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Overview
TITLE: UHG Enterprise Account Director, Commercial and Medicare GPO/PBM (Emisar/OptumRx) In this role, you will serve as GSK's lead contact responsible for Emisar, OptumRx (Commercial and Medicare PBMs). You will be responsible for executing GSK's strategic positioning, delivering brand value propositions, negotiating optimal formulary access and effectively managing business relationships. Role will require 25% travel. The ideal candidate will have a strong background in managed markets, payer negotiation, portfolio strategy, and value-based partnerships, along with deep experience navigating complex relationships with major healthcare stakeholders.
Responsibilities
Ensure optimal formulary access for GSK products within Emisar and OptumRx National Commercial and Medicare formularies. In addition:
Develop and lead strategy to meet or exceed goals of GSK products with a heavy focus on alignment with the Business Units, Finance, Pricing and Contracting, and the Market Access Leadership Team.
Lead the development of internal business case documents with emphasis on account specific strategy and financial objectives.
Lead the execution of GSKs Pharmacy and Medical Benefit contracts.
Develop an extensive understanding of the customers' organizational goals in order to assess their needs and develop plans/programs to meet both the needs of the customer and those of GSK.
Work closely with your Enterprise teammates by championing the "Enterprise Mindset" and sharing strategic ideas to foster innovative approaches to enhance GSKs position in the market.
Collaborate regularly with other Enterprise Account Directors as well internal stakeholders responsible for Emisar/OptumRx in other channels (Trade, Specialty Pharmacy, Vaccines).
Interface with the Pricing and Contracting team, Market Access Strategy, Access and Reimbursement Managers, and Contract Management and Operations to maximize product access and pull-through.
Work closely with the Contract Analyst Manager and Enterprise Market Analytics Director to develop Business Case Documents for internal GSKs Contract Review Board and Strategic Pricing Council.
Work closely with the Contract Development Manager on all contract terms & conditions, understanding language intent, and execution of the Pharmacy and Medical Benefit Contracts.
Maintain a high level of knowledge of the managed care industry and healthcare trends.
Maintain a high level of knowledge of Respiratory, Oncology, Specialty and Vaccine trends.
Understand and apply Compliance Policies and Procedures (CPP).
Why you? Basic Qualifications
Bachelor's Degree
Minimum 5+ years of pharmaceutical experience
3+ years of account management, contracting, sales management, or product management experience.
Valid Driver's License
Preferred Qualifications
GPO/PBM contracting experience.
Payer marketing and/or contract management experience; MBA and/or advanced clinical/science degree
Deep knowledge of Specialty, Oncology, and Vaccine payer/distribution.
Understanding of reimbursement and control mechanisms by PBMs
Excellent negotiation and/or major account sales skills
Demonstrated ability to establish and maintain relationships with key customers and internal stakeholders
Deep knowledge of the managed care industry and healthcare trends
Understanding of the laws and regulations covering providers and payers
Ability to apply Compliance Policies and Procedures (CPP) in unstructured and fluid situations.
Strong analytical skills
Excellent communication skills (written & verbal)
Strong presentation skills
Full accountability for meeting strategic objectives
This role is field-based, with flexibility for hybrid work arrangements. Travel is required to attend customer meetings and conferences.
Join us in shaping the future of healthcare by building meaningful partnerships and driving impactful solutions.
GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.
If you require an accommodation or other assistance to apply for a job at GSK, please contact the GSK Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).
GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement between the agency and GSK. GSK shall therefore not be liable for any fees arising from such actions or referrals.
PDN-a023d722-3c64-454e-a65e-4f455d37adf9
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Technology, Information and Media
#J-18808-Ljbffr
TITLE: UHG Enterprise Account Director, Commercial and Medicare GPO/PBM (Emisar/OptumRx) In this role, you will serve as GSK's lead contact responsible for Emisar, OptumRx (Commercial and Medicare PBMs). You will be responsible for executing GSK's strategic positioning, delivering brand value propositions, negotiating optimal formulary access and effectively managing business relationships. Role will require 25% travel. The ideal candidate will have a strong background in managed markets, payer negotiation, portfolio strategy, and value-based partnerships, along with deep experience navigating complex relationships with major healthcare stakeholders.
Responsibilities
Ensure optimal formulary access for GSK products within Emisar and OptumRx National Commercial and Medicare formularies. In addition:
Develop and lead strategy to meet or exceed goals of GSK products with a heavy focus on alignment with the Business Units, Finance, Pricing and Contracting, and the Market Access Leadership Team.
Lead the development of internal business case documents with emphasis on account specific strategy and financial objectives.
Lead the execution of GSKs Pharmacy and Medical Benefit contracts.
Develop an extensive understanding of the customers' organizational goals in order to assess their needs and develop plans/programs to meet both the needs of the customer and those of GSK.
Work closely with your Enterprise teammates by championing the "Enterprise Mindset" and sharing strategic ideas to foster innovative approaches to enhance GSKs position in the market.
Collaborate regularly with other Enterprise Account Directors as well internal stakeholders responsible for Emisar/OptumRx in other channels (Trade, Specialty Pharmacy, Vaccines).
Interface with the Pricing and Contracting team, Market Access Strategy, Access and Reimbursement Managers, and Contract Management and Operations to maximize product access and pull-through.
Work closely with the Contract Analyst Manager and Enterprise Market Analytics Director to develop Business Case Documents for internal GSKs Contract Review Board and Strategic Pricing Council.
Work closely with the Contract Development Manager on all contract terms & conditions, understanding language intent, and execution of the Pharmacy and Medical Benefit Contracts.
Maintain a high level of knowledge of the managed care industry and healthcare trends.
Maintain a high level of knowledge of Respiratory, Oncology, Specialty and Vaccine trends.
Understand and apply Compliance Policies and Procedures (CPP).
Why you? Basic Qualifications
Bachelor's Degree
Minimum 5+ years of pharmaceutical experience
3+ years of account management, contracting, sales management, or product management experience.
Valid Driver's License
Preferred Qualifications
GPO/PBM contracting experience.
Payer marketing and/or contract management experience; MBA and/or advanced clinical/science degree
Deep knowledge of Specialty, Oncology, and Vaccine payer/distribution.
Understanding of reimbursement and control mechanisms by PBMs
Excellent negotiation and/or major account sales skills
Demonstrated ability to establish and maintain relationships with key customers and internal stakeholders
Deep knowledge of the managed care industry and healthcare trends
Understanding of the laws and regulations covering providers and payers
Ability to apply Compliance Policies and Procedures (CPP) in unstructured and fluid situations.
Strong analytical skills
Excellent communication skills (written & verbal)
Strong presentation skills
Full accountability for meeting strategic objectives
This role is field-based, with flexibility for hybrid work arrangements. Travel is required to attend customer meetings and conferences.
Join us in shaping the future of healthcare by building meaningful partnerships and driving impactful solutions.
GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law.
If you require an accommodation or other assistance to apply for a job at GSK, please contact the GSK Service Centre at 1-877-694-7547 (US Toll Free) or +1 801 567 5155 (outside US).
GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement between the agency and GSK. GSK shall therefore not be liable for any fees arising from such actions or referrals.
PDN-a023d722-3c64-454e-a65e-4f455d37adf9
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Technology, Information and Media
#J-18808-Ljbffr