Pharmacy Contract Consultant
Highmark HealthAbout the role
Company :
Highmark Inc.Job Description :
JOB SUMMARY
This job serves as the primary point of contact within the Highmark Pharmacy Services organization responsible for the negotiation of pharmacy and applicable vendor contracts and resolution of related contract matters. The incumbent collaborates directly with internal and external legal counsel and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) to manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and amendments as needed by the business. In the course of managing the portfolio of pharmacy and applicable vendor contracts, the incumbent interfaces with other organization stakeholders in order to maximize value and mitigate risk to the organization. In addition, the incumbent partners directly with the Pharmacy Services leadership team on contracting initiates related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Other related job functions include the identification and interpretation of relevant contract language, responding to contract disclosure requests to support external audit activities, contract maintenance and storage, support of pharmacy and related RFPs and leading/facilitating contract discussions with other members of the Pharmacy Services team and others teams outside of Pharmacy Services. In addition, the incumbent may provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative contract-related initiatives.
ESSENTIAL RESPONSIBILITIES
- Manage pharmacy contracts including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage with minimal supervision/direction.
- Collaborate directly with internal, external, and vendor legal counsel teams (e.g., Pharmacy Benefit Manager, Specialty Pharmacy) during the contract negotiation process, up to and including the point of contract execution.
- Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization.
- Partner directly with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio.
- Provide guidance or expertise to other analysts and stakeholders within the Pharmacy Services organization during collaborative initiatives.
- Addresses, investigates and resolves pharmacy contract matters / issues, post contract execution.
- Other duties as assigned.
EDUCATION
Required
- Bachelor's Degree in Business Administration/Management or five years of relevant experience and/or education as determined by the company in lieu of bachelor's degree
Preferred
- Doctorate in Law
EXPERIENCE
Required
- 5 - 7 years of Contract Development Experience
- 5 - 7 years of Contract Management Experience
Preferred
- 7 - 10 years of Healthcare Industry Experience
- 7 - 10 years of Managed Care
- 7 -10 years of Pharmacy Benefit Management Experience
LICENSES OR CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Written & Oral Presentation Skills
- Communication Skills
Language (other than English)
None
Travel Requirement
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
Does Not Apply
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Frequently
Lifting: 10 to 25 pounds
Occasionally
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 stan
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