Provider Contracting Principal- Express Scripts - The Cigna Group
Trenton, NJ
About the Job
POSITION SUMMARY
The Principal Negotiator will report to the Sr. Director Strategy & Contracting and focus on Pharma industry/Managed Markets/Specialty Knowledge PBM/Health plans consistent with Contract negotiations with Pharma manufacturers. The Principal Negotiator will be responsible for management of Pharma Manufacturing drug portfolios and pipelines, and strategic thinking around rebate contracting deal structures. In this role, you will have the opportunity to consult with Health Plans, develop strategic initiatives, cross functionality with products; own day to day responsibility for manufacturer relationship from negotiating, invoicing issues, payment, contract setup, confirmation and strategic development for health plan clients.
ESSENTIAL FUNCTIONS
+ Assisting the Sr. Director of Pharma Strategy and Contracting in determining manufacturer, product class, and drug tactics and executing on these tactics.
+ Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates "win-win" opportunities for ESI and Ascent.
+ Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments (Product, Safe Guard, Medical, Generics) within ESI's Supply Chain.
+ 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 any and all Cigna Health Plan, Prime Therapeutics, Centene, and large Custom Client formulary and rebate requests or market strategies.
+ Assist the Account Directors 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.
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.
For this position, we anticipate offering an annual salary of 131,400 - 219,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna (https://jobs.cigna.com/us/en/life-careers) .
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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_Cigna 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._
The Principal Negotiator will report to the Sr. Director Strategy & Contracting and focus on Pharma industry/Managed Markets/Specialty Knowledge PBM/Health plans consistent with Contract negotiations with Pharma manufacturers. The Principal Negotiator will be responsible for management of Pharma Manufacturing drug portfolios and pipelines, and strategic thinking around rebate contracting deal structures. In this role, you will have the opportunity to consult with Health Plans, develop strategic initiatives, cross functionality with products; own day to day responsibility for manufacturer relationship from negotiating, invoicing issues, payment, contract setup, confirmation and strategic development for health plan clients.
ESSENTIAL FUNCTIONS
+ Assisting the Sr. Director of Pharma Strategy and Contracting in determining manufacturer, product class, and drug tactics and executing on these tactics.
+ Collaborate with Ascent Health Services on product class strategies and approaches with pharmaceutical manufacturers for our Commercial book of business that creates "win-win" opportunities for ESI and Ascent.
+ Manage Pharma relationships and develop Strategic partnerships with targeted Pharma companies across multiple internal departments (Product, Safe Guard, Medical, Generics) within ESI's Supply Chain.
+ 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 any and all Cigna Health Plan, Prime Therapeutics, Centene, and large Custom Client formulary and rebate requests or market strategies.
+ Assist the Account Directors 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.
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.
For this position, we anticipate offering an annual salary of 131,400 - 219,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna (https://jobs.cigna.com/us/en/life-careers) .
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 require reasonable accommodation in completing the online application process, please email:_ _SeeYourself@cigna.com_ _for support. Do not email_ _SeeYourself@cigna.com_ _for an update on your application or to provide your resume as you will not receive a response._
_Cigna 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._
Source : The Cigna Group