Senior Director, Medical Drug Management

Job Summary

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. This position leads all Medical Drug efforts within Enterprise Pharmacy. It sets strategic direction for Medical Drug reimbursement, oversees development of Medical Drug fee schedules (across Professional and Facilities), establishes governance and processes to implement those fee schedules, and works cross-functionally with stakeholders across the organization to drive value creation on an array of Medical Drug initiatives. This position has a deep understanding of health plan reimbursement and of the overall pharmacy value chain. It is skilled at data analysis, and at utilizing data to inform decision-making. It attracts, retains, and develops a strong team.

Job Responsibilities

• Set strategic direction for Enterprise Pharmacy Medical Drug efforts. Analyze data to identify and prioritize most impactful initiatives across reimbursement, medical drug rebates, etc.
• Conducts financial analysis and provides strategic insights and recommendations to guide Pharmacy and market leadership decision making.
• Oversee development of standard and custom Medical Drug fee schedules, for both Professional providers and Facilities. Incorporate external benchmarking, internal data, and stakeholder feedback into schedule development.
• Develop and implement additional Medical Drug initiatives (e.g. preferred drug strategies, site of care, rebate strategies).
• Set up governance structure and process for implementing Medical Drug initiatives, and lead collaboration with cross-functional stakeholders including in Healthcare Mgmt. and Network Business Solutions to drive implementation of Medical Drug initiatives.
• Develop materials that explain Medical Drug initiatives to internal and external audiences.
• Synthesize and analyze industry and competitor trends for the enterprise, to build competitive advantage by ensuring market movement is reflected in internal decision making.
• Help define output for Analytics team that surfaces insights on Medical Drug spend and tracks financial and stakeholder impact from Medical Drug initiatives, pushing to output that informs decision-making.
• Oversee the monitoring and reporting of performance across Medical Drug including financial, operational, and sales performance metrics.
• Provide strategic leadership and direction to high performing team. Develop talent across the organization, ensuring a diverse talent pipeline.

Required Job Qualifications

Preferred Job Qualifications

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https : / / careers.hcsc.com / totalrewards . The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$130,800.00 - $242,800.00 Exact compensation may vary based on skills, experience, and location.

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren't afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you'll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process.