Description and Requirements
Duties & Responsibilities:
- Develops and implements processes to lead the management oversight of all vendor contract deliverables such as fees/billing, finance audits, performance guarantees/penalties, rebates and reporting.
- Develops and implements monitoring tools and metrics to manage and trend pharmacy benefit performance against budget targets and provide monthly updates to pharmacy leadership.
- Participates with the pharmacy team on the medical cost savings committee; responsibilities include the sizing, monitoring, and reporting out of all pharmacy department cost savings initiatives.
- Leads the planning, submission, and monitoring of the department budget in partnership with the Pharmacy leadership team as needed
- Expands global business acumen and awareness relative to changes that impact Healthfirst businesses and customers related to Pharmacy benefits.
- Fosters a high-performance culture through mentoring, collaboration, and adherence to the Healthfirst culture drivers and leadership principles.
- Additional duties as necessary
Minimum Qualifications:
- Bachelor’s degree from an accredited institution with a concentration in: Finance, Accounting, Math, Business or Healthcare Administration
Preferred Qualifications:
- Minimum 3 years of working with delegated vendors and performing oversight/monitoring activities within a Managed Care health plan or Pharmacy Benefits Manager
- Intermediate level of understanding how to use reporting and/or dashboarding as a means to analyze and measure performance
- Intermediate level of understanding how to use Business Intelligence/reporting tools – Base SAS/SAS EG/Tableau/Aginity
- Workbench/SQL Server Management Studio
- Intermediate skill level with MS Excel/Access/Word/PowerPoint:
- Excellent time management skills to handle multiple projects and manage shifting priorities
- Strong analytical and problem-solving skills
- Excellent communication skills, both written and verbal
Compliance & Regulatory Responsibilities: Noted above
License/Certification: N/A
Hiring Range*:
Greater New York City Area (NY, NJ, CT residents): $100,900 - $145,775
All Other Locations (within approved locations): $86,500 - $128,690
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.