Lead Director, Pharma Contracting – Trade Relations

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Act as the primary contact for achieving value realization on significant rebate contracts across the Commercial, Health Exchange, Medicare, and Managed Medicaid sectors.

• Monitor and verify the value delivered under manufacturer rebate agreements.

• Ensure that negotiated discounts on branded pharmaceutical products are accurately realized, reconciled, and reported.

• Address rebate and contract disputes with manufacturers promptly and in a mutually agreeable manner.

• Collaborate with the Executive Director and Vice President of Trade Relations on negotiation strategies.

• Utilize value performance metrics, utilization data, forecasts, and dispute trends to enhance contract performance.

• Cultivate and maintain relationships with manufacturers and industry partners.

• Coordinate with finance, clinical, operations, and client teams regarding value drivers, forecast assumptions, and dispute positions.

• Create and present executive-level reports on value performance, forecast changes, and dispute resolutions.

• Maintain responsibility for rebate contracting outcomes from execution to realized value.

• Broaden the role and take on additional responsibilities.

• Develop and manage team members.

⛳️ Requirements

• At least 8 years of experience in managed care, which may encompass PBM, Pharma, market access, account management, specialty pharmacy, or other payer-related experience.

• Willingness to travel up to 25% of the time, as needed.

• Strong analytical abilities, including proficiency in handling large claims and rebate data sets using Excel, SQL, Tableau, or similar tools.

• Excellent written and verbal communication skills.

• Ability to collaborate effectively with cross-functional teams and external partners.

• Bachelor's degree is required.

• A Master’s or advanced degree is highly preferred.

• Over 4 years of experience in negotiating contracts within the Healthcare or PBM industry is preferred.

• Robust knowledge and understanding of pharmaceutical rebates, 340B/other government programs, and prescription benefit designs is preferred.

• Familiarity with pharmaceutical pricing and reporting of pharmaceutical products is preferred.

• Experience in managing, negotiating, or resolving rebate or contract disputes with pharmaceutical manufacturers is preferred.

• Understanding of formulary management and its impact on rebate performance is preferred.

• Ideally located within the EST or CST time zones.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.