- $108,510.00 -189,320.00/year*
158 Prices Run Rd
Add your resume and apply to jobs with your Glassdoor profile. Create Profile. Job. The Vice President, Payer Strategy is responsible for leading payer strategy development for the IHOC Specialty Network, developing and driving innovative pull-through initiatives, and guiding payer programs to ensure quality of deliverables. Functions as the recognized national payer strategy authority for IHOC Specialty Network.. Work with IHOC members to identify and contract with local and national payers for IHOC Specialty Network access.. Seeks out, builds and maintains relationships with the strategic thinkers at the third-party entities that contract with pharmacy networks seeking to ensure members have access to covered lives and expanded services at or above competitive market rates.. Sets the strategy and tone for negotiations and leads the contracting team.. Stays abreast of regulatory, legislative and industry changes that impact community pharmacy and reimbursement to make sure contracts properly deal with their future impacts.. Uses internal and external data sources to analyze gross profit, market position and market share to inform contract negotiations.. Monitors the approval process for contracts, identifies and resolves business issues that pertain to potential agreements. Provides insight and guidance to executive team in addressing difficult contract actions.. Adapts approaches, methods and systems in response to the constantly evolving managed care environment.. Meets regularly with third-party entities at their locations, to conduct business reviews, deepen relationships and develop opportunities; attends industry events such as NASP, Asembia, NCPDP, and NACDS annual meetings.. Supports the mission and vision of IHOC by continually reinforcing opportunities to build shareholder value.. Lead value proposition creation, including account strategy, contracting strategy, commercialization strategy and pricing. Insure consistency among strategic direction and market/customer requirements.. Strong executive presence with ability to clearly communicate the value proposition to customers, prospects, and internal and external partners.. Facilitate internal communication of defined payer strategy with IHOC members and ABC leadership.. Fosters proactive, continued quality improvement and identification of areas at risk.. Establish business objectives required to meet IHOC member requirements and achieve financial/growth targets and key goals.. Minimum of 12 years of experience in payer strategy, with expertise in managed care, pharmacy benefit management or pharmaceutical consulting preferred.. BS/BA required, advanced degree preferred (MBA).. Extensive understanding of the pharmacy benefits industry, including its trends and directions, with emphasis on the health system specialty pharmacy and specialty pharmacy marketplace, networks and contracting.. Pharmacy healthcare background with clinical competency and experience that promotes a high level of credibility with pharmacy professionals.. Requires experience in senior management role(s), preferably across more than one specialty pharmacy.. Excellent communication and group presentation skills. Experience presenting at c-level, both externally and internally.. Knowledge of technologies in corporate and healthcare settings.. Strong analytical abilities and decision-making capabilities.. Advanced understand of the dynamics of healthcare and managed care, medical trends.. Works independently, while balancing interactions with senior management team.. Ability to effectively maintain/build relationship across business units. Requires project management skills and the ability to manage multiple tasks concurrently.
Associated topics: b2c, business development, business growth, business planning, business technology, franchise owner, intelligence, retail, sales, territory sales
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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