Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)

Blue Cross Blue Shield Association; Chicago (IL); Remote; USD 155,000 - 175,000; Full time

Job summary

A leading healthcare organization is seeking a Trade Client Strategy Director to enhance affordability and access to medical benefit drugs. This role involves managing clinical policies, collaborating with internal teams, and ensuring compliance with manufacturer contracts. The ideal candidate will have a Pharmacy degree and significant experience in healthcare analytics and client relations.

Benefits

Comprehensive benefits package

Paid time off

401(k) match

Lifestyle spending account

Annual bonus incentive pay

Qualifications

• 5-7 years in healthcare, PBM, utilization management, contracting, client relations, or analytics.
• Eligible to work in the U.S. without sponsorship.

Responsibilities

• Consult with Client Relations team on Trade inquiries and initiatives.
• Manage medical and pharmacy clinical policies for compliance.
• Support Client Relations team for Trade inquiries.

Skills

Excellent communication skills

Ability to build relationships

Application of clinical data for financial value

Proficiency in Excel

Proficiency in PowerPoint

Education

Pharmacy degree

Pharm D. preferred

Job description

The hiring range for this role is:

$155,000.00 - $175,000.00

This is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range, and this range may be modified in the future. A candidate's position within the range may depend on competencies, education, qualifications, certifications, experience, skills, seniority, performance, shift, travel requirements, and organizational needs. This job is also eligible for an annual bonus incentive pay.

We offer a comprehensive benefits package including paid time off, 11 holidays, medical/dental/vision insurance, a generous 401(k) match, lifestyle spending account, and other benefits to eligible employees.

Note: No amount of pay is considered wages or compensation until earned, vested, and determinable. Bonus, commission, or other compensation remains at the company's sole discretion unless paid, and may be modified at the company's discretion, consistent with law.

Synergie Medication Collective is a new organization formed by Blue Cross and Blue Shield affiliated companies to improve affordability and access to costly medical benefit drugs for nearly 100 million Americans. The Trade Client Strategy Director will liaise with participants, manage clinical policies, implement strategies, and collaborate with internal teams for rebate programs and compliance.

Primary Job Functions

1. Consult with Client Relations team on Trade inquiries, initiatives, and opportunities with Participants.
2. Understand rebate and formulary strategies and communicate effectively with health plan participants.
3. Have knowledge of PBM operations, drug, and UM strategy and policy implementation.
4. Interpret pharmaceutical manufacturer drug contracts and align terms with UM policy.
5. Manage medical and pharmacy clinical policies to ensure manufacturer contract compliance.
6. Support Client Relations team for Trade inquiries.

Partner with Stakeholders

• Analytics Team for drug trends and utilization data.
• Client Relations for participant questions and issues.
• Clinical Team for data and policy review.
• Invoicing Team for policy documentation and inquiries.
• Product Team for policy support on therapies and programs.

Education, Experience, and Certification

• Pharmacy degree and Pharm D. preferred.
• 5-7 years in healthcare, PBM, utilization management, contracting, client relations, or analytics.
• Eligible to work in the U.S. without sponsorship.
• Excellent communication skills.
• Ability to build relationships at all levels.
• Application of clinical data for financial value.
• Proficiency in Excel and PowerPoint.

Knowledge, Skills, and Abilities

• Pharmacy residency or equivalent experience.
• Experience with PBM, Medicaid, Medicare, and health plans.
• Contract language and risk mitigation experience.

Travel up to 10%. Work is generally remote.

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