Director Pharmacy Contracting and Analytics

AdventHealth

  • Altamonte Springs, FL
  • Permanent
  • Full-time
  • 1 month ago
All the benefits and perks you need for you and your family:-Benefits from Day One-Paid Time Off from Day One-Career Development-Whole Person Wellbeing Resources-Mental Health Resources and SupportOur promise to you:Joining AdventHealth is about being part of something bigger. Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.Schedule: Full TimeShift: Monday FridayLocation: 893 Hope Way Altamonte Springs, FL 32714The role youll contribute:The Director of Ambulatory Pharmacy Contracting and Analytics supports contract management for outpatient, specialty, and ambulatory pharmacy contracts. This position requires strategic foresight, negotiation expertise, and a robust understanding of pharmacy operations, market dynamics, and healthcare regulations. The Director formulates and executes contracting strategies with insurance companies, pharmacy benefits managers (PBMs), and healthcare organizations. This includes analyzing payer-specific formularies, terms, and conditions to align with the organization's financial and operational goals. Collaborating with pharmaceutical manufacturers, the Director negotiates rebates, discounts, network access and pricing agreements. They ensure that these arrangements comply with regulatory standards and are aligned with the organization's overall strategy.The value youll bring to the team:
  • Establishes and maintains standards related to consistent implementation of contract strategy and value propositions through analysis of contract performance.
  • Monitoring contractual agreements for adherence, fulfillment of the terms, and tracking critical dates of obligations (both internal and external)
  • Assesses ongoing strategies relative to industry trends and best practices to ensure that successful contracted relationships are producing win-win situations for AdventHealth and industry partners.
  • Partners with finance, strategy, and clinical leadership stakeholders through regular interaction to ensure alignment with system-wide goals.
  • Collaborates with regional and corporate stakeholders to support consistency of contract management for outpatient, specialty and ambulatory pharmacy contracts
  • Collaborates with payer and drug manufacturer partners to achieve the organization's outpatient, specialty and ambulatory pharmacy goals.
  • Developing data driven decision-support infrastructure by designing and implementing insightful dashboards, reporting capabilities and data visualizations.
  • Collaborate with cross-functional teams to understand business objectives and data requirements.
  • Monitors PSAO and payer specific reimbursement schedules to ensure reimbursement targets are met during the contract lifecycle
  • Ensuring that negotiated agreements are operationally feasible and integrated smoothly into pharmacy workflows.
  • Providing guidance and training to pharmacy teams about the implications of payer and manufacturer contracts.
QualificationsThe expertise and experience youll need to succeed:EDUCATION AND EXPERIENCE REQUIRED:Bachelors Degree or Doctor of Pharmacy Degree from an accredited college of pharmacy
  • 3 years working in contracting related role
  • Working knowledge of pharmaceutical industry, contracts, and health-system-based outpatient and ambulatory pharmacy operations
  • Ability to analyze data and inputs and turn that data into actionable activities/plans.
  • Demonstrated ability to effectively communicate verbally and in writing
  • Proficient use of Microsoft Outlook, Word, PowerPoint and Excel
  • Proficient in creating and completing effective contracts within established timeframes
  • Proven ability to lead a project to successful completion
EDUCATION AND EXPERIENCE PREFERRED:Masters Degree in healthcare or business related fieldUnderstanding of the 340B program and related contracts.Working knowledge of pharmacy and contracting laws.Demonstrated understanding of clinical departments and their relationship to pharmacy operationsLICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:Licensed pharmacist. License from a State in which the AdventHealth operates a facilityLICENSURE, CERTIFICATION, OR REGISTRATION PREFERRED:
  • Completion of an accredited post-graduate pharmacy residency program
  • Advanced certification in 340B
  • Advanced certification in data analytics
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.

AdventHealth