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Independent HealthIH

Trade Relations Pharmacist

Independent Health is a health insurance provider based in Western New York, offering a variety of plans and services with a focus on preventive care, community wellness, and exceptional customer service known as the RedShirt® Treatment.

Independent Health

Employee count: 1001-5000

Salary: 130k-165k USD

CA, CN + 6 more

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We're excited about the potential people bring to our organization. You can grow your career here while enjoying first-class perks, benefits and a culture that fosters growth, innovation and collaboration.

Overview

The Trade Relations Pharmacist will play an integral role in the rebates and drug manufacturer contracts program. This will include assisting in the administration, analysis, pricing, and optimization of processes to best implement and maximize rebate and manufacturer contracts/amendments. This position will assist in pricing, utilization metrics and analysis reports. They will help in negotiations on renewals and any new or re-negotiation of formulary products. Additional responsibilities will include decision support analysis for the broker/client RFP process and providing contract support for group and manufacturer contracts.

This position will support rebate staff by overseeing workflow and providing guidance, training, and development. They will also embrace the unit’s performance goals and initiatives.

The Trade Relations Pharmacist will work with other cross functional subject matter experts within the company to help develop strategies that leverage key initiatives and strike a balance between plan sponsor satisfaction and profitability. They will work with the sales team to facilitate understanding of the needs of existing and prospective clients. They will work collaboratively with Legal to execute all drug manufacturer contracts, addendums and amendments.

Qualifications

  • Bachelor’s degree in pharmacy required. PharmD preferred. MBA preferred.
  • Two (2) years of healthcare/pharmacy or PBM industry experience required.
  • Strong problem solving, analytical, and verbal and written communication skills.
  • Strategic vision and critical thinking capacity, creativity, and ability to work across several key lines of business.
  • Ability to negotiate win-win solutions, well organized and exhibiting a strong attention to detail.
  • Strong Microsoft Office skills required.
  • Ability to synthesize data related to various market trends, product changes and financial metrics to recommend pricing or pricing strategy.
  • Effectively handle shifting assignments and priorities to meet deadlines.
  • Proven examples of displaying the PBD values: Trusted Advisor, Innovative, Excellence, Guardianship, Dedication and Caring.

Essential Accountabilities

  • Use rebate strategies that best position our pharmacy products from both a competitive and margin standpoint, as well as to establish standard pricing methodologies.
  • Support and optimize rebate analysis, pricing for contracts, RFPs, and related processes.
  • Identify opportunities to make recommendations and execute improvements that will align with PBD’s vision for growth.
  • Support auditing of rebates and identifying rebate opportunities in various contracting and payment reconciliation.
  • Negotiate and coordinate RFPs, contracts, and amendments. Analyze contract language and financial parameters to maximize profit and ensure business risk is mitigated and compliance is adhered to.
  • Analyze RFP specifications, pricing sensitivities, and key proposal requirements and formulate strategies and pricing responses. Responsible for rebate data metrics, rebate summary reporting and presentation for senior management.
  • Assist with negotiations on contracts with manufacturers on rebates for all lines of business.
  • Review quarterly formularies for accuracy to ensure compliance with rebate contracts.
  • Assist with Medicare and Medicaid compliance reporting of manufacture rebate information including DIR reporting to CMS and Medicaid rebate reporting and budgeting to the state.
  • Support the activities of the rebate analyst’s team to meet all performance goals, assuring that all day-to-day issues are resolved on a timely basis.
  • Monitor trend reporting and model rebate guarantees for self- funded clients to PBD senior management and sales team.
  • Provide support and recommendations for quarterly P&T meetings, and for opportunities that have been presented that will impact the formulary or cost savings.
  • Support relationships with key vendors and pharma.

This is a remote role. Candidates that reside in New York (with the exception of NYC), Pennsylvania, & Ohio will be considered.

Immigration or work visa sponsorship will not be provided for this position

Hiring Compensation Range: $130,000 - $165,000 annually

Compensation may vary based on factors including but not limited to skills, education, location and experience.

In addition to base compensation, associates may be eligible for a scorecard incentive, full range of benefits and generous paid time off. The base salary range is subject to change and may be modified in the future.

As an Equal Opportunity / Affirmative Action Employer, Independent Health and its affiliates will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship and immigration status, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law. Click herefor additional EEO/AAP or Reasonable Accommodation information.

Current Associates must apply internally via the Job Hub app.

About the job

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 130k-165k USD

Education

Bachelor degree
Postgraduate degree

Experience

2 years minimum

Hiring timezones

United States +/- 0 hours, and 7 other timezones

About Independent Health

Learn more about Independent Health and their company culture.

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At the heart of Independent Health is a deeply ingrained culture of care and community, a philosophy that has been the cornerstone of the organization since its inception in 1980. Born from a graduate school project at the University at Buffalo, the company was founded on the forward-thinking principle that a health maintenance organization (HMO) focused on preventive care could significantly benefit the Western New York community. This foundational mission, to enable affordable access to quality healthcare, continues to drive every decision and initiative. The company's commitment is delivered through what they proudly call the 'RedShirt® Treatment' – a promise of exceptional, empathetic customer service that treats every member, partner, and associate like family. This isn't just a slogan; it's a tangible ethos that permeates the organization, fostering a collaborative and respectful environment where associates are empowered to make a real difference in the health and well-being of their neighbors.

This dedication to service and community has resulted in a passionate and trustworthy team that is consistently recognized for its excellence. The culture at Independent Health is one of collaboration, not just internally, but with the entire healthcare ecosystem. They believe in working closely with primary care physicians, specialists, and community partners to create a more connected and easily navigable healthcare system. This approach is built on the conviction that the most sustainable solutions are local. By promoting prevention and wellness, revitalizing primary care, implementing payment reform that rewards quality over volume, and enhancing health information technology, Independent Health strives to improve the overall health of the populations it serves. Their values of being passionate, caring, respectful, trustworthy, collaborative, and accountable are not just words on a page; they are the lived experience of the organization, ensuring that every interaction is guided by a genuine desire to help people lead healthier lives.

Employee benefits

Learn about the employee benefits and perks provided at Independent Health.

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Generous Time Off

Generous paid time off program.

Paid Military Leave

Paid leave for military service.

Life Insurance

Company-provided life insurance.

Disability Insurance

Short- and long-term disability coverage.

View Independent Health's employee benefits
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Independent Health

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