Pharmacist Trade Relations Formulary & Rebate Optimization

Pharmacy Benefits Management Pharmacist

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

The Trade Relations Formulary and Rebate Optimization Pharmacist is a client facing role that develops client specific clinical strategies in order to ensure that clients make sound, fact-based financial decisions related to the client's prescription drug program and formulary. This position analyzes MedImpact's client and market data to develop client specific strategies to manage member costs, grow the client's business, and structure client offerings and formularies to meet the client's clinical and financial goals.

Responsibilities include working with assigned clients, the MedImpact Account team, external vendors and internal MedImpact departments to identify client specific opportunities and to financially evaluate those opportunities and present recommended strategies to the client. This role analyzes large data sets to identify opportunities; conducts benchmarking analyses; reviews, tracks rebate performance and models rebate opportunities; ensures client contract terms related to financial performance are monitored and tracked; and identifies and implements new opportunities and strategies to assist clients in meeting their financial goals.

Essential Duties and Responsibilities

• Proactively identifies client specific financial strategies to manage plan costs.
• Models clinical rebate opportunities and present opportunities to assigned clients.
• Proactively recommends formulary strategies to maximize clinically appropriate rebate opportunities.
• Monitors and adheres to contractual requirements associated with Trade Relations.
• Analyzes client specific financial data including rebates, clinical programs, and benefits data and develops and presents relevant reporting to clients.
• Benchmarks client financial performance versus similar clients and available industry data.
• Monitors and interprets contracts to identify MedImpact and client obligations related to rebate financial terms. Tracks performance to determine if contract requirements are being met and develops strategies to address financial shortfalls.
• Proactively works with client teams to close gaps in client performance including formulary compliance and formulary optimization. Supports client teams in clarifying MedImpact's position related to contract disputes.
• Analyzes very large data sets to proactively identify areas of opportunity including identifying clients that are not optimizing their rebate performance. Develops and implements strategies to address these opportunities and tracks results.
• Develops custom and ad hoc reports for clients; interprets and presents information to clients including appropriate recommendations based on the data.
• Builds strong and collaborative working relationships with other members of the Trade Relations department, Account Team, Financial Analytics Team and other MedImpact departments to deliver value to clients and generate revenue and reduced risk for MedImpact.
• Other duties as assigned.

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 good knowledge of Microsoft Office Suite software including Word and Access. Must have strong Excel skills. Prefer working knowledge of SQL software.

Certificates, Licenses, Registrations

Registered Pharmacist in the State of California or equivalent state.

Other Skills and Abilities

• Solid working knowledge of PBM industry, healthcare, and government programs.
• Possess proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills.
• Requires experience in operational application of database applications, accounting, finance, or data analysis.
• Demonstrated attention to detail and experience leading quality improvement initiatives.
• Requires the ability to represent MedImpact at the enterprise level with proper business decisions.

Reasoning Ability

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

Mathematical Skills

• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

Language Skills

• Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

• Composure
• Decision Quality
• Organizational Agility
• Problem Solving
• Customer Focus
• Drive for Results
• Peer Relations
• Time Management
• Dealing with Ambiguity
• Learning on the Fly
• Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably meet deadlines for work deliverables. The individual must have the flexibility to work beyond traditional hours and be able to work nights, at weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires domestic travel of up to 5-10% of the time.

The Perks:

• Medical / Dental / Vision / Wellness Programs
• Paid Time Off / Company Paid Holidays
• Incentive Compensation
• 401K with Company match
• Life and Disability Insurance
• Tuition Reimbursement
• Employee Referral