Manager, Pharmacy Business Development

About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare by offering outstanding coverage to our members, providing compassionate support to our community, and delivering comprehensive benefits to our employees. Moda values diversity and inclusion in our workplace and invites applications from candidates who share our commitment to these principles. Position Summary We are seeking a Manager of Pharmacy Business Development with a focus on industry relations. The ideal candidate will have foundational clinical pharmacy experience, strong business acumen, and a passion for partnering closely with pharmaceutical, biotechnology, and vendor partners on contracting opportunities such as rebate management and clinical programs. The role involves developing strategic formulary approaches to manage medication utilization across medical and pharmacy benefits, reviewing rebate initiatives, and facilitating projects with internal and external stakeholders. Pay Range $136,786.84 – $174,406.91 annually (depending on experience) Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. This role may be classified as hourly (non‑exempt) depending on the applicant's location. Benefits Medical, Dental, Vision, Pharmacy, Life, and Disability coverage 401k – Matching Flexible Spending Account (FSA) Employee Assistance Program PTO and company‑paid holidays Required Skills, Experience & Education Doctor of Pharmacy degree (Pharm.D.) preferred, or Bachelor of Pharmacy degree. Current active and unrestricted Oregon Registered Pharmacist license, or eligible for Oregon licensure within 60 days of employment. Past supervisory experience managing a team. Three to five years of managed care experience, including training from a managed care residency program. Experience with Commercial, Medicare, and/or Medicaid lines of business. Experience managing contracts with biopharmaceutical manufacturers and other pharmacy vendors. Technical understanding of pharmacy claims processing information and systems. Strong analytical skills and business acumen. Excellent communication and presentation skills suitable for diverse audiences. Ability to work independently and collaborate cross‑functionally. Project management skills and ability to plan and execute projects. Commitment to service, organizational values, and professionalism. Ability to maintain confidentiality and project a professional image. Works well under pressure with frequent interruptions and shifting priorities. Proficiency with Microsoft Office applications (Word, Excel, Outlook, PowerPoint). Primary Functions Lead industry relations and rebate strategies for medical and pharmacy benefit medications. Oversee all rebate partners and evaluate new potential partners. Identify and negotiate direct contracts with biopharmaceutical partners. Manage vendor partnerships to advance pharmacy programs (drug information resources, medical management organizations, digital therapeutics, point‑of‑service solutions). Ensure compliance with rebate contracts and client agreements. Lead rebate modeling and optimize rebate scenarios based on client goals. Oversee pipeline developments and keep stakeholders updated on market events. Lead custom formulary rebate offerings and recommendations for downstream clients. Develop enterprise‑wide industry relations strategy with pharmacy leaders. Lead and develop Moda’s Industry Relations team. Provide clinical support services intersecting industry relations (benefit design, formulary analysis, drug information, P&T participation, drug utilization management). Contribute to policies and procedures related to industry relations. Complete significant projects and perform related duties as assigned. Follow company HR policies, Code of Conduct, and all department policies and procedures, including protection of confidential information. Working Conditions & Contact With Others Remote, office environment, and/or hybrid with extensive PC and keyboard work, constant sitting, and work beyond 40 hours per week including evenings and occasional weekends. Occasional travel to conferences or off‑site business meetings. Internal collaboration with Clinical Pharmacy, Analytics, Marketing, Sales & Account Services, Actuary & Underwriting, Healthcare Services, Medicare and Medicaid Programs, Benefits, Legal, Regulatory Affairs, and Compliance. External collaboration with PBM, medical management vendors, pharmaceutical and biotechnology manufacturers, consultants, benefit managers, clients, providers, and pharmacists. Equal Employment Opportunity Statement Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status, or any other status protected by law. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker at View email address on click.appcast.io . Please fill out an application on our company page, linked below, to be considered for this position. #J-18808-Ljbffr SupportFinity™