Director, Channel Management

Job Summary Exemption Status: United States of America (Exempt) Salary: $155,380 - $221,416 - $287,451 – actual compensation will be determined at the offer stage based on experience and qualifications. This position is not eligible for sponsorship. Responsibilities Develop and execute pharmacy channel management strategies to reduce net cost, improve outcomes, and enhance member experience. Analyze and optimize pharmacy utilization across retail, mail, specialty, and alternative channels using financial, clinical, and behavioral levers. Identify channel‑based opportunities that drive client savings, including site of care optimization, specialty channel strategies, and preferred pharmacy programs. Translate client objectives into practical channel recommendations and implementation plans. Collaborate with Network Contracting, Underwriting, Analytics, Clinical, and Product teams to ensure initiatives are operationally feasible and financially sound. Influence internal stakeholders to align on channel initiatives using data‑driven insights. Support Sales and Account Management in new business and renewal efforts by providing channel strategy input and analysis. Conduct channel‑level financial modeling, scenario analysis, and cost trend analysis to quantify value creation. Partner with Underwriting and Finance to ensure channel recommendations align with pricing assumptions and margin expectations. Develop and maintain channel performance metrics, dashboards, and reporting to monitor utilization, costs, and savings. Support client‑facing reporting and value demonstrations related to channel initiatives. Collaborate with Pharmacy Network Contracting to align strategies with reimbursement structures and network design. Support the development and refinement of specialty management, limited networks, preferred pharmacy strategies, and migration initiatives. Monitor channel performance and recommend adjustments to improve outcomes and sustainability. Serve as a subject matter resource for clients and internal teams on pharmacy channel strategy and utilization trends. Participate in client meetings, strategic reviews, and implementation discussions related to channel optimization. Explain channel strategy performance, trade‑offs, and savings opportunities to non‑technical audiences. Track market trends, competitor strategies, regulatory developments, and emerging pharmacy channel innovations. Contribute ideas for enhancements to channel management tools, analytics, and programs. Support pilots and new initiatives that strengthen the PBM’s channel management capabilities. Supervisory Responsibilities Manages assigned staff in the segment area. Responsibilities include interviewing, hiring, training, assigning work, appraising performance, rewarding and disciplining employees, and addressing complaints and resolving problems while enforcing company policies consistently. Client Responsibilities Provides excellent customer service and interpersonal communication skills. Manages difficult or emotional client situations, responds promptly to client needs, solicits client feedback to improve service, and meets commitments to clients. Qualifications Education: BA/BS Degree or equivalent; plus 10 years of related experience. Experience: 10 years of subject‑matter expertise in PBM channel economics; 8 years supervisory experience. Computer Skills: Advanced proficiency in MS Office suite, Teams, Word, Excel, PowerPoint, Project, and Outlook. Other Skills and Abilities: Strong understanding of PBM channel economics across retail, mail, specialty, and alternative pharmacy models. Analytical mindset with experience translating data into actionable insights. Ability to influence cross‑functional teams and stakeholders without direct authority. Strong written and verbal communication skills, including client‑facing presentations. Proficiency in Microsoft Office Suite and data analytics or visualization tools. Reasoning Ability: Define problems, collect data, establish facts, and draw valid conclusions. Mathematical Skills: Calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume; apply basic algebra and geometry. Language Skills: Make effective and persuasive speeches and presentations on complex topics to senior management and external audiences. Competencies: Business Acumen, Directing Others, Organizational Agility, Conflict Management, Drive for Results, Political Savvy, Customer Focus, Innovation Management, Strategic Agility, Decision Quality, Managerial Courage. Physical Demands Regularly required to sit, talk, or hear; stand, walk, use hands to finger, handle, or feel; lift or move up to 25 pounds. Reasonable accommodation may be made for disabilities. Work Environment Typical office environment with computers and printers, moderate noise levels. May be exposed to moving mechanical parts, fumes, chemicals, outdoor weather conditions, or electrical shock. Work Location On‑site at the San Diego Headquarters or other company location. Remote work may be permissible with management approval. Working Hours Exempt position requiring flexibility. Core business hours are Monday‑Friday 8:00 am‑5:00 pm. May work evenings, weekends, or holidays as needed. Travel Required domestic and international travel up to 25% of the time. Valid passport required. Benefits Medical / Dental / Vision / Wellness Programs Paid Time Off / Company Paid Holidays Incentive Compensation 401(k) with Company match Life and Disability Insurance Tuition Reimbursement Employee Referral Bonus EEO Statement Equal Opportunity Employer, Male/Female/Disabilities/Veterans. Accommodation Statement Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #J-18808-Ljbffr MedImpact Healthcare Systems, Inc.