The Vice President, Payer Strategyis responsible for leading payer strategy development for the IHOC SpecialtyNetwork, developing and driving innovative pull-through initiatives, andguiding payer programs to ensure quality of deliverables. Functions as the recognizednational payer strategy authority for IHOC Specialty Network.
Work with IHOC members to identifyand contract with local and national payers for IHOC Specialty Network access.
Seeks out, builds and maintains relationshipswith the strategic thinkers at the third-party entities that contract withpharmacy networks seeking to ensure members have access to covered lives andexpanded services at or above competitive market rates.
Sets the strategy and tone for negotiationsand leads the contracting team.
Stays abreast of regulatory,legislative and industry changes that impact community pharmacy andreimbursement to make sure contracts properly deal with their future impacts.
Uses internal and external datasources to analyze gross profit, market position and market share to informcontract negotiations.
Monitors the approval process forcontracts, identifies and resolves business issues that pertain to potentialagreements. Provides insight and guidance to executive team in addressingdifficult contract actions.
Adapts approaches, methods andsystems in response to the constantly evolving managed care environment.
Meets regularly with third-partyentities at their locations, to conduct business reviews, deepen relationshipsand develop opportunities; attends industry events such as NASP, Asembia, NCPDP,and NACDS annual meetings.
Supports the mission and vision of IHOCby continually reinforcing opportunities to build shareholder value.
Lead value proposition creation,including account strategy, contracting strategy, commercialization strategyand pricing. Insure consistency among strategic direction and market/customerrequirements.
Strong executive presence withability to clearly communicate the value proposition to customers, prospects,and internal and external partners.
Facilitate internal communication ofdefined payer strategy with IHOC members and ABC leadership.
Fosters proactive, continued qualityimprovement and identification of areas at risk.
Establish business objectivesrequired to meet IHOC member requirements and achieve financial/growth targetsand key goals.
What your background should look like (minimum qualifications)
Minimum of 12 years of experience inpayer strategy, with expertise in managed care, pharmacy benefit management orpharmaceutical consulting preferred.
BS/BA required, advanced degreepreferred (MBA).
Extensive understanding of thepharmacy benefits industry, including its trends and directions, with emphasison the health system specialty pharmacy and specialty pharmacy marketplace,networks and contracting.
Pharmacy healthcare background withclinical competency and experience that promotes a high level of credibilitywith pharmacy professionals.
Requires experience in seniormanagement role(s), preferably across more than one specialty pharmacy.
Excellent communication and grouppresentation skills. Experience presenting at c-level, both externally andinternally.
Knowledge of technologies incorporate and healthcare settings.
Advanced understand of the dynamicsof healthcare and managed care, medical trends.
Works independently, while balancinginteractions with senior management team.
Ability to effectivelymaintain/build relationship across business units
Requires project management skillsand the ability to manage multiple tasks concurrently.
#LI-IS1What AmerisourceBergen offers
We offer competitive total rewards compensation. Our commitment to our associates includes benefit programs that are comprehensive, diverse and designed to meet the various needs across our associate population.
Healthcare for associates and eligible dependents, same-sex and domestic partners
Paid time off, including vacations and holidays
Paid volunteer time off
Life insurance and disability protection
Employee Stock Purchase Program
Retirement benefits and more
Throughout our global footprint and various business units, we take a balanced approach to the benefits we offer. Many benefits are company-paid, while others are available through associate contributions. Specific benefit offerings may vary by location, position and/or business unit.