Job Description :
This job supports the Highmark Pharmacy Services organization and, specifically, the Pharmacy Contract Consultant, in the negotiation, development and execution of pharmacy and applicable vendor contracts. Additionally, the incumbent will collaborate with Pharmacy Services vendor management team to oversee external vendor performance. The incumbent will regularly collaborate with the Pharmacy Contract Consultant 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. In the course of 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 Services leadership team on contracting initiates 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.
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.
3 years in the Healthcare industry
3 years in Managed Care
3 years of Pharmacy benefit management
3 years in Procurement
LICENSES or CERTIFICATIONS
Strong written and oral presentation skills
Demonstrated attention to detail
Language (Other than English):
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches / trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
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, 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, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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