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J187558

Pharmaceutical Negotiator

Highmark Inc.

  • Company Highmark
  • Pittsburgh, PA
  • Procurement
  • Full time
  • Day (United States of America)

Company :

Highmark Inc.

Job Description : 

JOB SUMMARY

This job 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 RESPONSIBILITIES

  • 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.

EDUCATION

Required

  • Bachelor's Degree

Substitutions

  • Combined work experience with manufacturer contracting and/or pharmaceutical purchasing, negotiation and contract administration, exposure to data analytics

Preferred

  • Doctorate Degree in Pharmacy
  • Bachelor's Degree in Finance
  • Master's Degree in Business Administration/Management

EXPERIENCE

  • 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

  • 3 - 5 years of experience in Pharmacy Contracting

LICENSES AND CERTIFICATIONS

Required

  • None

Preferred

  • None

SKILLS

Required

  • Data Analysis
  • Negotiation
  • Outstanding Interpersonal Communication Skills

Preferred

  • Business Strategy
  • Financial Modeling

Language (Other than English)

None 

Travel Required

0%  - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office-Based

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required 

No

Lifting: up to 10 pounds

Does Not Apply

Lifting: 10 to 25 pounds

Does Not Apply

Lifting: 25 to 50 pounds

Does Not Apply

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.

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, age, 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, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability. 

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.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 contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice


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