SVP, Specialty Pharmacy Payor Strategy

  • Full Time
  • remote

SVP, Specialty Pharmacy Payor Strategy CPS Solutions, LLC Home-Based / Remote

As a full time, exempt CPS Solutions, LLC SVP, Specialty Pharmacy Payor Strategy, you will work u nder the direction of the Executive Vice President, Network Solutions, and in collaboration with the President, Specialty and Ambulatory Services, lead the development and successful implementation of specialty pharmacy Payor Relations initiatives. The Sr. Vice President, Specialty Pharmacy Payor Strategy is expected to develop strategic relationships with all payor types including but not, limited to, National and Regional payors, Self-funded employers, PBM’s, and TPA’s. You will develop and implement access strategies, and collaborate with key payor stakeholders to gain appropriate access and reimbursement to specialty networks in addition to other responsibilities.

Salary range: $200,000-$240,000, plus bonus, based on experience

Responsibilities:

    • Develops strategic relationships with payors for specialty network access for client Specialty Pharmacies.
    • Leads strategy for gaining access to payor networks on behalf of client hospitals related to CPS’ specialty pharmacy network business.
    • Responsible for development and implementation of innovative joint strategies focused on demonstrating client value propositions to payors in the delivery of high-touch patient services, adherence services, data services.
    • Functions as the primary point of contact between the payor community (all types) and internal CPS and hospital client stakeholders related to individual Specialty Pharmacy network access.
    • Advise Clients how to approach maximizing and optimizing their Specialty pharmacy through relationships and benefit design.
    • Oversees a team that includes Pharmacy Enrollment, Audit, Pharmacy Credentialing and VP of Payor Strategies.
    • Performs other related duties as assigned.

Schedule: This position works at least4 0 hours per week, primarily Monday – Friday and requires travel away from a home location for varying lengths of time up to 50% .

Required Qualifications:

    • Bachelor’s Degree in a related field, Health Care related field preferred
    • An advanced degree (e.g., PharmD, MS Pharm, MBA) is preferred
    • 10+ years of related experience in Payor Relations in Specialty Pharmacy, particularly with regards to gaining access to patient lives
    • 5 years of successful, progressive leadership experience
    • Able to travel up to 80% of the time by plane or car away from home locationAble to meet company standards for a MVR

Benefits: All employees enjoy a competitive salary, eligibility to participate in the 401(k) savings plan with a match. Full Time employees are also eligible for a comprehensive benefits package, including Medical, Dental and Vision Insurance, Time Off Plan, Company Paid Short- and Long-Term Disability, Basic and Supplemental Life Insurance, Medical Flex and Dependent Care Accounts and more.

CPS Solutions, LLC Requirements: All employment offers are contingent upon successfully passing a pre-employment (post offer) background check, drug test and signed onboarding documents. Additionally, you may be required to provide medical records or have additional medical examinations/background checks that are a specific requirement of the location or position in which you are hired. Due to the healthcare requirements of the location where you will work and the clients we support, this may include a COVID vaccine. This applies to internal transfers and status changes for internal CPS Solutions, LLC team members. CPS Solutions, LLC is also committed to a safe and drug free workplace. The use of marijuana for medical purposes accompanied by a prescription, even if permitted by state law, will not be considered acceptable for purposes of explaining a positive lab test result for marijuana.

About CPS Solutions, LLC: Founded nearly 50 years ago and employing over 2,500 clinical, regulatory, and operational pharmacy professionals, CPS Solutions, LLC, is one of the nation’s largest providers of pharmacy services to more than 800 hospitals and healthcare facilities nationwide. CPS Solutions, LLC helps clients tackle a variety of complex issues, such as operational efficiency, rising drug costs, regulatory & compliance, 340B, and specialty pharmacy strategy. CPS Solutions, LLC helps healthcare leaders drive best in class pharmacy operations through skill, expertise, and proprietary technologies. For more information, visit https://www.CPS.com .

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state or local protected class.

To apply for this job please visit www.linkedin.com.

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