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Job Summary: 

The Director, Pharmacy Strategy will oversee Biopharma’s Payer programs and solutions. The incumbent is responsible for creating strategic partnerships by harnessing Payor insights and trends to develop best-in-class programs and leading the project execution and management of such programs with key clients in alignment with the Biopharma division’s goals. The Director must have the ability to develop strong trusting client relationships with key Payors, including insurance carriers, third party administrators, benefit advisors and consultants, with a deep understanding of the drug and benefits landscape as well as private and public policy changes that impact business objectives. The Director will be responsible for the development of internal business cases, provide insights and recommendations, and be the primary lead for all external discussions, negotiations and implementation/execution of the program. 

The Director will be responsible for the Kroll Central Maintenance (KCM) and Pricing team and will be the primary lead providing insights, recommendations, and actions on the optimization of KCM, Pricing, and recoveries from third party payer audits.

Specific Responsibilities:

Innovate, develop, and implement best-in-class Payor programs and solutions to the insurance and benefits market, including Preferred Pharmacy Network/Prior Authorization/Case Management/Reimbursement/Manufacturer card programs.Plan and lead coordinated stakeholder strategies to engage and win clients.Manage the Specialty Pharmacy Kroll Central Maintenance team, the pharmacy adjudication/reporting system, Kroll.Conduct data analysis and provide insights on pharmacy specialty drug/program dispensing trends including pricing, billing, and revenue/margin trends.Strategically plan and direct pharmacy activities to reduce and mitigate claw backs from third party payer audits, documenting lessons learned and training pharmacies on best practices.Liaise with critical cross functional departments including PSP, INVIVA, Specialty Pharmacy, Provider Solutions, Finance, Technology, etc, to build and deliver Payor programs and ensure that business requirements are met.Develop financial profitability models to drive pricing and negotiation terms of new programs/solutions with clients including proformas and sensitivity analyses.Build and execute on short- and long-term strategic partnership roadmap for Biopharma & Provider solutions.Lead contract negotiations and execution with key stakeholders to optimize our participation in the PPN networks and other Payor Solutions.Accountable for program financial performance and oversee the budget for internal and external clinical resources, direct and optimize activities to drive results with efficiencies.Ensure Payor Programs are executed with excellence and operating efficiently, managing all issue resolution and escalations directly with clients.Drive thought leadership on the Payor Strategies and best practices through ongoing competitive market research to inform and optimize programs and solutions.Lead interactions within internal teams regarding PPN strategy and act as a subject matter expert in the payor space (solutions and strategies) for all McKesson teams.Lead identification of new business opportunities, business cases, and RFP responses for new opportunities in consultation with the business development team.Develop network of strong client relationships with key Payors, including influencers, securing business with key industry leaders within each stakeholder group.Lead relationship management activities and build product awareness with consultants and carriers and other partners as appropriate.Drive McKesson awareness and recognition in the Payor landscape and participate at key external meetings and events – conferences & presentations.Manage the Specialty Pharmacy Kroll Central Maintenance team, the pharmacy adjudication/reporting system.Conduct data analysis and provide insights on pharmacy specialty drug/program dispensing trends including pricing, billing, and revenue/margin trends.Other duties as required.

Minimum Qualifications

Bachelors or Advanced degree in Business Administration, Pharmacy, or equivalent experience3+ years in P&L management.Experience with Payor, Health and Drug benefit programs including PPNs, PSPs, copay programs, case management and reimbursement programs.

Key Competencies

Strong business and financial acumen.Ability to analyze and interpret data, trends and provide insights.Project/program/product management experience an asset.Strong communication skills: interpersonal, writing, and presentation.Highly proficient in Excel and PowerPoint.Strong Problem Solving and analytical skills.Ability to work independently and represent BPS interest with stakeholders.Strong professional presence, planning, and advanced client management skills.Ability to participate in collaborative teamwork and experience working with large cross functional teams.Manages key stakeholder interests in a constant changing culture while at the same time managing conflicting priorities and business interests.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$115,100 - $191,900

McKesson is an Equal Opportunity Employer

 

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

 

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