Blue Shield of CA
Trade Relations, Principal
Blue Shield of CA, Minneapolis, Minnesota, United States, 55400
Your RoleThe Trade Relations team is responsible for managing the trade relations function of the company in accordance with the policies and practices of Blue Shield of California. The Trade Relations, Principal will report to the Senior Director of Trade Relations. In this role you will work with internal trade partners and clients to support BSC's Pharmacy Care Reimagined initiative in providing members with convenient, transparent access to medications while lowering costs.Your WorkIn this role, you will:Develop, analyze and monitor prescription drug, medical claims, and program data to identify opportunities to improve quality and cost of healthcare and to monitor/report performance and outcomesDevelop project proposals for identified opportunities and support implementationServe as a Blue Shield of California contact and subject matter expert to stakeholders, and manage external relationships (vendors, manufacturers, clients) related to assigned workDevelop and manage overall contracting strategy (negotiation, review, and execution of contracts) for all lines of businessDevelop alternative payment model (e.g. value-based and outcomes-based contracts)Manage medical rebate contractsMonitor the impact of preferred drug list on existing negotiations and forecast future contract strategiesAnalyze the impact of client formulary choices with respect to rebate impact; provide rebate status information to clients as requestedCollaborate with internal partners on contract impact, and provide timely coordination for Pharmacy and Therapeutics review of formularies, posting, and eventual confirmation to the drug manufacturerResponsible for timely and accurate maintenance of intricate data sets used for client rebate packages, billing sheets, and any additional supporting documentationUnderstand and negotiate adjusted rebate minimum guarantee
Your Knowledge and Experience
Requires a Doctor of Pharmacy (PharmD) degree with an MBA or strong business backgroundMinimum of 5 years experience in pharmaceutical manufacturer contracting capacityA knowledgeable individual with appropriate industry experience, preferable in the healthcare, insurance, or PBM industryMedicare Part D, Commercial Full Insured, and ASO knowledge requiredStrong data analysis and presentation skills (pharmacy claim analysis and financial reporting knowledge preferred)Project management experience preferredA well-organized individual with ability to independently identify, research and resolve issuesAn articulate individual who can relate to people at all levels of an organization and possesses excellent communication skillsAn individual who possesses a strategic focus as well as an operation, implementation, and detailed oriented perspectiveAbility to work with peers in a team effortDemonstrated ability to manage multiple priorities and deadlineProficient in Microsoft Office and industry related software programs
Pay Range:The pay range for this role is: $145,970.00 to $218,900.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.
Your Knowledge and Experience
Requires a Doctor of Pharmacy (PharmD) degree with an MBA or strong business backgroundMinimum of 5 years experience in pharmaceutical manufacturer contracting capacityA knowledgeable individual with appropriate industry experience, preferable in the healthcare, insurance, or PBM industryMedicare Part D, Commercial Full Insured, and ASO knowledge requiredStrong data analysis and presentation skills (pharmacy claim analysis and financial reporting knowledge preferred)Project management experience preferredA well-organized individual with ability to independently identify, research and resolve issuesAn articulate individual who can relate to people at all levels of an organization and possesses excellent communication skillsAn individual who possesses a strategic focus as well as an operation, implementation, and detailed oriented perspectiveAbility to work with peers in a team effortDemonstrated ability to manage multiple priorities and deadlineProficient in Microsoft Office and industry related software programs
Pay Range:The pay range for this role is: $145,970.00 to $218,900.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.