Senior Director Utilization and Contracting Management (Hybrid)

Overall

Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate contracting efforts to ensure alignment across formulary, utilization management, SafeGuard, and other trend solutions.

Essential Functions:


* Ability to manage development and execution of clinical UM strategy.

This would include both the ongoing updates to existing UM solutions and the evolution of UM to both incorporate new technologies and meet the changing demands of both clients and regulators


* Ability to understand and ensure alignment with clinical guidance within our trend solutions and contracting efforts.

Meet with clinical leadership and SMEs to support efforts to update clinical guidance and its application to create solutions that provide financial savings with a clinical-first mindset


* Ability to understand and negotiate contracting language to protect formulary and trend solutions from unintended conflicts across commercial, Medicare, and product offerings that depend on those contracts.


* Support of negotiator teams to drive efficient communication of asks and the resulting internal stakeholder evaluation of newly obtained contracted rates and/or language


* Ability to collaborate and support PBM solutions and supply chain strategic initiatives


* Ability to work and influence cross-functional partners to achieve key initiatives and corporate goals


* Demonstrated initiative with commitment and ability to work under pressure and meet tight deadlines


* Ability to work cross functionally with finance to model opportunities and track the financial value of the programs


* Effectively communicate with clients, pharmaceutical manufacturers, and other external stakeholders/partners to support adoption of new solutions, demonstrate Evernorth expertise, and to promote the PBM's ability to serve clients and patients


* Lead a team of multiple direct reports and their associated teams.

Responsible for the identification and development of talent within the team to ensure continuity and to support the growth of new leaders.

Ensure the team drives both the consistency and innovation necessary to accomplish the financial and outcome goals in support of Evernorth commitments

Qualifications :


* Bachelor's degree or beyond in an applicable area of study, which could include business/product strategy, business development, pharmacy, or healthcare management


* 8+ years relevant experience


* Licensed pharmacist in good standing, if degree is Pharmacy


* Excellent verbal, presentation, and written communication skills required; proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must; ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills; ability to learn multiple internal reporting and analytic tools use adva...