Evernorth Health Services
Healthcare
SeniorDirector,ProviderContracting
Neural analysis suggests this role is
optimal for Director candidates.
“Senior Director, Provider Contracting at Evernorth Health Services. Skills: Provider contracting, Pharma relationships, Rebate strategy. Assist VP with strategy. Execute rebate contracts”
What You'll Achieve.
Maximize value; Deliver cost savings
Industry & Context.
What They're Looking For.
Must Have
8+ years of relevant experience
Nice to Have
Registered Pharmacist (RPh or PharmD), MBA
What You'll Do.
Assist VP with strategy
Execute rebate contracts
Determine manufacturer strategies
Determine product class strategies
Determine drug strategies
Collaborate on product class strategies
Collaborate on approaches with manufacturers
Manage Pharma relationships
Develop strategic partnerships
Interact with Value Assessment Committee
Develop product category strategies
Create pharma manufacturer rebate requests
Consult on Cigna Health Plan formulary requests
Consult on Cigna Health Plan rebate requests
Consult on Custom Client formulary requests
Consult on Custom Client rebate requests
Assist Account Directors with agreements
Ensure accuracy of agreements
Ensure signature of agreements
Ensure implementation for invoicing
Support Sales on RFPs
Support Account Management on RFPs
Provide guidance on formulary strategies
Assist Formulary Consultants on rebate requests
Interact with cross-functional management teams
How You'll Work.
Team & Collaboration
Internal teams; External teams; Stakeholders; Ascent Health Services; Internal departments; Cigna Health Plan; Custom Client; Account Directors; Sales; Account Management; Formulary Consultants; Cross-functional management teams; Clinical teams; Operations teams; Finance teams; Specialty business development
Communication Scope
Written communication; Verbal communication; Presentation skills
Full Job Description
**POSITION SUMMARY** his 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 Value Assessment Committee (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. **
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