Product Management Senior Director

ROLE SUMMARY:

The Senior Director of Regulated Markets Audit and Clinical Operations provides strategic direction, guidance and management for a team that is responsible for Regulated Markets clinical operations, audit readiness and coverage determination capabilities oversight.  This role is responsible for driving line of business (Medicare, Medicaid and Healthcare Reform) clinical strategy, operations and execution working across organization to define and refine products and capabilities that will meet our client and member needs.   The role will also have oversight and management of RM clinical capabilities that will provide clinical support across the RM team inclusive of transition capabilities, drug list maintenance, coverage determinations and RM clinical initiatives.  The areas of functionality supported by this team are the primary focus of CMS Program Audit and ensuring that these areas continue to meet all requirements is critical to the success of our Medicare Part D clients.    

The Senior Director will report directly to the Managing Director, Product Strategy.

In its current capacity, the Senior Director will be expected to manage three Directors directly, and twenty indirect reports.

ESSENTIAL FUNCTIONS:

• Directly and indirectly, lead team members responsible for the RM clinical operations scope.

• Responsible for area performance, inclusive of key KPIs, minimizing and mitigating business risks.

• Assist in developing and maintaining competitive market view on RM product offerings and work cross functionally to craft strategies to ensure market leadership position.

• Lead, coach, recruit, curate and directly manage the verticals focused on ensuring delivery against departments goals & objectives.

• Drives an active coaching and high-performance culture within the Regulated Markets team.

• Provide leadership to the team by removing barriers and handling potential roadblocks through partnership with cross-functional teams and swift business decisions.

• Ability to lead and participates in cross functional initiatives as assigned

• Effectively participates in, and contributes to, staff meetings, committees and departmental work groups to share best practices, improve processes, and/or other items relating to provider engagement

• Builds constructive and effective relationships across the company.

QUALIFICATIONS:

• Bachelor’s degree, Pharmacy Doctorate Preferred

• 10-14 years relevant experience

• A result-focused executor, who brings discipline, drive, and accountability to ensure delivery on plans for capturing market share

• Detailed knowledge and expertise of the regulated markets and the PBM industry

• Adept at working with senior leaders and developing key relationships

• Ability to work cross functionally with multiple departments to gain consensus and move projects and initiatives forward

• An inspirational, compelling leader who is capable of communicating the vision to external and internal constituents; and commanding the respect and enthusiasm

• Experience in attracting top talent, building and developing effective teams.

• Demonstrated ability to set priorities including, but not limited to time management and organizational skills.

• Proven track record of delivering results of high quality.

REQUIRED COMPETENCIES/BEHAVIORS:

• Strong in strategy development, communication and execution

• Strong business and financial acumen

• Client centric / customer focused

• Ability to build strong relationships

• Ability to build and manage strong internal teams

• Demonstrate the ability to negotiate cross functionally to drive client issues to resolution

• Ability to manage work strategically, effectively anticipating/planning for client impact of internal and external influencers

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 168,400 - 280,600 USD / yearly, depending on relevant factors, including experience and geographic locati