Manager, Pharmacy Business Development

About the role

We are seeking a Manager of Pharmacy Business Development with a focus on industry relations. The domain expertise to be successful in this role requires foundational clinical pharmacy experience, accompanied by a high degree of business acumen, and an interest and passion for partnering closely with pharmaceutical and biotechnology companies, and other vendor partners who engage in contracting opportunities such as rebate management, and clinical programs.

Responsibilities

• Lead industry relations and rebate strategies for medical and pharmacy benefit medications, and new and emerging therapies, across all lines of business.
• Oversee all rebate partners and lead evaluations of new potential partners.
• Identify and negotiate direct contracts with biopharmaceutical partners.
• Identify, manage, and assess the value of unique vendor partnerships to advance pharmacy programs, including drug information resources, medical management organizations, digital therapeutics, and point of service solutions.
• Responsible for ensuring compliance with rebate contracts, rebate terms within client contracts, and contracts held with other vendor partners.
• Lead rebate modeling and optimize rebate scenarios and bid selections based on client specific goals and strategies.
• Oversee pipeline developments, including market events and material changes to therapeutic categories, for new and emerging therapies, specialty, and traditional medications, and keeps internal and external stakeholders apprised of such events. Develops educational materials as needed.
• Leads custom formulary rebate offerings and recommendations for downstream clients.
• In collaboration with other pharmacy leaders, develop enterprise-wide industry relations strategy.
• Oversee, develop and manage Moda’s Industry Relations team.
• Lead rebate offerings for existing therapeutic strategies which support ongoing formulary performance, but also identify new opportunities either as contracting changes or new market entrants are FDA-approved.
• Work closely with vendor partners (PBM, medical management companies, others) on policy or formulary changes driven by cost analysis, including rebate considerations or contracting.
• Support and/or lead client-facing presentations within industry relations as necessary.
• Responsible for information gathering with legal and/or regulatory teams to understand impact to current formulary strategies, with financial implications, to anticipate or plan for any potential compliance driven update due to changes in existing, or new and emerging states of business.
• Monitor, anticipate changes, and prepare for pipeline and market events.
• Develop concise, applicable, comprehensive, and timely communiques as assigned for members, providers, internal, or external stakeholders.
• Provide clinical support services that intersect industry relations or business development, including but not limited to benefit design, formulary analysis, drug information, P&T participation, client support, and drug utilization management.
• Contribute, update, and maintain policies and procedures related to industry relations.
• Complete significant projects and performs all other related duties as assigned.

Requirements

• Five years of pharmacy and healthcare experience, including clinical, operational, compliance and navigating complex regulated environments.
• Bachelor’s degree in healthcare, life sciences, public health, pharmacy or related field; equivalent experience considered.
• Three to five years of managed care experience.
• Past supervisory experience managing a team.
• Experience with Commercial, Medicare, and/or Medicaid lines of business.
• Experience managing contracts, particularly with biopharmaceutical manufacturers and other pharmacy vendors.
• Technical understanding of pharmacy claims processing information and systems.
• Strong analytical skills and business acumen.
• Ability to communicate and present technical information appropriate for the audience.
• Ability to work independently and collaborate cross-functionally with various stakeholders.
• Project management skills and the ability to plan and execute projects as assigned.
• Commitment to service, organization values, and professionalism.
• Ability to maintain confidentiality and project a professional business image.
• Works well under pressure with frequent interruptions and shifting priorities.
• Ability to work independently.
• Proficient with Microsoft Office applications such as Word, Excel, Outlook, and PowerPoint.

Qualifications

The ideal candidate resides near or within commuting distance of our Portland, Oregon office to support a hybrid work arrangement, however, remote status will also be considered.

Skills

• Strong analytical skills and business acumen.
• Ability to communicate and present technical information appropriate for the audience.
• Ability to work independently and collaborate cross-functionally with various stakeholders.
• Project management skills and the ability to plan and execute projects as assigned.
• Commitment to service, organization values, and professionalism.
• Ability to maintain confidentiality and project a professional business image.
• Works well under pressure with frequent interruptions and shifting priorities.
• Ability to work independently.
• Proficient with Microsoft Office applications such as Word, Excel, Outlook, and PowerPoint.

Benefits

• Medical, Dental, Vision, Pharmacy, Life, & Disability
• 401K- Matching
• FSA
• Employee Assistance Program
• PTO and Company Paid Holidays