SmithRx - Vice President, Trade Relations & Formulary Strategy
Responsibilities
• Trade Relations & Manufacturer Strategy • Lead Manufacturer Negotiations: Establish and maintain strategic relationships with pharmaceutical manufacturers, leading negotiations for rebates, discounts, and value-based contracts that align with SmithRx’s financial objectives and commitment to client transparency. • GPO Management: Oversee our rebate Group Purchasing Organization (GPO) partnerships and administration, ensuring compliance, financial accuracy, and strategic alignment with our pass-through model. • Market Access & Pipeline Monitoring: Monitor pharmaceutical market dynamics, generic pipelines, and biosimilar launches to proactively position SmithRx’s trade and contracting strategies ahead of market shifts. • Rebate Analytics: Provide executive oversight for rebate financial modeling, market assessments, and guarantee development in partnership with the Pricing and Underwriting teams. • Formulary Strategy & Management • Formulary Design: Serve as the executive owner of SmithRx’s formulary strategy, ensuring recommendations are grounded in clinical evidence, market intelligence, and lowest-net-cost financial modeling. • P&T Committee Leadership: Lead and oversee the Pharmacy and Therapeutics (P&T) / Formulary Advisory Committee, setting standards for governance, documentation, and objective decision-making rationale. • Client & Consultant Engagement: Partner with Sales and Customer Success teams to clearly articulate the clinical and financial value of our formulary strategies to prospective clients and benefits consultants. • Experience with formulary management and utilization management across government programs (i.e. Medicare and Medicaid) • Clinical Criteria Strategy & Management • Utilization Management (UM): Direct the development and deployment of clinical criteria for Prior Authorizations (PA), Step Therapy (ST), and Quantity Limits (QL) to ensure appropriate utilization, prevent waste, and optimize patient outcomes. • Clinical Philosophy Alignment: Ensure all clinical criteria and UM programs maintain strict independence from manufacturer influence, prioritizing patient health and employer savings over rebate qualification. • Specialty Drug Strategy: Collaborate with clinical leadership to design innovative management strategies for high-cost specialty drugs, gene therapies, and orphan drugs. • Cross-Functional Leadership • Internal Alignment: Partner with executive peers across Pharmacy Networks, Clinical Operations, Sales, Finance, and Analytics to ensure integrated supply chain execution. • Team Development: Build, mentor, and scale a high-performing team of trade relations directors, clinical pharmacists, and data analysts. • Experience: 12+ years of progressive leadership experience in PBM trade relations, pharmaceutical market access, formulary management, or related clinical strategy roles. • Experience across various lines of business: Commercial, Medicare, Medicaid, Exchange • Industry Expertise: Deep understanding of the PBM ecosystem, drug manufacturer contracting, GPO structures, and the operational differences between traditional rebate aggregators and 100% pass-through PBMs. • Negotiation Skills: Proven track record of successfully negotiating complex rebate and value-based contracts with major pharmaceutical manufacturers. • Clinical Foundation: Strong grasp of clinical pharmacology, drug pipelines, and evidence-based medicine required to guide P&T committees and clinical criteria development. • Analytical Acumen: Strong financial modeling skills with the ability to translate complex rebate structures into lowest-net-cost strategies. • Education: PharmD degree is highly preferred; Bachelor’s degree in Business, Finance, or Healthcare Administration combined with extensive industry experience will be considered. Active pharmacist license in good standing is a plus. • What SmithRx Offers You: • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance • Flexible Spending Benefits • 401(k) Retirement Savings Program • Short-term and long-term disability • Discretionary Paid Time Off • Paid Company Holidays • Wellness Benefits • Commuter Benefits • Paid Parental Leave benefits • Employee Assistance Program (EAP) • Well-stocked kitchen in office locations • Professional development and training opportunities • Zone A includes the following locations: • San Francisco Bay Area - California • Metro New York City - Connecticut, New Jersey, New York and Pennsylvania
Benefits
• $238,000—$280,000 USD • Zone B includes the following locations: • California - outside of San Francisco Bay Area • Metro Denver / Boulder - Colorado • Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia • Metro Boston / Cambridge - Massachusetts and New Hampshire • Metro Austin - Texas • Metro Seattle - Washington • Zone C includes all other locations not listed above, including: • Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming • Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia • Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience. • Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k). • Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.
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