Job Description Summary:

The Director, PBM Strategy within the Market Access team is responsible for mapping out and developing key relationships with large, medium, and small PBMs, including assisting in the development of value propositions, contracting and rate standardization, and managing contracts. This role should develop Option Care Health’s strategies on a 1 to 2 year horizon for PBMs, including contracting for specific Specialty Pharmacy needs, as well as the national expansion of medical groups.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

Develop, cultivate relationships, and drive execution of strategy for PBMs, including the development of strategy for partnerships with small and medium PBMs.
Evaluate, negotiate, and execute Specialty Pharmacy contracts where applicable, in conjunction with Any Willing Provider strategies with the Operations Team.;
Cross-Functionally work to develop standardized contracting terms and conditions, as well as pricing levels, for PBMs, including Specialty Pharmacy contracting within PBMs.
Develop and drive execution of PBM strategies, including identification of key value points for PBMs, development of value messaging and materials, and implementation.
Develop a deep understanding of PBM processes for key therapeutic categories and act as an educator to the rest of the organization.
Assist in the expansion of Medical Group strategy nationally where applicable

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

Basic Education and/or Experience Requirements

Bachelors degree

Basic Qualifications

15+ Years of Experience within the healthcare industry, preferably within sales/market access functions
Ability to lead cross-functional teams and projects to deliver results as a high performing team
Proven ability to develop and execute on a strategy
Proven ability to develop relationships at accounts

Travel Requirements: (if required)

Up to 20%

Preferred Qualifications & Interests (PQIs)

Masters degree or other advanced degree

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $126,505.85-$210,858.08

Benefits:

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Naven Health

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