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

Blue Cross Blue Shield Association; North Carolina; Remote; USD 155,000 - 175,000; Full time

Job summary

A leading healthcare organization is seeking a Trade Client Strategy Director to manage clinical policies and trade strategies. This remote role requires a Pharmacy degree and significant experience in healthcare or pharmaceutical contracting. The position involves consulting with client relations and ensuring compliance with manufacturer contracts, aimed at improving access to medical benefit drugs.

Benefits

Comprehensive benefits package

Paid time off

Generous 401(k) match

Lifestyle spending account

Annual bonus incentive pay

Qualifications

• 5-7 years of experience in healthcare, PBM, or related fields.
• Eligibility to work in the U.S. without sponsorship.
• Experience with PBM industry, Medicaid, Medicare, and health plans.

Responsibilities

• Consult with Client Relations on trade inquiries and initiatives.
• Manage medical and pharmacy clinical policies for compliance.
• Collaborate with various teams on trade-related inquiries.

Skills

Excellent communication

Relationship-building

Clinical data application

Proficiency in Excel

Proficiency in PowerPoint

Education

Pharmacy degree

PharmD 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 depends on factors including 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, a 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, commissions, or other compensation are at the company's sole discretion and may be modified.

About Synergie Medication Collective

Synergie is a new medication contracting organization founded by Blue Cross and Blue Shield affiliated companies, focused on improving affordability and access to costly medical benefit drugs administered in clinical settings for nearly 100 million Americans. The Trade Client Strategy Director liaises with participants, manages clinical policies to ensure compliance with manufacturer contracts, implements trade strategies, and collaborates with the client relations team for trade inquiries. The role involves establishing partnerships, supporting clinical decision-making, and managing rebate programs.

Primary Job Functions

1. Consult with Client Relations on trade inquiries, initiatives, and opportunities with participants.
2. Understand downstream impacts of rebate and formulary strategies; communicate effectively with health plan participants.
3. Possess working knowledge of PBM operations, drug, and utilization management strategies.
4. Interpret pharmaceutical manufacturer drug contracts and align terms with utilization management policies.
5. Manage medical and pharmacy clinical policies to ensure manufacturer contract compliance.
6. Collaborate with the Client Relations team on trade-related inquiries.

Stakeholder Partnerships

• Analytics Team: Collaborate on drug trends, utilization data, and policy decisions.
• Client Relations: Serve as primary contact for participant questions on trade initiatives and contracts.
• Clinical Team: Review clinical data and policy requirements.
• Invoicing Team: Support with clinical policies and manufacturer inquiries.
• Product Team: Provide medical policy support for manufacturer contracts and outcomes programs.

Education, Experience, and Certification

• Pharmacy degree and PharmD preferred.
• 5-7 years of experience in healthcare, PBM, utilization management, pharmaceutical contracting, or related fields.
• Eligibility to work in the U.S. without sponsorship.
• Excellent communication and relationship-building skills.
• Application of clinical data to drive financial value.
• Proficiency in Excel and PowerPoint.

Knowledge, Skills, and Abilities

• Pharmacy residency or equivalent experience.
• Experience with PBM industry, Medicaid, Medicare, and health plans.
• Understanding of contract language and risk mitigation.

Travel up to 10%. Work is generally remote.