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Dir. Med Rx Product Development

Company: Magellan Health
Location: Middletown
Posted on: January 8, 2022

Job Description:

Dir. Med Rx Product Development - REMOTE This position is responsible for product ownership, enhancement and improvement for current Medical Pharmacy programs and developing, implementing, integrating and coordinating medical pharmacy products and services for the company across all business units as a comprehensive solution. Responsibilities include, but are not limited to, review of each current program functionality and results and managing end to end process for enhancements, improvements (including identifying deficiencies), and efficiencies, program integrity, conceptualizing products, coordinating market research, enhancing existing products, and integrating, implementing, and launching new and enhanced products to increase revenues for the company. Develops and leads a formal process to review and determine opportunities for improvement and enhancement which may include unique solutions for each client. Accountable to drive strategic initiatives within the organization and is responsible for impacting results and change often without direct line control. Influences change and decision-making across stakeholders, both internal and external, which is critical to the success and achievement of desired outcomes.

  • Serves as end to end product owner, responsible for program integrity of PA, PSCE, SOS and Fee Schedule where applicable clinically and operationally.Works collaboratively with operational teams, (including and especially operational team product owners) to enhance and improve current programs.
  • Evaluates and designs enhancements, as well as new medical pharmacy products and solutions. This includes utilization management protocols (including PA and PSCE), unique pathway and reimbursement programs, fee schedule strategies, potential site of service opportunities, medical formularies, predictive models where appropriate, clinical rules, and member and provider engagement strategies across medical and pharmacy.
  • Evaluates and prepares data, question sets and ideas for internal quarterly business reviews for team discussions and follows through on all action items, working collaboratively with Sales Coordination Director.Provides strategic direction to the reviews.
  • Works collaboratively and in conjunction with Director, Clinical Oncology Product Development on anything involving oncology products or management
  • Works to develop and support medical formulary initiatives across the company for all business units.
  • Develops and executes entire process for existing programs, program integrity of current programs, and potential new products to include but not limited to: brainstorming, data analysis requests, action plans, implementation, contract language and pricing, educational and client materials and program maintenance.
  • Develops and executes prototype marketing and implementation project plans.
  • Develops sample case studies and satisfaction surveys as appropriate. Coordinates the development of new product concepts across the organization, including analysis of market opportunity and synergy with current operations.
  • Monitors performance of existing products by conducting analyses including, but not limited to, product performance and savings, achievement of program goals for customers, sales and renewals, utilization, vendor relationships, costs and margins, and market share.
  • Evaluates competitive industry data to improve the performance of existing products or create product extensions. Develops internal and external reports to show product performance. Develops product improvements and enhancements.
  • Serves as the product expert for internal and potentially as needed external customers. Understands product mechanics, value proposition, competitive position and opportunities for enhancements and growth.
  • Supports implementation of and ongoing operations including vendor relationships, where applicable, and contracts, systems and operational workflow development, reporting and pricing strategies.
  • Develops proposal language to describe new product capability and conduct formal training sessions to orient organization and communicate new product capability and launch of enhanced features.
  • Presents new and enhanced product capability to focused prospects to test product performance against specifications. Other Job Requirements ResponsibilitiesMedical pharmacy strategy and management. Experience in either Managed Care, Health Plan, -OR PBM.
    Must have exceptional knowledge of current dynamics in medical pharmacy and in the healthcare system, including both medical and pharmacy operations and programs/products for Commercial, Medicare, and Medicaid, and be able to coordinate and integrate across the company to create a cohesive product.
    Must have significant clinical knowledge, business acumen, and industry insight.
    In depth understanding and experience of the current medical pharmacy market and dynamic, and any relevant current or upcoming regulatory or legislative changes effecting medical benefit drug management.
    Exceptional knowledge of medical and pharmacy operations, products, and programs with strong strategic thinking and planning.
    Prior experience and proven success in launching new products or services to go-to-market for Commercial, Medicare and Medicare rules and guidelines surrounding program areas of focus, and/or Medicaid market segments.
    Proven ability to build and maintain relationships across diverse functional teams and leaders to drive fact-based decision making, execute with the appropriate level of urgency, and achieve desired results.
    Ability to balance multiple accountabilities and projects, lead and motivate people across the enterprise organization, and effectively manage organizational changes.
    Experience in the coordination of and collaboration of work teams and a proven track record of success while working in any of the following functional areas: Clinical Operations, Medical Operations, Product Management and Development, Marketing or Account Management.
    Must possess strong organizational, project management, and analytical skills.
    Strong verbal and written communication skills are essential.
    Process and detail oriented with disciplined implementation methodologies and a keen ability to execute. General Job Information TitleDir. Med Rx Product Development - REMOTEGrade31 Work Experience - Required Health Plans, PBM (Pharmacy Benefit Management), Pharmacy, Product Innovation/Development Work Experience - Preferred Education - Required Bachelors - Pharmacy Education - Preferred License and Certifications - Required RPH - Registered Pharmacist - Pharmacy License and Certifications - Preferred Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
    Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their
    position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive. Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law. Magellan is committed to meeting applicable Federal labor and employment law -posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking -here . Warning: Employment Scam It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. "Interviews" are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office. - Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit. If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911

Keywords: Magellan Health, Middletown , Dir. Med Rx Product Development, Other , Middletown, Connecticut

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