Who We Are:
Managed Health Care Associates, Inc. (MHA) provides care communities access, solutions, and insights to help them run their businesses more effectively. Our members include post-acute providers across the care continuum, including long-term care, home infusion, specialty pharmacies, senior living, and other group living facilities. Our team of associates is passionate about our common mission of helping people age with grace and championing our core values of being Curious Learners, Selfless Advocates, and Relentless Finishers.
We are looking for an amazing executive with leadership experience and expertise of Prescription Benefit Manager (PBM) services in relation to Medicare Part D within Long Term Care/Pharmacies. At our company, you will join a diverse and talented team of innovators who are passionate about transforming the health care industry. As a valued member of our company, you will enjoy a competitive compensation package, a supportive work environment, and opportunities for professional development.
Who we’re looking for:
The VP, Network Solutions is responsible for managing a team of three Network Specialists who provide Network SME engagement to MHA LTCP Members and internal teams, integrating Net-Rx technology into the LTCP member and PBM/Plan value proposition, providing overall Network strategic guidance in collaboration with other LTCP and cross-functional leaders in relation to prospective contracting opportunities, leveraging the team of Network Specialists and Engagement Enablement staff to create synergistic member and partner communication plans, and co-developing a Network internal and external dashboard. The VP will also be a resource for our member engagement team in terms of targeted training and opportunity awareness & analysis related to optimizing MHA negotiated Part D contracts. The VP will also develop and maintain trusted relationships with key business partners and, as requested, member pharmacies in conjunction with internal MHA solution teams and LTCP member engagement teams.
What You’ll Be Doing:
- Maintain industry relationships.
- Develop annual strategic business plans connected to job objectives.
- Track and monitor execution plans and results of strategic business plans and communicate successes and opportunities accordingly.
- Work with LTCP sales and account management organizations, business partners, and MHA staff to segment MHA member base and related MHA staff for gaps in solution understanding, training, education, opportunity analysis/targeting, and consistent and impactful MHA value messaging.
- Become a key lead/business partner for MHA cross-functional teams in routine internal/external messaging campaigns, trade show, and member engagement event strategies.
- Maintain key customer relationships and participate in MHA member and PBM/Plan QBRs as needed.
- Proven ability to influence C-level executives and help direct reports develop industry expertise and drive results.
- Create PBM QBR SOP and execution tactics.
- Manage the non-Big 3 PBMs.
- Understand basic reimbursement mechanisms with Part D and commercial and Medicaid.
- Decipher market activities like the reform that is happening today without outside consultants.
- Develop a recommendation for a future operational network team versus status quo.
- Effectively communicate and engage with members.
- Build effective relationships with PBMs and plans to help with conflict resolution and contract value.
- Develop simple dashboards to help manage key annual objectives and goals.
- Manage member AR and net revenue P&L and balance sheet objectives proactively.
- Understand the right and effective times to communicate and message our membership broadly and timely on key activities.
- Effectively engage and develop the team and maximize quarterly engagement scores.
- Be a student and expert of what is included within each of our current MHA agreements.
- Have an excellent reputation of partnering with internal and external constituents, partners, and other service providers.
- Constantly monitor the competitive landscape and market conditions to identify opportunities, issues, and risks in order to recommend tactical strategies for network value expansion.
- Achieve and exceed network revenue objectives.
- Responsible for budgeting and forecasting.
- Manage and motivate direct reports in terms of business and interpersonal development.
- Maintain strong communications, ensuring a deep connection to the marketplace, consumers, and influencer community.
- Collaborate and interact frequently with Long-Term Care Pharmacy Senior Leadership.
- Act as a LTC representative working with Trade relations and MHA business partners to develop product strategies for the LTC marketplace.
What You’ll Bring to the Table:
- Bachelor’s degree + MBA or other directly applicable advanced degree preferred.
- 12+ years of directly related commercialization, account management, sales, or combinations of such experience.
- Successful track record managing the achievement of results.
- 7+ years of directly related leadership experience in Pharmaceutical, Healthcare, Insurance Provider or GPO.
- Expertise of Prescription Benefit Manager (PBM) services in relationship to Medicare Part D within Long-Term Care Pharmacies/Facilities preferred.
- Excellent planning, analysis, organization, communication, and presentation skills.
- Proven track record of hands-on leadership experience.
- Strategic big-picture thinker with a proven ability to drive step-changes in emerging businesses.
- Skilled communicator, able to distill complex issues to straightforward concepts.
- Strong collaboration, teamwork, and partnership skills.
- Demonstrated ability to work in a team environment that requires quick turnaround and quality output.
Competencies:
Leadership
- Builds informal and formal relationship networks, inside and outside of the organization.
- Attracts people to our brand and selects the best talent to meet current and future business needs.
Execution
- Anticipates and balances the needs of multiple stakeholders.
- Understands internal and external stakeholder requirements, expectations, and needs.
- Considers cultural and ethical factors in the decision-making process.
- Acts fairly within conflicting demands of stakeholders.
Awareness
- Adapts approach and demeanor in real-time to match the shifting demands of different situations.
- Picks up on situational cues and adjusts.
- Understands when circumstances and situations may call for different approaches.
- Readily adapts personal, interpersonal, and leadership behavior.
Decision Making – Perspective & Business Insight
- Takes a broad view approaching issues. Tunes in to the marketplace & applies knowledge to advance company goals.
- Looks at the broadest view of an issue; thinks in global terms.
- Understands the impact of global trends on business results.
- Keeps up with current and possible future policies, practices, and trends.
- Uses knowledge of business drivers and how strategies and tactics play out in the market to guide actions.
Culture Fit
Demonstrates integrity and ethics in day-to-day tasks and decision making, adheres to MHA’s core values of doing what’s right, exceeding customer expectations, driving results and value, innovating to improve, treating people with respect, embracing teamwork and collaboration, and having fun while achieving business goals.
- Sincerely passionate for and committed to the mission of Managed Health Care Associates.
- Exhibits integrity in all actions and communication.
- Works well autonomously, while acting as a team-player.
- Demonstrates a vested interest in self-development.
What’s Good to Know:
- Able to travel 35% of the time.
- Remote environment.
Physical Demands:
The physical demands and work environment characteristics described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals, and telephones; extend arms; kneel; talk and hear. The employee must occasionally lift and/or move up to 15 pounds.
- Mental Demands: the employee must be able to follow directions, get along with others, and handle stress.
- Work environment: The noise level in the work environment is usually minimal.
Why Join MHA: MHA continues to lead by providing purpose-driven and value-based solutions, which preserve the dignity and grace people deserve, regardless of age. Let us be the best place you’ll ever work!
Our associates enjoy the following benefits, and you can, too!
- Staying Healthy:
Comprehensive medical, dental, and vision plans with FSA/HSA options. Fitness reimbursement. Access to an Employee Assistance Program. - Enjoying Time-Off:
Paid time off, holidays, personal days, paid parental leave, plus your Birthday as a day off! - Planning for the Future:
Life Insurance, short-term & long-term disability insurance, 401K match, Employee Stock Purchase Plan, Voluntary financial and legal benefits, through our benefits providers. - Learning Continuously:
E-learning programs, Tuition Reimbursement, Ongoing Team Trainings. - Making an Impact:
Paid volunteer time-off, Donation matching.
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