Manager, PBM Trade Relations and Pharmaceutical Contracting - WFH

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Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Manager, PBM Supplemental Rebating at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a community’s most vulnerable.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Here are the details on this position.

Your role in our mission

Essential Job Functions

• Serve as the primary point of contact for Gainwell with drug manufacturers in performing supplemental rebate negotiations for drugs and DME supplies for our State Medicaid FFS customers.
• Negotiate supplemental rebates for multiple programs including FFS Medicaid, Managed Medicaid, ADAP, or other State specific programs.
• Work with Medicaid rebate pools and consortiums as needed for State supplemental rebate contracting. Perform cost analysis utilizing pricing, rebate information, and supplemental rebate offers in conjunction with the clinical drug class reviews to help inform PDL recommendations.
• Assist clinical pharmacy group in presenting drug class and PDL reviews to State P&T and / or DUR Board meetings.
• Work with drug rebate module product team to develop tools and system functionality required for managing a supplemental rebate program, providing supplemental URA calculations, and accurately invoicing for drug and DME supplemental rebates.
• Create drug related financial analysis, trends, and forecast reports for State agencies.
• Develop program for negotiating value-based agreements with drug manufacturers and presenting the details and operational functionality of those agreements with the State customer.
• Provide ongoing review of newly added drug products from the weekly FDB file updates to identify adjustments to existing supplemental rebate contracts.
• Manage all contract documents and communications with drug manufacturers as it relates to the supplemental rebate program.

What we're looking for

Basic Qualifications

• Minimum of seven (7) years of experience in pharmacy management.
• Minimum five (5) years of direct experience with supplemental rebate operations.
• Detailed knowledge of Medicaid at the state and federal level.
• Registered Pharmacist in the US or previous pharmaceutical rebate experience and analytical experience
• Experience in commercial or governmental contracting

Other Qualifications

• Licensed pharmacist is preferred, but not required - with previous supplemental rebate experience in the successful leadership of a corporate PBM operation
• Ability to communicate succinctly and accurately in both written and verbal English in various group settings from individuals to large groups.
• Strong leadership abilities which demonstrate proactive initiative.
• Ability to work independently and in a team environment.
• Ability to work effectively and efficiently under stringent timelines.
• Ability to analyze and resolve difficult logistic and processing issues.
• Excellent organizational, written and oral communication skills
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Ability to work with large volumes of data and proficient in excel or other analytical platforms
• Proficient on multiple virtual communication platforms (Microsoft Teams, Skype, Zoom, etc.)

What you should expect in this role

Remote

The deadline to submit applications for this posting is 11 / 1 / 2024.

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The pay range for this position is $150,000 - $200,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.