Pharmacy Contract Consultant

Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the primary point of contact within the Highmark Pharmacy Services organization responsible for the negotiation of pharmacy and applicable vendor contracts and resolution of related contract matters. The incumbent collaborates directly with internal and external legal counsel and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) to manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and amendments as needed by the business. In the course of managing the portfolio of pharmacy and applicable vendor contracts, the incumbent interfaces with other organization stakeholders in order to maximize value and mitigate risk to the organization. In addition, the incumbent partners directly with the Pharmacy Services leadership team on contracting initiates related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Other related job functions include the identification and interpretation of relevant contract language, responding to contract disclosure requests to support external audit activities, contract maintenance and storage, support of pharmacy and related RFPs and leading/facilitating contract discussions with other members of the Pharmacy Services team and others teams outside of Pharmacy Services. In addition, the incumbent may provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative contract-related initiatives. ESSENTIAL RESPONSIBILITIES Manage pharmacy contracts including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage with minimal supervision/direction. Collaborate directly with internal, external, and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) during the contract negotiation process, up to and including the point of contract execution. Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization. Partner directly with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative initiatives. Addresses, investigates and resolves pharmacy contract matters / issues, post contract execution. Other duties as assigned. EDUCATION Required Bachelor's Degree in Business Administration/Management or five years of relevant experience and/or education as determined by the company in lieu of bachelor's degree Preferred Doctorate in Law EXPERIENCE Required 5 - 7 years of Contract Development Experience 5 - 7 years of Contract Management Experience Preferred 7 - 10 years of Healthcare Industry Experience 7 - 10 years of Managed Care 7 -10 years of Pharmacy Benefit Management Experience LICENSES OR CERTIFICATIONS Required None Preferred None SKILLS Written & Oral Presentation Skills Communication Skills Language (other than English) None Travel Requirement 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Does Not Apply Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Frequently Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Does Not Apply Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $79,300.00 Pay Range Maximum: $127,100.00 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at View email address on click.appcast.io California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health-related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.