KPP/CLINICAL STRATEGY MANAGER
JOB DESCRIPTION
Develop, implement, and improve analytical models, protocols and processes to support contract compliance and optimization for Kroger Prescription Plans (KPP) and its clients. Identify opportunities and create strategies to enhance rebate performance, improve clinical outcomes and decrease costs. Responsible for utilizing understanding of health plans and PBMs to provide insights to the clinical and account management teams that drive business growth and reduce problematic trends for KPP clients. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.
RESPONSIBILITIES
- Partner with the Director of Clinical Services & Operations and SVP, Kroger Prescription Plans in the negotiation strategies with market access functions of branded pharmaceutical manufacturers
- Provide data and data supported recommendations that contribute to the development of formulary management strategies including recommendations for utilization management and/or strategic placement of existing/new drugs on the formulary to maximize benefits based on market trends
- Perform analysis to assess value of formulary recommendations to ensure rebates are market competitive to achieve new client growth and margin retention
- Manage/oversee all analytical reporting using comprehensive, standard methodologies to produce the desired output
- Create a library of standard reports; maintain organized files/drafts in operationally designated locations
- Provide budget impact models for high interest/impact medications to clients
- Provide detailed analyses identifying KPP risks/opportunities, make recommendations for improvement
- Provide ad-hoc, consultative analyses to internal/external clients
- Deliver account management support evaluating client performance and compare forecasts with actuals
- Utilize industry, competitive, client, and rebate knowledge to creatively problem solve and formulate rebate strategies that will offer market leading rates
- Participate and support audit processes as a clinical/rebate subject matter expert; provides necessary information, documentation and analysis required by audits; support departmental and corporate development of audit support infrastructure
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
QUALIFICATIONS
Minimum
- Other Bachelor of Science Degree in Pharmacy and/or Doctor of Pharmacy Degree (Pharm.D.) from an accredited U.S. School of Pharmacy
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- 2+ years of managed care experience
- Pharmacist License
- Advanced financial modeling and analysis capabilities
- In-depth knowledge of PBM or healthcare informatics
- Strong understanding of industry/technical terms, trends, and processes
- Advanced proficiency in Microsoft Office
- Ability to collaborate and work cooperatively in a team-based environment
- Strong project management skills with the ability to effectively meet deadlines
- Self-directed, ability to execute projects with minimal supervision
- Excellent administrative, communication, and organizational skill with high attention to detail
- Ability to quickly grasp complex issues and develop viable solutions
Desired
- Any experience in pharmacy benefit management (PBM) and retail pharmacy management
- Any PBM pricing and analytics experience
ABOUT US
From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names. As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit. With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter. That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life. We help feed your future by providing the value and care you need to grow. If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you. Apply today to become part of our Kroger family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more. We'll help you thrive, with access to:
- A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
- Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
- Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
- Valuable associate discounts on purchases, including food, travel, technology and so much more.
- Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
- Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Mental Health Benefits
Parental Benefits
Work Flexibility
Office Life and Perks
Vacation and Time Off
Financial and Retirement
- 401(K)
- Pension
- Financial Counseling
Professional Development
- Leadership Training Program
- Tuition Reimbursement
- Promote From Within
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
Company Videos
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