Principal, Industry Relations & Clinical Strategy

About the role

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services.

Responsibilities

• Leads formulary product placement considerations through financial spend/utilization/rebate models, proposing formulary management recommendations for individual drugs and therapeutic classes, sharing market intelligence and industry analysis to assist in understanding the current and future drug marketplace, and contributing to the concepts and features associated with the overall formulary strategy intended to achieve corporate enterprise objectives of optimal rebate performance.
• Establishes the strategic vision for corporate formulary management to continually improve access, quality, and value of formulary products.
• Maintains and updates PHG formularies, utilization management, specialty drug lists and other key drug lists important to internal and client needs.
• Communicates with appropriate internal and external stakeholders.
• Transforms knowledge into results-generating strategies and product development roadmaps.
• Collaborates with internal and external trade relations, finance, underwriting, client services, business, IT, and formulary management teams as a subject matter expert related to contractual rebate terms, conditions, requirements, interpretation, compliance and overall rebate and formulary strategies; educates, recommends and creates value proposition messaging and positioning for client proposals in support of formulary changes that drive rebate yields and savings.
• Supports members of the PHG Clinical Strategy and/or PHG Rebate Operations team.
• Supports PHG’s and downstream client’s clinical products and services including but not limited to support of medical rebates, cash point of sale, value-based contract initiatives, and other business initiatives as assigned.
• Manages related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and the company’s mutual goals of lower net costs and high clinical quality.
• Responsible for the development and maintenance of content related to clinical, market, and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.
• Responsible for highly influential accounts in the pharmaceutical industry.
• Routinely meets with account managers and senior leadership to establish and maintain functional business relationships, acquire industry intelligence, and to gain information on trends, product pipelines, innovative contracting methods, and other business items that facilitate enhanced contracting leverage and rebate strategies.
• Supports the PHG rebate vendor operations team, ensuring that all available rebate value is invoiced appropriately and collected.
• Responsible for the maintenance, accuracy and timely submission of all documentation needed for PHG rebate vendor billing.
• Supports the strategic direction, management, and implementation of annual pharmaceutical manufacturer Medicare and Medicaid RFP’s.
• Leads the oversight of PHG’s rebate vendor(s), ensuring appropriate representation of the goals, interests and direction of the enterprise as it relates to pharma negotiations and rebate strategy.

Qualifications

• BA/BS Degree; 10+ years related experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience)
• To perform this job successfully, an individual should have a competence with Microsoft Word, Excel, Access and PowerPoint software.
• The individual must also be capable of becoming proficient with internal systems such as MedOptimize or other business intelligence software, as well as with proprietary MedImpact systems such as MedAccess and systems/databases used by MedImpact Formulary Services.

Skills

• Strong communication skills, both verbal and written, in a wide variety of business and professional settings.
• Excellent negotiation / influence, collaboration, and listening skills.
• Demonstrated ability to present information to maximize customer impact and influence.

Benefits

A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.

Pay

$153,482 - $218,712 - $283,941

Schedule

Typical core business hours are Monday through Friday from 8:00am to 5:00pm. Domestic travel of up to 20% of the time may be required.