Senior Director - Medical Pharma Contracting, Evernorth Health Services

The Sr. Director Negotiator will report to the VP Strategy & Contracting and focus on Pharma contracting industry/Managed Markets/Specialty Knowledge PBM/Health plans consistent with Contract negotiations with Pharma manufacturers. The Sr. Director will manage a team who is responsible for the management of Pharma Manufacturing medical benefit drug portfolios and pipelines, and strategic thinking around rebate contracting deal structures.   This position will also manage the product director and own the downstream client relationships as well as growing the business on the client side. This role will have the opportunity to consult with Health Plans, develop strategic initiatives, cross functionality with products; own day to day responsibility for manufacturer relationships from negotiating, invoicing issues, payment, contract set up, confirmation and strategic development for health plan clients. This role is also responsible for the quality control position.

ESSENTIAL FUNCTIONS

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

• Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments

• Interact with the Value Assessment Committee (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 Cigna Health Plan, and all downstream clients and manage the relations with DFO team.

• Assist the Account Director and Pharma Director 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.

• Work with Finance team in assisting with financial  projections and budget projections.

QUALIFICATIONS

• Bachelors Degree strongly preferred

• At least 5+ years of relevant experience

• Registered Pharmacist (RPh or PharmD) and/or MBA preferred.

• 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

• Travel up to 15%

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.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance.  Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.