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Humana Director of Pharmaceutical Manufacturer Relations in Boston, Massachusetts

Description

The Director, Pharmaceutical Manufacturer Relations ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Director, Pharmaceutical Manufacturer Relations requires an in-depth understanding of how organization capabilities interrelate across the function or segment.

Responsibilities

The Director of Pharmaceutical Manufacturer Relations resides in Humana Pharmacy Solutions PBM business segment and ensures the Pharmacy trade strategy aligns with formularies and the desired health outcomes of patients. The Director, Pharmaceutical Manufacturer Relations requires an in-depth understanding of how organization capabilities interrelate across the function or segment and reports to the Market Vice President of Manufacturer Trade Relations.

The Director, Pharmaceutical Manufacturer Relations contracts and works closely with manufacturers and serves as a key collaborator with Internal Pharmacy Leaders to determine which prescription drugs are covered and managed on Individual and Group Medicare Part D plan formularies. The role is responsible for account and relationship management with manufacturers and managing the interface between Humana's Retail Segment, trade relations, corporate finance, analytics, underwriting, and clinical pharmacy strategy teams.

Responsibilities include:

  • Under direction of the Market Vice President of Manufacturer Trade Relations- and with input from Pharmacy Clinical Strategies, Analytics, and underwriting- collaborate to develop formulary strategies to improve affordability and advance the delivery of integrated care in the Retail segment.

  • Engage Retail Segment and Consumer Experience leaders to develop and execute drug coverage strategies supporting the Humana Retail business strategy.

  • Accountability for the daily management and relationship interface between HPS Manufacturer Trade Relations, Corporate Finance, and manufacturers.

  • Leverage management reporting tools and develop briefings on rebate performance in the Medicare line of business to support enterprise budget and trend projections.

  • Serving as a liaison between Retail business leaders and the HPS Manufacturer Trade Relations and Analytics teams.

  • Provide leadership guidance, general issue management, and strategic stakeholder engagement as it relates to Retail segment drug rebate performance.

Requirements

  • Combined Experience: 7-10+ years in manufacturer(industry) trade relations OR the financial management of prescription drug benefits OR pharmacy benefit management experience at a health plan OR PBM OR experience negotiating for a pharmacy manufacturer OR experience negotiating drug contracting at health plan.

  • Advanced understanding of the U.S. prescription drug supply chain including the flow of goods from manufacturers to consumers, the flow of payment and key financial relationships.

  • Must have strong knowledge of the Retail Medicare or Employer Group commercial business environment as it relations to prescription drug benefits.

  • Ability to work in cross-functional teams (matrixed environment) including interfacing with business executives to communicate drug coverage strategies and the value they produce to support Retail strategic business goals.

  • Bachelor's degree required

Desirable

  • Post graduate education or professional degree preferred

Additional Information:

  • Position can be Work from Home with requirements to travel as a Humana Employee to meetings.

  • We will require full COVID vaccination (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/fully-vaccinated.html#vaccinated) for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve.

  • If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.

Scheduled Weekly Hours

40

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