Director, Trade Client Relations
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Job Description
Trade Client Strategy Director managing clinical policies and trade strategies for Synergie Medication Collective. Liaising with clients and supporting clinical decision-making for compliance with manufacturer contracts.
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 – Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
- Client Relations – Serve as Trade’s primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade’s leadership
- Clinical Team – Liaise with Clinical team to review clinical data and policy requirements as needed
- Invoicing Team – Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
- Product Team – Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs
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
- Pharmacy residency training or equivalent experience
- Experience within the PBM industry, Medicaid, Medicare, and health plans
- Experience with contract language and risk mitigation concepts
Benefits:
- paid time off
- 11 holidays
- medical/dental/vision insurance
- generous 401(k) matching
- lifestyle spending account
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