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About the Role

Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies. Synergie aims to improve affordability and access to costly medical benefit drugs for nearly 100 million Americans. The Trade Client Strategy Director will manage clinical policies, implement trade strategies, and support client relations for trade-related inquiries, focusing on medical and pharmacy drug policies, cross benefit management, and rebate qualification for manufacturer contracts.

Responsibilities

Consult with Client Relations team on Trade related inquiries, initiatives, and opportunity pull through with Participants
Understands downstream impact of rebate and formulary strategy and can convey appropriate messaging to health plan participants for adoption of said strategies and policies
Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation
Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and understanding how to align terms and conditions and translate into UM policy and criteria
Manage medical and pharmacy clinical policies with Participants to ensure manufacturer contract compliance
Collaborate and support Client Relations team for Trade related inquiries from Participants
Collaborate with Analytics Team on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies
Serve as Trade’s primary point of contact for all Participant questions on Trade initiatives and manufacturer contracts and escalate issues as needed to Trade’s leadership
Liaise with Clinical team to review clinical data and policy requirements as needed
Maintain current library of Participant medical and pharmacy policies and support Invoicing team with manufacturer inquiries regarding clinical policies
Provide medical policy support for manufacturer related contracts including, but not limited to, cell and gene therapies and other outcomes programs

Requirements

Must be eligible to work in the United States without need for work visa or residency sponsorship
Excellent verbal and written presentation skills
Ability to establish rapport and build relationships at all levels within an organization
Practical application of clinical data to drive financial value
Strong business and financial acumen, with advanced proficiency in Excel and PowerPoint
Experience with contract language and risk mitigation concepts

Skills

Pharmacy degree and Pharm D. preferred
5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations, or analytical contracting
Pharmacy residency training or equivalent experience
Experience within the PBM industry, Medicaid, Medicare, and health plans

Location

Remote

Work Type

Remote
Up to 10% travel

Experience Level

5-7 years

Education Level

Pharmacy degree and Pharm D. preferred

Salary/Compensations

$155,000.00 - $175,000.00

Benefits

Paid time off
11 holidays
Medical/dental/vision insurance
Generous 401(k) matching
Lifestyle spending account
Annual bonus incentive pay

About the Company

Synergie Medication Collective is a new medication contracting organization founded by a group of Blue Cross and Blue Shield affiliated companies to serve both Blues and select independent health plans.
Synergie is focused on improving affordability and access to costly medical benefit drugs — ones that are injected or infused by a health care professional in a clinical setting — for nearly 100 million Americans.