Senior Director, Provider Contracting - Evernorth Health Services

Cigna

$150K — $180K *
Pharmaceuticals & Biotech
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of relevant experience in Pharma strategy or contracting.
  • Registered Pharmacist (RPh or PharmD) and/or MBA preferred but not essential.
  • Strong financial acumen with knowledge of supply chain dynamics.
  • Excellent interpersonal skills for collaboration with internal and external stakeholders.
  • Exceptional written and verbal communication, along with presentation skills.
  • Solid negotiation skills with a focus on influence and persuasion.
  • Adaptable in navigating complex dynamics and ambiguity.

Responsibilities

  • Assist the VP of Pharma Strategy in crafting and executing drug strategies.
  • Collaborate with Ascent Health Services to devise product class strategies for the Commercial book of business.
  • Manage relationships and develop strategic partnerships with targeted Pharma companies across various departments.
  • Work with the formulary modeling team to maximize product category strategies and rebates.
  • Consult on formulary and rebate requests for Cigna Health Plan and large Custom Clients.
  • Support Account Directors in finalizing and implementing rebate agreements and matrices.
  • Aid Sales and Account Management with RFPs and client presentations.

Benefits

  • Opportunity for remote work with connectivity requirements specified.
  • Collaborative environment across various internal departments and stakeholders.
Full Job Description

This position assists the VP of Pharma Strategy and Contracting with setting the strategy and ensures the effective execution of ESI Pharma rebate contracts.  This position has responsibility for up to half of the pharmaceutical manufacturers for our Medicare, Commercial Government, LTC, and Managed Medicaid books of business as well as working with Ascent Health Services on our overall Commercial rebate strategy.  

ESSENTIAL FUNCTIONS

  • Responsibilities for this role include, but are not limited to, any and all of the following areas:

  • Assisting the VP of Pharma Strategy and Contracting in determining manufacturer, product class, and drug strategies and executing on these strategies

  • Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates "win-win" opportunities for ESI and Ascent.

  • Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments within ESI's Supply Chain.

  • Interact with the formulary modeling team (Commercial and Medicare) to develop and create product category strategies and pharma manufacturer rebate requests to maximize value and deliver cost savings.

  • Consult and provide insight with any and all Cigna Health Plan and large Custom Client formulary and rebate requests or market strategies.

  • Assist the Account Directors in finalizing all manufacturer rebate agreements and matrices to ensure accuracy, signature, and implementation for invoicing.

  • Support Sales and Account Management on RFPs and/or presentations or discussions with clients.

  • Represent our department and provide guidance and formulary strategies for Custom Clients and assist the Formulary Consultants on any rebate requests.

  • Interact with cross-functional management teams including clinical, account management, operations, finance, and specialty business development as needed.

QUALIFICATIONS

  • 8+ years of relevant experience.

  • Registered Pharmacist (RPh or PharmD) and/or MBA a plus, but not required

  • Strong financial acumen with an understanding of supply chain dynamics.

  • Strong interpersonal skills with the ability to collaborate well with both internal and external teams and stakeholders.

  • Exceptional written and verbal communication skills and presentation skills.

  • Solid negotiation skills with the ability to influence and persuade while balancing the needs of the organization and external partners.

  • Adaptable with the ability to navigate complex dynamics and ambiguity.  Ability to effectively cope with setbacks. 

  • Honest, direct and transparent communication style. 

  • Self-starter who can work well independently as well as with the broader team.


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.

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