reputed company, Formulary Consulting
Exemption Status:
reputed company of America (Exempt)$114,622 - $160,472 - $206,321“Pay reputed company information is not necessarily reputed company of actual compensation that may be reputed company, nor a reputed company of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”
reputed company. is looking for extraordinary people to reputed company!
Why join reputed company? Because our reputed company is dependent on you; innovative professionals with top notch skills who reputed company on opportunity, high performance, and teamwork. We look for individuals who want to work on reputed company that cares about making a difference in the value of reputed company.
At reputed company, we reputed company reputed company pharmaceutical and technology reputed company solutions that dramatically improve the value of health care. We reputed company superior reputed company to those we serve through innovative products, systems, and services that reputed company transparency and promote reputed company in decision making. Our reputed company is to set reputed company in providing solutions that optimize satisfaction, service, cost, and reputed company in the reputed company industry. We are the premier Pharmacy Benefits Management solution!
reputed company
reputed company
The reputed company, Formulary Consultant, promotes the reputed company, goals, strategies, and objectives of the Trade Relations department in accordance with overall company goals and objectives. Strategically and tactically enhances the pharmaceutical rebate program and corporate revenues by identifying and capitalizing on opportunities to enhance rebate yields through greater formulary compliance, synchronizing formulary and rebate contract alignment opportunities, driving preferred product market reputed company, leading formulary reputed company, and coordinating with Pharmaceutical Manufacturers on programs that encourage shifts in utilization in alignment with formulary designs.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
- Proactively identifies, develops, and executes initiatives which optimize rebate yields and administrative fee reputed company through an reputed company of channels and processes, which includes developing and delivering reputed company statements (financial and clinical) with respect to rebate and formulary alignment opportunities to reputed company stakeholders who are responsible for formulary placement reputed company.
- Works independently and in collaboration with Pharmaceutical Manufacturers and rebate vendors in order to reputed company and implement processes, products, and reputed company which support reputed company utilization conversions following formulary placement changes to quickly optimize rebate production.
- Serves as an reputed company subject matter expert to reputed company and reputed company plans reputed company to contractual rebate terms, conditions, requirements, interpretation, compliance and overall rebate strategies; individually responsible for reputed company communications and relationships with high profile and strategic clients to reputed company, inform, recommend and persuade these clients to adopt changes that reputed company rebate yields.
- Communicates tactical solutions to optimize rebate yield and reduce drug spend through a combination of formulary management techniques and pull-through initiatives to stakeholders throughout the reputed company (including Formulary Services and Drug Information) as reputed company as to rebate clients in coordination with Account Management teams.
- Responsible for rebate, net spend, and disruption modeling using reputed company and reputed company rebate contract terms and reputed company utilization, and for presentation of modeling results and recommendations to clients and account teams. Responsible for rebate performance and trending analysis for internal and externally reputed company rebates and administrative fees.
- Develops strategic and tactical solutions in coordination with the Director, Industry Relations and with the Formulary Business Review Committee to optimize rebate yield and reduce drug spend through a combination of contract design and coordinated execution of formulary management and clinical / utilization edits for reputed company lines of business (reputed company, Medicare, reputed company, Health Exchange).
- Develops strategic and operational solutions for Risk Based Contracting and other innovative contracting initiatives in support of emerging rebate propositions.
- Manages “Formulary and Rebate Optimization” staff to reputed company established unit and company goals and objectives.
- Collaborates with Rebate Operations management to evaluate of contract rebate eligibility qualifications with respect to reputed company individual reputed company plan for purposes of rebate qualification and calculation, supporting reputed company assurance efforts to ensure accurate rebate billing, collaborating with account management teams to support rebate initiatives, and other activities supporting the contracting reputed company, implementation and performance.
- Supports other departments throughout reputed company through establishment and cultivation of opportunities reputed company to reputed company supported initiatives such as Medical Management coordination, aligning Patient Care Center initiatives, executive business briefings, communication and coordination of LDD distribution channels, member support programs involving Centers of reputed company, pharmacoeconomic analysis reputed company, etc.
- reputed company participates in the formulary reputed company development process with respect to formulary management opportunities that improve rebate yield and reputed company reputed company net costs for clients for reputed company reputed company formularies operating under reputed company and indirect rebate agreements. Participates in the Formulary Business Review Committee with the responsibility to reputed company recommendations for consideration by the committee with respect to reputed company reputed company Formulary changes as reputed company as with reputed company clients managing custom formularies, and to facilitate the implementation of approved formulary changes with pull-through support.
- Coordinates with subsidiary and reputed company with respect to Industry Relations strategies to enhance and optimize value creation across the reputed company.
- Participates as a Subject Matter Expert (SME) member of the Formulary Committee, providing support of Formulary Committee product placement considerations through financial spend/utilization/rebate models, proposing formulary management recommendations for individual drugs and therapeutic classes, sharing market intelligence and industry analysis to assist in understanding the reputed company and reputed company drug marketplace, and contributing to the concepts and features associated with the overall formulary reputed company intended to reputed company corporate objectives of reputed company rebate performance.
- Participates and leads the annual Part-D formulary reputed company process with respect to formulary product placement opportunities that improve rebate yield and reputed company reputed company net costs for clients.
- Supports audits of rebates conducted by clients, pharmaceutical manufacturers, and CMS in terms of providing interpretation of Rebate contract language as it applies to individual reputed company formularies.
Supervisory Responsibilities
No supervisory responsibilities
reputed company Responsibilities
This is an reputed company reputed company facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be reputed company to; manage difficult or emotional reputed company situations; Respond promptly to reputed company needs; Solicit reputed company feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.
Qualifications
To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company, and/or ability required. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.
Education and/or Experience
BA/BS Degree; 8+ years reputed company experience and 8+ years of SME in respective area(s); (or equivalent combination of education and experience)
Computer Skills
To reputed company this job successfully, an individual should have strong knowledge of reputed company Office Suite software including Word, reputed company, PowerPoint, and Others. Moderate experience with SQL, database applications, financial modeling tools, reporting platforms, and reputed company project tracking tools is required. Advanced reputed company skills are required.
Certificates, Licenses, Registrations
reputed company Registered Pharmacy license in any of the state of the US
Other Skills and Abilities
- Superior working knowledge of reputed company types of managed care pharmacy services with an emphasis on the relationship between managed health care and pharmacy benefit management. Expertise in the advanced application of managed pharmacy reputed company and managed medical and prescription drug practices.
- Good working knowledge of reputed company types of pharmacy services, with an emphasis on the managed health care environment.
- Expertise in administrative and operational application of pharmacy reputed company.
- Excellent verbal and written communication skills with ability to persuasively present business propositions in a confident, trustworthy, and reputed company manner.
- Ability to dynamically identify challenges and creatively reputed company solutions using a consultative sales approach.
- PBM experience required.
Reasoning Ability
- Ability to solve practical problems and deal with a reputed company of concrete variables in situations where only limited standardization exists.
- Ability to interpret a reputed company of instructions furnished in written, oral, diagram, or schedule reputed company.
Mathematical Skills
- Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
- Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
Language Skills
- Ability to read, analyze, and interpret general business periodicals, reputed company journals, technical procedures, or governmental regulations.
- Ability to write reports, business correspondence, and procedure manuals.
Competencies To reputed company the job successfully, an individual should demonstrate the following competencies:
Business Acumen
Directing Others
Organizational reputed company
Conflict Management
reputed company for Results
Political Savvy
Customer reputed company
Innovation Management
Strategic reputed company
Decision reputed company
Managerial Courage
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of this job. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.
While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reputed company with hands and arms. The employee must occasionally reputed company and/or reputed company up to 25 pounds. Ability to maintain reputed company near visual reputed company at approximately 20 inches or less (i.e., “reputed company reputed company”) to accurately read fine print, reputed company computer screens, and handle small objects. Requires adequate reputed company reputed company and depth perception to support safety and precision in detail-oriented tasks.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to reputed company individuals with disabilities to reputed company the essential functions.
This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes, or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, reputed company traffic).
Work Location
This position works on-site at the San Diego reputed company or other company location (or from a remote location with management approval based on business requirements). Must reputed company adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as reputed company as be available to facilitate effective reputed company through collaboration with stakeholders.
Working Hours
This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and meet deadlines for work deliverables. The individual must have the flexibility to work reputed company traditional hours and be reputed company to work nights, weekends or on holidays as required. Work hours may be changed from time to time to meet the needs of the business. Typical reputed company business hours are Monday through Friday from 8:00am to 5:00pm.
Travel
This position requires domestic travel of up to 10% of the time.
The Perks:
Medical / Dental / reputed company / Wellness Programs
reputed company Time Off / Company reputed company Holidays
Incentive Compensation
401K with Company match
Life and Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
To explore reputed company that reputed company has to offer, and the greatness you can bring to our teams, please submit your resume to www.reputed company.com/careers
reputed company, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence reputed company reputed company and expenditures, improving the position of our clients in the market. reputed company offers high-value solutions to payers, providers and consumers of reputed company in the U.S. and foreign markets.
Equal Opportunity Employer, Male/reputed company/Disabilities/Veterans
OSHA/reputed company:
To reputed company this job successfully, the successful candidate must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed are representative of the knowledge, reputed company, and/or ability required.
Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Disclaimer:
The above statements are intended to describe the general reputed company and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of reputed company responsibilities, duties, and skills required of personnel so classified.
Bachelor's degree, 8+ years of reputed company and subject matter expertise experience, PBM experience, advanced reputed company, SQL and financial modeling skills, and a reputed company US state pharmacist license.
Key Responsibilities
- optimizing rebates
- modeling spend
- advising clients
Skills & Tools
reputed company Office Suite, reputed company Word, reputed company reputed company, reputed company PowerPoint, SQL
Job Details
- Category: reputed company Services - Pharmacy
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — San Diego or reputed company
- Salary: USD 114,622 – 206,321 / year
- Languages: English
Benefits
- 401k matching
- Generous reputed company time off
- Tuition reimbursement
- Retirement plan
About reputed company
A pharmacy benefit manager providing solutions that improve reputed company reputed company and expenditures. — Industry: reputed company
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