Director, Channel Management

About the role

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! This position is not eligible for Sponsorship.

Responsibilities

• Support the development and execution of the PBM’s channel management strategy focused on reducing net cost, improving outcomes, and enhancing member experience.
• Analyze and optimize pharmacy utilization across retail, mail, specialty, and alternative channels using financial, clinical, and behavioral levers.
• Identify channel based opportunities to drive client savings, including site of care optimization, specialty channel strategies, and preferred pharmacy programs.
• Translate client objectives into practical channel recommendations and implementation plans.
• Partner closely with Network Contracting, Underwriting, Analytics, Clinical, and Product teams to ensure channel initiatives are operationally feasible and financially sound.
• Influence internal stakeholders to align on channel initiatives using data-driven insights rather than formal authority.
• Support Sales and Account Management teams in new business and renewal efforts by providing channel strategy input and analysis.
• Conduct channel level financial modeling, scenario analysis, and cost trend analysis to quantify value creation.
• Partner with Underwriting and Finance to ensure channel recommendations align with pricing assumptions and margin expectations.
• Develop and maintain channel performance metrics, dashboards, and reporting to monitor utilization, costs, and savings.
• Support client facing reporting and value demonstrations related to channel initiatives.
• Collaborate with Pharmacy Network Contracting to ensure channel strategies align with reimbursement structures and network design.
• Support the development and refinement of channel specific programs such as specialty management, limited networks, preferred pharmacy strategies, and migration initiatives.
• Monitor channel performance and recommend adjustments to improve outcomes and sustainability.
• Serve as a subject matter resource for clients and internal teams on pharmacy channel strategy and utilization trends.
• Participate in client meetings, strategic reviews, and implementation discussions related to channel optimization.
• Help explain channel strategy performance, tradeoffs, and savings opportunities to non-technical audiences.
• Track market trends, competitor strategies, regulatory developments, and emerging pharmacy channel innovations.
• Contribute ideas for enhancements to channel management tools, analytics, and programs.
• Support pilots and new initiatives that strengthen the PBM’s channel management capabilities.
• Manage assigned staff in the segment area. Responsible for the overall direction, coordination, and evaluation of the unit.

Qualifications

• BA/BS Degree or equivalent; plus 10 years’ related experience; 10 years of SME in respective area(s); (or equivalent combination of education and experience); and 8 years supervisory experience; Supervisory experience may be substituted with 10 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader at the Director level or above that must be completed within 12 months in new position.
• Advanced skill set in MS Office, Teams, Word, Excel, PowerPoint, Project, and Outlook.
• Strong understanding of PBM channel economics, including retail, mail, specialty, and alternative pharmacy models.
• Analytical mindset with experience translating data into actionable insights.
• Ability to influence cross-functional teams and stakeholders without direct authority.
• Strong written and verbal communication skills, including client facing presentations.
• Proficiency in Microsoft Office Suite and data analytics or visualization tools.