[Hiring] MedDrive Program Director @Prime Therapeutics

Role Description

The MedDrive Program Director leads the overall clinical strategy and implementation, portfolio of clinical solutions, outcomes and tracking for specified therapeutic categories. This includes medical drug policy, cross benefit management, trend management, medical drug management capabilities, and specialty programs. This position will establish and maintain cross functional partnerships with capability owners to drive successful execution of MedDrive programs. This position will be the subject matter expert for MedDrive clinical solutions, and specific therapeutic categories for both internal and external stakeholders, including competitive intelligence.

Responsibilities

• Maintain competitive intelligence of best-in-class medical drug management solutions in the market, focusing on clinical management through medical drug policy or other utilization management programs.
• Lead the development and implementation of strategies for the Medical Drug Business committee and serve as an internal SME to cross functional client teams.
• Participate in client facing meetings to further translate and advise on the implementation of proposed strategies.
• Develop clinical and business solutions for the MedDrive (MedicalRx) program specific therapeutic categories; oversee the development and implementation of product solutions.
• Partner with the following stakeholders for:
• Health Outcomes and Analytics teams to manage/monitor data in areas such as trend/net trend, net ingredient cost, utilization % change, brand inflation, specialty network savings, formulary compliance, rebate/Rx, specialty network savings, utilization management (UM) savings for pharmacy and medical benefits.
• Client Engagement teams in consulting on strategies and presenting specific solutions to clients.
• Pharmaceutical Trade Relations for collaboration on new programs that may impact manufacturer contracting, manufacturer contract performance, and other areas as needed.
• Clinical Program Development: serve as a partner for MedDrive program for UM policies formulary placement, pipeline, P&T committee recommendations, and maintenance of drug lists.
• Strategize with Network Management to develop and assist with management of therapeutic category performance.
• Provide support to product team in development and maintenance of any MedDrive solution collateral.
• Other duties as assigned.

Qualifications

• Doctor of Pharmacy (PharmD) or Bachelor of Science Pharmacy degree and current pharmacist license in good standing with the State Board of Pharmacy in the state where the position is located.
• 3 years of work experience in health care, including health plan, pharmacy experience in managed care or specialty pharmacy.
• Must be eligible to work in the United States without the need for work visa or residency sponsorship.

Requirements

• Ability to facilitate change.
• Ability to develop relationships and influence at all organizational levels.
• Demonstrated ability to distill complex concepts or situations into concise and compelling communications.
• Critical thinking skills and ability to anticipate issues and develop innovative solutions.

Preferred Qualifications

• Health Plan and PBM experience.
• Advanced degree or Certification in specific therapeutic category.
• Experience in commercial or government program medical drug management strategy.

Benefits

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Company Description

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays.