Senior Director, Provider Contracting - Evernorth Health Services

The job profile for this position is Provider Contracting Senior Director, which is a Band 5 Management Career Track Role.

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

This position assists the VP of Pharma Strategy and Contracting with setting the strategy and ensures the effective execution of ESI Pharma rebate contracts.  This position has responsibility for up to half of the pharmaceutical manufacturers for our Medicare, Commercial Government, LTC, and Managed Medicaid books of business as well as working with Ascent Health Services on our overall Commercial rebate strategy.  

ESSENTIAL FUNCTIONS

• Responsibilities for this role include, but are not limited to, any and all of the following areas:

• Assisting the VP of Pharma Strategy and Contracting in determining manufacturer, product class, and drug strategies and executing on these strategies

• Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates "win-win" opportunities for ESI and Ascent.

• Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments within ESI's Supply Chain.

• Interact with the formulary modeling team (Commercial and Medicare) to develop and create product category strategies and pharma manufacturer rebate requests to maximize value and deliver cost savings.

• Consult and provide insight with any and all Cigna Health Plan and large Custom Client formulary and rebate requests or market strategies.

• Assist the Account Directors in finalizing all manufacturer rebate agreements and matrices to ensure accuracy, signature, and implementation for invoicing.

• Support Sales and Account Management on RFPs and/or presentations or discussions with clients.

• Represent our department and provide guidance and formulary strategies for Custom Clients and assist the Formulary Consultants on any rebate requests.

• Interact with cross-functional management teams including clinical, account management, operations, finance, and specialty business development as needed.

QUALIFICATIONS

• 8 years of relevant experience.

• Registered Pharmacist (RPh or PharmD) and/or MBA a plus, but not required

• Strong financial acumen with an understanding of supply chain dynamics.

• Strong interpersonal skills with the ability to collaborate well with both internal and external teams and stakeholders.

• Exceptional written and verbal communication skills and presentation skills.

• Solid negotiation skills with the ability to influence and persuade while balancing the needs of the organization and external partners.

• Adaptable with the ability to navigate complex dynamics and ambiguity.  Ability to effectively cope with setbacks. 

• Honest, direct and transparent communication style. 

• Self-starter who can work well independently as well as with the broader team.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration.  Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.