Exemption Status:

Exemption Status:

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise 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.”

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services.

Job Description

Summary

Prescient Holdings Group (PHG) is a healthcare company providing pharmaceutical management solutions to payers, patients, and providers. We are focused on developing the most effective strategies for optimizing drug access and spend through our suite of formulary and rebate services. The Industry Relations and Clinical Strategy Manager promotes the overall vision, goals, strategies, and objectives of the PHG Industry Relations and Clinical Strategy team in line with overall company goals and objectives, including support of PHG client relationships and strategic initiatives. Strategically develops the pharmaceutical rebate program to meet the revenue goals and business objectives of the company.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Supports formulary 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 current and future drug marketplace, and contributing to the concepts and features associated with the overall formulary strategy intended to achieve corporate enterprise objectives of optimal rebate performance.
• Contributes to the development of the strategic vision for corporate formulary management to continually improve access, quality, and value of formulary products. Monitors and anticipates current and future marketplace trends, including the regulatory environment, evolving business conditions, customer needs, opportunities and issues. Develops and maintains PHG formularies, utilization management, specialty drug lists and other key drug lists important to internal and client needs. Communicates with appropriate internal and external stakeholders.
• Collaborates with internal and external trade relations, finance, underwriting, client services, business, IT, and formulary management teams as a subject matter expert related to contractual rebate terms, conditions, requirements, interpretation, compliance and overall rebate and formulary strategies; educates, recommends and creates value proposition messaging and positioning for client proposals in support of formulary changes that drive rebate yields and savings. Provides information to support sales proposals and BAFOs as assigned. Partners with Client Services to support client strategy discussions, communications, and ongoing relationship management activities.
• Provides clinical and rebate consultative services related to drug market trends, drug pipeline and forecasting. Assists with related analytic needs to support recommendations being considered by assigned clients that align with both the clients’ and the company’s mutual goals of lower net costs and high clinical quality. Manages client requested formulary modeling requests or clinically related questions within stated turn-around commitments.
• Develops and maintains content related to clinical, market, and financial strategic initiatives with an intent to provide formulary and rebate strategy logic and rationale to clients.
• As assigned, prepares and generates client materials and presents to client review committees or equivalent to support the adoption of recommended formulary and rebate strategies. Participates in client meetings and presentations as a clinical and formulary subject matter expert.
• As assigned, responsible for identifying, developing, negotiating rebate contract opportunities, and for executing comprehensive rebate agreements with prescription drug manufacturers to support the rebate objectives of the company and its clients;
• As assigned, serves as a primary point of contact for the pharmaceutical industry, routinely meeting with pharmaceutical manufacturers to establish and maintain functional business relationships, acquire industry intelligence, and to gain information on trends, product pipelines, innovative contracting methods, and other business items that facilitate enhanced contracting leverage and rebate strategies;
• Supports PHG’s and downstream client’s clinical products and services including but not limited to support of medical rebates, cash point of sale, value-based contract initiatives, and other business initiatives as assigned.
• Contributes to the oversight of PHG’s rebate vendor(s), ensuring appropriate representation of the goals, interests and direction of the enterprise as it relates to pharma negotiations and rebate strategy.
• Assist in the oversight of PHG rebate vendor operations team, ensuring that all available rebate value is invoiced appropriately and collected

Supervisory Responsibilities        

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

PharmD and 3+ years’ experience or equivalent combination of education and experience, and 1 year of SME in respective areas

Computer Skills

To perform this job successfully, an individual should have a competence with Microsoft Word, Excel, Access and PowerPoint software. The individual must also be capable of becoming proficient with internal systems such as the Dividend Rebate Platform, Formulary Modeling Module, MedOptimize or other business intelligence software, as well as with proprietary MedImpact systems such as MedAccess and systems/databases used by MedImpact Formulary Services.

Certificates, Licenses, Registrations

Valid Registered Pharmacist license in any state of the US.

Other Skills and Abilities

• Strong knowledge of managed care pharmacy, formulary strategy, pharmaceutical contracting, and rebate management.
• Excellent communication, presentation, and relationship management skills, with the ability to effectively support and engage clients and internal stakeholders.
• Ability to analyze complex clinical, financial, and market data and translate findings into actionable recommendations. Insert skills and abilities

Reasoning Ability                                   

• Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. 
• Ability to define problems, collect data, establish facts, and draw valid conclusions.

Mathematical Skills      

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

Language Skills

• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform 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 reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Ability to maintain clear near visual acuity at approximately 20 inches or less (i.e., “close vision”) to accurately read fine print, view computer screens, and handle small objects. Requires adequate color vision 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 enable individuals with disabilities to perform 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, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions 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 beyond traditional hours and be able 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 core business hours are Monday through Friday from 8:00am to 5:00pm.

Travel

This position may require domestic and international travel. A valid passport and ability to leave the United States is required.

The Perks:

• Medical / Dental / Vision / Wellness Programs

• Paid Time Off / Company Paid Holidays

• Incentive Compensation

• 401K with Company match

• Life and Disability Insurance

• Tuition Reimbursement

• Employee Referral Bonus

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are
representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.