JOB SUMMARY
This job supports the Highmark Pharmacy & Business Growth organization and, specifically, the Pharmacy Financial Strategy organization, in the negotiation, development and execution of pharmacy and applicable vendor contracts. Additionally, the incumbent will collaborate with Pharmacy Contracting team to oversee external vendor performance. The incumbent will regularly collaborate with the Pharmacy Financial Strategy organization and other internal business units (e.g., legal, procurement and privacy) and external vendor partners (e.g., Pharmacy Benefit Manager, Specialty Pharmacies) to help manage the end-to-end contract lifecycle, including contract renewals, negotiations, terminations and amendments as needed by the business. While assisting with management of the portfolio of pharmacy and applicable vendor contracts, the incumbent interfaces with other organization stakeholders in order to maximize value and mitigate risk to the organization. In addition, the incumbent will help partner with the Pharmacy & Business Growth leadership team on contracting initiations related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio. Other related job functions include but are not limited to the identification of relevant contract language, proactively monitoring the terms of contracts and documenting compliance with those terms, responding to contract disclosure requests to support external audit activities, contract maintenance and storage and support of pharmacy and related RFPs.
ESSENTIAL RESPONSIBILITIES
Assist in the management of the Pharmacy Services contract portfolio including contract development, negotiation, renewal, termination, execution and hard copy/electronic storage.
Interface with the Organization’s stakeholders in the management of the pharmacy and vendor contract portfolio in order to maximize value and mitigate risk to the organization.
Partner with the Pharmacy Services leadership team on contracting initiatives related to specific team business needs in support of the overall organization’s strategic pharmacy contracting portfolio.
Support review and execution of amendments, additions, deletions to all contract documents.
Collaborate with Pharmacy Services vendor management team to oversee external vendor performance.
Other duties as assigned or requested.
EDUCATION
Required
Bachelor's Degree in Administration Management, Supply Chain, Finance or related field or three years of relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
None
EXPERIENCE
Required
3 years of Contract development
Preferred
3 years in the Healthcare industry
3 years in Managed Care
3 years of Pharmacy benefit management
3 years in Procurement
LICENSES or CERTIFICATIONS
Required
None
Preferred
None
SKILLS
Strong written and oral presentation skills
Communication skills
Demonstrated attention to detail
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
Yes
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Apply Now Share Save Remove Share Related Jobs Category Manager Save Saved Associate Category Manager Save Saved Materials Management Associate / SEIU - D Save Saved Click to see Our Benefits
Read More