Industry Relations & Clinical Strategy Manager (PharmD)

Exemption Status: United States of America (Exempt) Exemption Status: $108,515 - $152,464 - $196,412 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” 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. Job Description Summary 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. The Industry Relations and Clinical Strategy Manager promotes the overall vision, goals, strategies, and objectives of the PHG Industry Relations and Clinical Strategy team in line with overall company goals and objectives, including support of PHG client relationships and strategic initiatives. Strategically develops the pharmaceutical rebate program to meet the revenue goals and business objectives of the company. Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Supports 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.
• Contributes to the development of the strategic vision for corporate formulary management to continually improve access, quality, and value of formulary products. Monitors and anticipates current and future marketplace trends, including the regulatory environment, evolving business conditions, customer needs, opportunities and issues. Develops and maintains 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.
• 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. Provides information to support sales proposals and BAFOs as assigned. Partners with Client Services to support client strategy discussions, communications, and ongoing relationship management activities.
• Provides clinical and rebate consultative services related to drug market trends, drug pipeline and forecasting. Assists with 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. Manages client requested formulary modeling requests or clinically related questions within stated turn-around commitments.
• Develops and maintains content related to clinical, market, and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.
• As assigned, prepares and generates client materials and presents to client review committees or equivalent to support the adoption of recommended formulary and rebate strategies. Participates in client meetings and presentations as a clinical and formulary subject matter expert.
• As assigned, responsible for identifying, developing, negotiating rebate contract opportunities, and for executing comprehensive rebate agreements with prescription drug manufacturers to support the rebate objectives of the company and its clients;
• As assigned, serves as a primary point of contact for the pharmaceutical industry, routinely meeting with pharmaceutical manufacturers 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 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.
• Contributes to 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.
• Assist in the oversight of PHG rebate vendor operations team, ensuring that all available rebate value is invoiced appropriately and collected Supervisory Responsibilities No supervisory responsibilities Client Responsibilities This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas Computer Skills 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 the Dividend Rebate Platform, Formulary Modeling Module, MedOptimize or other business intelligence software, as well as with proprietary MedImpact systems such as MedAccess and systems/databases used by MedImpact Formulary Services. Certificates, Licenses, Registrations Valid Registered Pharmacist license in any state of the US. Other Skills and Abilities
• Strong knowledge of managed care pharmacy, formulary strategy, pharmaceutical contracting, and rebate management.
• Excellent communication, presentation, and relationship management skills, with the ability to effectively support and engage clients and internal stakeholders.
• Ability to analyze complex clinical, financial, and market data and translate findings into actionable recommendations. Insert skills and abilities Reasoning Ability
• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems.
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Mathematical Skills
• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Language Skills
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and