Director, Trade Client Relations

This is a fully remote position, open to applicants in Nebraska, +2 more states.

📋 Description

• Partner with the Client Relations team to address Trade-related inquiries, initiatives, and opportunities with Participants.

• Communicate with health plan participants about rebate and formulary strategies and policies.

• Oversee medical and pharmacy clinical policies with Participants to guarantee compliance with manufacturer contracts.

• Collaborate with the Client Relations team on Trade-related queries from Participants.

• Act as the primary point of contact for Participant inquiries related to Trade initiatives and manufacturer contracts.

• Elevate issues to Trade leadership as necessary.

• Work with Analytics to analyze drug trends, utilization data, clinical policy decisions, formulary compliance, drug share shifts, and utilization management strategies.

• Coordinate with the Clinical team to evaluate clinical data and policy requirements.

• Maintain an organized library of Participant medical and pharmacy policies.

• Assist the Invoicing team with manufacturer inquiries concerning clinical policies.

• Provide medical policy support for contracts related to manufacturers, including cell and gene therapies and outcomes programs.

• Develop and maintain cross-functional partnerships to create and implement rebate programs.

• Facilitate clinical decision-making at the Participant level to ensure adherence to manufacturer contracts.

⛳️ Requirements

• A Pharmacy degree and PharmD is preferred.

• 5–7 years of relevant experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting.

• Must be eligible to work in the United States without requiring a work visa or residency sponsorship.

• Exceptional verbal and written communication skills.

• Capability to establish rapport and cultivate relationships across all levels of the organization.

• Practical application of clinical data to generate financial value.

• Strong business and financial insight.

• Advanced skills in Excel and PowerPoint.

• Understanding of PBM operations, drug management strategies, and policy implementation.

• Experience in reading and interpreting pharmaceutical manufacturer contracts.

• Background in aligning contract terms with utilization management policies and criteria.

• Pharmacy residency training or equivalent experience.

• Experience within the PBM industry, as well as Medicaid, Medicare, and health plans.

• Familiarity with contract language and risk mitigation concepts.

• Willingness to travel up to 10% of the time.

🏝️ Benefits

• Annual bonus incentive pay.

• Paid time off.

• 11 holidays.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Generous 401(k) matching.

• Lifestyle spending account.

• Work-life flexibility.

• Well-being benefits.

• Travel requirements up to 10% of the time.