Pharmaceutical Negotiator

Job ID: J137103
Company: Highmark Inc
Location: Pittsburgh, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: Dec 6, 2018

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Description

General Overview:

The Pharmaceutical Negotiator represents the organization as the primary point of contact with pharmaceutical manufacturer(s) and acts as a liaison to internal departments as well as with the company’s Pharmacy Benefit Manager (PBM).  The incumbent is responsible for negotiations with pharmaceutical manufacturers for rebate contracts and other innovative contracting opportunities, which increase revenue and reduce drug spend, analyzing and interpreting financial models, pricing terms and conditions, as well as developing recommendations on pharmaceutical product market potentials. 

Essential Job Functions:

  • Negotiate with pharmaceutical manufacturers for pharmaceutical rebate contracts and other innovative contracting opportunities which increase Highmark revenue and reduce drug spend, analyzing and interpreting financial models, pricing terms and conditions, as well as developing recommendations on pharmaceutical product market potentials.
  • Represent the pharmacy function, as liaison between the pharmaceutical manufacturer industry and internal departments for key strategy discussions and decisions related to formulary and low cost product initiatives.   Act as a senior escalation point of contact with pharmaceutical manufacturers and providing financial analysis and counsel in support of pull-through activities to increase formulary compliance and market share requirements. 
  • Review pharmaceutical financial analysis models, developing and overseeing recommendations and engaging key internal personnel as needed to execute on contracting opportunities. Participate in commercial, AC, and Med D Formulary management strategy and decision processes, and providing financial recommendations based on financial impact models.
  • Provide oversight and guidance on strategies related to medical rebate opportunities to assist Highmark's strategic partner(s) in managing their overall medical drug spend.
  • Other duties as assigned.

Minimum Qualifications:

  • Bachelor's Degree OR Combined work experience with manufacturer contracting and/or pharmaceutical purchasing, negotiation and contract administration, exposure to data analytics
  • 3 - 5 years of experience in Contract Administration
  • 3 - 5 years of experience in Health Insurance Industry
  • 3 - 5 years of experience in Data Analytics

Preferred Qualifications:

  • Bachelor's Degree in Finance
  • Master's Degree in Business Administration/Management
  • 3 - 5 years of experience in Pharmacy Contracting
  • Prior strong Manufacturer Relations or Managed Care Formulary Strategy experience

Referral Bonus: Level 2

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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