Formulary Consultation Director

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.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

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

·         Provide formulary modeling and consultation for custom client formularies.

·         Analyze market data, P&T decisions, and competitive landscape to inform formulary decisions.

·         Collaborate with clinical teams to assess new drugs and therapeutic alternative strategies.

·         Participates in internal value assessment committee, guiding the evaluation strategic opportunities based on clinical, economic, and value-based criteria.

·         Participate in committee meetings, ensure adherence to evaluation frameworks, and drive consensus on formulary decisions.

·         Oversee the development and implementation of value assessment methodologies for rigorous and transparent evaluations.

·         Oversee the development and execution of project plans, timelines, and deliverables related to team initiatives..

·         Serve as the primary point of contact for internal stakeholders regarding custom formulary clients from a rebate perspective.

·         Develop and deliver presentations and reports to various levels within the organization, clients, and other key stakeholders.

·         Develop and maintain process for external communications highlighting high impact formulary changes, in line with standard client communication processes and procedures.

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·         Stay abreast of regulatory changes and ensure custom formulary strategies comply with federal and state regulations, particularly for Medicare Part D.

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·         Provide consultative support to client account teams related to market events, legislative items and standard MedImpact decisions.

·         Generate regular reports on formulary performance, financial impact, and clinical outcomes for senior leadership and clients.

·         Identify opportunities for process improvements and lead initiatives to enhance formulary management practices.

·         Foster a culture of innovation and continuous learning within the formulary team.

·         Builds strong and collaborative working relationships with other members of the Trade Relations department, Account Team, Financial Analytics Team and other MedImpact departments to deliver value to clients and generate revenue and reduced risk for MedImpact.

·         Evaluate client support model for clients and provide feedback to leadership.

Supervisory Responsibilities

May manage assigned staff in the Trade Relations, Formulary Consultation department. Responsible for the overall direction, coordination, and evaluation of the assigned team. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Supports and enforces all company policies and procedures in a fair and consistent manner, taking corrective action whenever necessary.

Client Responsibilities

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

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 accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience  

Pharm.D. from an accredited school of pharmacy (or equivalent combination of education and experience, such as a Registered Pharmacist (RPh)) plus 10+ years of related experienceFive (5) years experience in client management or client support roles.  Understanding and hands on experience with rebate modeling and economics.  Four (4) years of supervisory experience leading individual contributors and leading leaders preferred, if people leadership is required for the role. The supervisory experience requirement may be substituted with an appropriate mix of leadership experience plus 8 years of MedImpact experience plus an appropriate external leadership training program and internal mentorship with a seasoned leader (VP+ level) that must be completed within 12 months in new position.   

Computer Skills

To perform this job successfully, an individual should have good knowledge of Microsoft Office Suite software including Word and Access.  Must have strong Excel skills. Prefer working knowledge of SQL software.

Certificates, Licenses, Registrations

Registered Pharmacist in good standing.

Other Skills and Abilities

Solid working knowledge of PBM industry, healthcare, and government programs. Possess proven leadership skills, excellent communication skills (both verbal and written), analytical and financial reasoning skills. Requires experience in operational application of database applications, accounting, finance, or data analysis.  Demonstrated attention to detail and experience leading quality improvement initiatives. Requires the ability to represent MedImpact at the enterprise level with proper business decisions.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Mathematical Skills  

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to work with mathematical concepts such as algebra, probability, and statistical inference. Ability to apply these skills to practical situations.

Language Skills

Ability to read and interpret complex documents such as legal agreements, safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization.                 

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

·         Adaptability - Adjusts quickly to evolving situations by integrating new information, remaining flexible, recognizing, and implementing necessary changes and taking advantage of opportunities presented by new developments.

·         Business Knowledge - Demonstrates clear understanding of the nature of the business -- its products and services, goals, market, competitors, and challenges. 

·         Clinical Knowledge – Understanding of pharmaceutical products and pharmaceutical products pipeline.

·         Communication -Expresses self clearly and effectively in face-to-face interactions, presentations, and written documents, and employs active listening skills to ensure productive interactions.

·         Decision-making - Gathers input from affected parties and available experts, assesses risks and benefits, and makes timely decisions based on sound reasoning.

·         Influence - Persuades others of the value of an idea or course of action, enlists cooperation and support while maintaining positive work relationships, builds consensus by communicating effectively and demonstrating an understanding of others’ positions, and effectively motivates others to buy into projects and goals.

·         Negotiation - Maintains focus on both the goals and the process of negotiation, asserts own objectives while demonstrating concern for others’ priorities and perspectives, and effectively negotiates for results.

·         Strategic Vision - Formulates and communicates a long-range, big-picture vision, considering both opportunities and challenges, and translates that vision into specific action steps.

·         Relationship Building and Networking - Maintains a network of diverse contacts both inside and outside of the organization, initiates productive collaborations with people in all parts of the organization, makes regular efforts to get to know new people, reaches out for help when appropriate and is available to help others when approached.

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 accommodations 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; use hands to finger, handle, or feel and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Work Location

Remote

Working Hours

This is an exempt level position requiring the incumbent to work the hours required to fully accomplish job responsibilities and reasonably 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 requires occasional domestic travel of up to 5% - 10% of the time. 

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

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

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.