point of contact within the Highmark Pharmacy Services organization responsible for the negotiation of pharmacy and applicable vendor contracts and resolution of related contract matters. The incumbent collaborates directly with internal and external legal counsel and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) to manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and amendments as needed by the business. In the course of managing the portfolio of pharmacy and applicable vendor contracts, the incumbent interfaces with other organization stakeholders in order to maximize value and mitigate risk to the organization. In addition, the incumbent partners directly with the Pharmacy Services leadership team on contracting initiates related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Other related job functions include the identification and interpretation of relevant contract language, responding to contract disclosure requests to support external audit activities, contract maintenance and storage, support of pharmacy and related RFPs and leading/facilitating contract discussions with other members of the Pharmacy Services team and others teams outside of Pharmacy Services. In addition, the incumbent may provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative contract-related initiatives.

Requirements

• Bachelor's Degree in Business Administration/Management or five years of relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 5 - 7 years of Contract Development Experience
• 5 - 7 years of Contract Management Experience
• Written & Oral Presentation Skills
• Communication Skills
• This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
• As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.
• In connection with this, all employees must comply with both the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
• Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct.
• This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Nice To Haves

• Doctorate in Law
• 7 - 10 years of Healthcare Industry Experience
• 7 - 10 years of Managed Care
• 7 -10 years of Pharmacy Benefit Management Experience

Responsibilities

• Manage pharmacy contracts including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage with minimal supervision/direction.
• Collaborate directly with internal, external, and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) during the contract negotiation process, up to and including the point of contract execution.
• Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization.
• Partner directly with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio.
• Provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative initiatives.
• Addresses, investigates and resolves pharmacy contract matters / issues, post contract execution.
• Other duties as assigned.

Benefits

• Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level