Dir. Med Rx Product Development
Company: Magellan Health
Posted on: January 8, 2022
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
- 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
- Develops and executes prototype marketing and implementation
- 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
- 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
- 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
- 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
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
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
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
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
Must possess strong organizational, project management, and
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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