Principal Pharmacy Pricing Consultant Job Listing at Medical Mutual in OH (Job ID 2500224)

Description

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.

Serves as the pharmacy benefit pricing expert for self-insured business.  Leads the development of pricing strategies.  Collaborates with various internal areas to plan, direct, and analyze pharmacy opportunities, analyze existing pricing strategies, and identify emerging pricing trends, legislative changes and industry changes that could impact future strategies. Establishes relationships with key accounts and brokers and engages with members of the Sales team in presenting pharmacy benefits to accounts and brokers. 

Responsibilities

• Leads the development of pharmacy pricing strategies for new business and existing clients, interacting with medical underwriting leaders to generate a competitive, holistic offer.  Develops forecasted impact of pricing strategies. Helps analyze pharmacy rebate strategy to identify opportunities and works with leaders to implement enhancements to model.

• Oversees the Pharmacy response to Request For Proposals (RFP) for potential and existing clients for questions pertaining to pricing.

• Establishes and maintains relationships with key accounts and works closely with brokers and consultants in relation to the Company's Pharmacy and specialty products.  Partners with Pharmacy and Marketing leaders to communicate the effectiveness of the Company's cost reducing Pharmacy programs.

• Utilizes industry relationships, innovative solutions and constructive thinking to recognize product and market trends/directions within the industry to keep the Company on the leading edge of new products or markets and maintain overall competitiveness.

• Supports Sales team members by providing strategic account direction and leading the development of  analyses that demonstrates the Company's value proposition.

• Provides strategic input into the RFP process for PBM partners as well as periodic market checks and audits of our PBM Partner. Collaborates with PBM partners health plan growth team.

• Oversees the development of group contracts that accurately represent agreed upon financial terms with clients.

• Performs other duties as assigned.

Qualifications

• Bachelor's degree in business or healthcare administration, pharmacy, or a relevant field.

• Master's degree preferred.

• Equivalent education and experience directly related to the role may substitute for a degree.

• 10 years progressive health insurance industry experience which includes pharmacy product pricing and sales/client facing experience. #LI-JT1 #LI-Remote.

Professional Certification(s):

• Doctor of Pharmacy (Pharm D)  a plus.

Technical Skills and Knowledge:

• Ability to apply structured analysis and deep health insurance industry knowledge to identify strategic business opportunities.

• In-depth knowledge of the sales/marketing process from lead generation to relationship management.

• Comprehensive knowledge of pharmacy pricing/rebate strategies.

• Knowledge of Request for Proposal (RFP) processes and health plan group contracts.

• Excellent verbal, written and interpersonal communications skills.

• Ability to make presentations to various audiences.

• Strong budget development and management skills.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance — insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutual's status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

There's a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

We're not just one of the largest health insurance companies based in Ohio, we're also the longest running. Founded in 1934, we're proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.