Oversees the development of the Commercial rating models along with oversight of external actuaries utilized during this process and make strategic decision making recommendations around the program and product pricing.
This newly created position will be responsible for managing the new drug pipeline for Specialty and High Cost Medical Drugs. Individual will be responsible for P&T presentations, contracting, place of service and instituting best in practice management protocols for high cost drugs.
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job.
This includes program development and monitoring, staff development including overseeing front line supervisors. He/she assists in developing and operational izing new programs and insures regulatory and contractual requirements are met.