Manager, PBM Trade Relations and Pharmaceutical Contracting

Summary

As a ​Manager, PBM Supplemental Rebating at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Essential Job Functions

• Serve as the primary point of contact for Gainwell with drug manufacturers in performing supplemental rebate negotiations for drugs and DME supplies for our State Medicaid FFS customers. 
• Negotiate supplemental rebates for multiple programs including FFS Medicaid, Managed Medicaid, ADAP, or other State specific programs.
• Work with Medicaid rebate pools and consortiums as needed for State supplemental rebate contracting. Perform cost analysis utilizing pricing, rebate information, and supplemental rebate offers in conjunction with the clinical drug class reviews to help inform PDL recommendations.
• Assist clinical pharmacy group in presenting drug class and PDL reviews to State P&T and/or DUR Board meetings.
• Work with drug rebate module product team to develop tools and system functionality required for managing a supplemental rebate program, providing supplemental URA calculations, and accurately invoicing for drug and DME supplemental rebates.
• Create drug related financial analysis, trends, and forecast reports for State agencies.
• Develop program for negotiating value-based agreements with drug manufacturers and presenting the details and operational functionality of those agreements with the State customer.
• Provide ongoing review of newly added drug products from the weekly FDB file updates to identify adjustments to existing supplemental rebate contracts.
• Manage all contract documents and communications with drug manufacturers as it relates to the supplemental rebate program.

What we're looking for

Basic Qualifications

• Minimum of seven (7) years of experience in pharmacy management.
• Minimum five (5) years of direct experience with supplemental rebate operations.
• Detailed knowledge of Medicaid at the state and federal level.
• Registered Pharmacist in the US or previous pharmaceutical rebate experience and analytical experience
• Experience in commercial or governmental contracting

Other Qualifications

• Licensed pharmacist is preferred, but not required - with previous supplemental rebate experience in the successful leadership of a corporate PBM operation
• Ability to communicate succinctly and accurately in both written and verbal English in various group settings from individuals to large groups.
• Strong leadership abilities which demonstrate proactive initiative.
• Ability to work independently and in a team environment.
• Ability to work effectively and efficiently under stringent timelines.
• Ability to analyze and resolve difficult logistic and processing issues.
• Excellent organizational, written and oral communication skills
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to work with large volumes of data and proficient in excel or other analytical platforms
• Proficient on multiple virtual communication platforms (Microsoft Teams, Skype, Zoom, etc.)

What you should expect in this role

- Remote

The deadline to submit applications for this posting is 11/1/2024.

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