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Associate Director, Managed Care Payer Contracting

$154.64k - $193.3k

Teva Pharmaceutical Industries

We Are TevaWe’re Teva, a leading innovative biopharmaceutical company, enabled by a world-class generics business. Whether it’s innovating in the fields of neuroscience and immunology or delivering high-quality medicine worldwide, we’re dedicated to addressing patients’ needs now and in the future. Here, you will be part of a high-performing, inclusive culture that values fresh thinking and collaboration. You'll have the room to grow, the flexibility to balance life with work, and the opportunity to better health worldwide, together.Our Team, Your ImpactThe Associate Director, Managed Care Payer Contracting is responsible for leading the development, implementation, and management of strategic managed care agreements across Medicaid and commercial payer channels. This role partners closely with Value and Access Strategy, Contract Analytics, Account Management, Pricing, Finance, Government Pricing, Legal, Compliance, Government Affairs, Analytics, and Brand teams to develop and implement contracting strategies that optimize patient access, support business objectives, and ensure compliance with applicable regulatory requirements.The Associate Director serves as a strategic leader in driving and implementing Medicaid and commercial contracting initiatives and provides subject matter expertise on government pricing implications, reimbursement dynamics, and evolving payer market trends. This role supports Teva's Innovative Medicines and Biosimilar portfolios and plays a critical role in advancing strategies across key payer segments, with a Medicaid focus.Location: Parsippany, NJ or West Chester, PAHow You’ll Spend Your DayAll areas of responsibility listed below are essential to the satisfactory performance of this position by any incumbents with reasonable accommodation if necessary. Any non-essential functions are assumed to be included in other related duties or assignments.Payer Contracting & Government Program Leadership:• Serve as the contract subject matter expert for Medicaid organizations and government payer initiatives.• Lead and execute upon the Medicaid bid submission process as aligned with Medicaid brand strategies.• Develop and maintain the Medicaid contracting playbook, tools, and best practices to support consistent execution, knowledge sharing, and continuous process improvement. • Partner with Government Affairs, Government Pricing, Account Management, Value and Access Strategy, and Legal to assess the impact of federal and state policy changes on contract bids and execution; e.g. GENEROUS, IRA.• Lead execution and implementation of approved contracting strategies across assigned commercial health plans, regional payers, pharmacy benefit managers (PBMs), group purchasing organizations (GPOs), Medicare, Managed Medicaid organizations, and state Medicaid programs.• Collaborate with payer account teams in support of customer negotiations, strategic planning, and contract implementation.Contract Development & Lifecycle Management:• Lead drafting, review, negotiation support, approval, execution, and implementation of managed care agreements. Translate negotiated business terms into clear, accurate, and compliant contractual language.• Manage contract lifecycle activities from initiation through execution, amendment, renewal, and termination.• Partner with Legal and Compliance teams to maintain contract standards, templates, and clause libraries.• Identify opportunities to streamline contract development processes and enhance operational effectiveness.Cross-Functional Leadership, Compliance & Business Planning:• Sheperd the development of contract business cases and facilitate bid approval materials by coordinating insights and analyses from cross-functional stakeholders, including Contract Analytics, Value and Access Strategy, Finance, Government Pricing, and other functional partners as appropriate; translating those inputs into recommendations for approval discussions, document meeting outcomes and approval decisions in compliance with established governance processes.• Support contract compliance activities, audits, payment reconciliations, and dispute resolution efforts as needed.• Lead strategic cross-functional initiatives related to contracting process improvement.• Provide mentorship and guidance to contracting team members and support development of contracting best practices across the organization.• Lead cross-functional decision-making on complex contracting issues and serve as a key stakeholder in strategic access planning and contracting governance activities.Your Skills and ExperienceAny equivalent combination of education, training, and experience that fulfills the requirements of the position will be considered.Education/Certification/Experience:• Bachelor's degree in Business, Healthcare Administration, Public Health, Health Policy, Life Sciences, Law, or a related field required (MBA, JD, MPH, or other advanced degree preferred).• Minimum of 7 years of progressive experience in payer contracting, market access, payer strategy, pharmaceutical contracting, healthcare consulting, or health plan management, including experience within pharmaceutical/biotechnology organizations, managed care organizations, PBMs, multi-state purchasing pools, Medicaid MCOs, or healthcare consulting environments.• Demonstrated experience developing and executing contracts across Medicaid and commercial payer segments. • Experience supporting state Medicaid contracting initiatives, including supplemental rebate agreements, Preferred Drug List (PDL) processes, managed care procurement cycles, reimbursement strategies, and state-specific access programs. • Experience in Medicaid-specific contractual provisions, including rebate arrangements, formulary access strategies, utilization management requirements, and reimbursement methodologies. Skills/Knowledge/Abilities:• Deep knowledge of Medicaid, commercial and Medicare payer environments.• Expertise in Medicaid contracting, state Medicaid reimbursement systems, multi-state purchasing pools and Medicaid Managed Care Organizations (MCOs).• Knowledge of Medicaid Preferred Drug List (PDL) processes, supplemental rebate arrangements, utilization management programs, and Medicaid drug reimbursement methodologies.• Strong understanding of government pricing methodology. Travel Requirements:• Approximately 10-20% domestic travel.Salary RangeThe annual starting salary for this position is between $154,640 – $193,300 annually. Factors which may affect starting salary within this range and level of role may include geography/market, skills, education, experience and other qualifications of the successful candidate.How We’ll Take Care of YouWe offer a competitive benefits package, including: · Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls. · Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan. · Time Off: Paid Time Off including vacation, sick/safe time, caretaker time and holidays. · Life and Disability Protection: Company paid Life and Disability insurance. · Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more. The total compensation may also include restricted stock units and discretionary awards, depending on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment. Already Working @Teva?Make sure to apply through our internal career site on Twist—your one-stop shop for career developmentTeva’s Equal Employment Opportunity CommitmentTeva Pharmaceuticals is committed to equal opportunity in employment. It is Teva's policy that equal employment opportunity be provided without regard to age, race, creed, color, religion, sex, disability, pregnancy, medical condition, genetic information, marital status, sexual orientation, gender identity or expression, ancestry, national or ethnic origin, citizenship status, military status or status as a disabled or protected veteran, or any legally recognized status entitled to protection under applicable federal, state, or local laws.Please advise us of any accommodations needed to support you throughout the recruitment and selection process. All accommodation information provided will be treated as confidential and used only for the purpose of providing an accessible candidate experience. Request a reasonable accommodation by sending an email to View email address on click.appcast.io with the nature of your request and your contact information. Only inquiries concerning a request for a reasonable accommodation will be responded to from this email address.Important notice to Employment Agencies - Please Read CarefullyTeva Pharmaceuticals USA does not accept unsolicited assistance from agencies for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.Department:Marketing

Vacancy posted 4 days ago
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