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Education required: Bachelor’s degree with emphasis in Business, Finance, Accounting or related fields or equivalent combination of education, training and/or direct work-related experience.
Education preferred: Masters preferred
Years of experience required: 5 +years of Managed Care Pharmaceutical related business or finance experience.
• Experience in Pharmaceutical Managed Care modeling, analytics, or contracting for a manufacturer, Health Plan, PBM, GPO and/or in a consulting capacity.
• Proven ability to interpret and manage complex data sets. effectively in a team-based environment, balancing diverse cross-functional perspectives, complex problem solving, and collaboration skills.
• Strong financial acumen and analytical skills, with the ability to translate insights into business impacts and actionable next steps.
• Ability to effectively synthesize and communicate complex business proposals and to accurately interpret business considerations and impacts.
• Highly organized and self-motivated, with a strong customer focus that’s well-suited for a fast-paced environment.
• Understanding of the 340B landscape.
• Highly advanced Microsoft Excel skills.
Specific experience required: High level knowledge of drug formulary structure (PA, QL, Tiers, ST), understanding of Managed Care contracting as it relates to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims/Managed Care), and Pharmaceutical contract language. Ability to display and articulate comprehensive understanding of Medical/Managed Care Rebate agreements.
Specific experience preferred:
Brand pharmaceutical business, specifically in market access, rebate adjudication, audit, and/or dispute resolution.
• Negotiation and presentation skills
• Understanding of drug purchase discounts and interaction with Rx based rebates
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