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Director, Pharmacy Trend and Pipeline Strategy

1 month, 2 weeks ago
United States
Full-time
Executive
Business Analyst
Data Science and Analytics
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AffirmedRx

AffirmedRx

AffirmedRx is a pharmacy benefit management company dedicated to enhancing healthcare outcomes through integrity, clarity, and trust. They prioritize making pharmacy benefits easy to understand, accessible, and aligned with the best interests of employ...

Insurance
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Description

  • Own enterprise pharmacy trend forecasting and market surveillance to identify emerging cost drivers and utilization patterns.
  • Evaluate drug development pipelines, therapeutic category shifts, specialty therapies, biosimilars, generic launches, and market developments.
  • Develop and maintain a multi-year pharmacy trend mitigation roadmap.
  • Recommend formulary, utilization management, biosimilar, generic, and channel management strategies.
  • Lead biosimilar strategy development, including formulary positioning, conversion strategies, provider education, and adoption monitoring.
  • Develop financial impact assessments, pharmacoeconomic analyses, savings projections, and return-on-investment estimates.
  • Contribute to the Clinical Intelligence Council by evaluating trend drivers and prioritizing intervention opportunities.
  • Serve as clinical lead for pipeline, trend, biosimilar, and pharmacoeconomic evaluations presented to the Pharmacy & Therapeutics Committee.
  • Create clinical content and strategic recommendations for enterprise and client-facing trend reports.
  • Communicate complex clinical and market insights to executives, clients, and cross-functional stakeholders.

Requirements

  • Doctor of Pharmacy (PharmD) degree from an accredited institution.
  • Active, unrestricted pharmacist license in the United States.
  • 10+ years of experience in managed care, PBM, or health plan pharmacy.
  • Direct experience with pharmacy trend analysis, forecasting, pipeline evaluation, or cost-of-care management.
  • Experience developing strategies addressing specialty drug spend, biosimilars, generic launches, pipeline therapies, and utilization management.
  • Strong quantitative and analytical skills, including interpretation of pharmacy utilization, trend, and financial data.
  • Experience developing business cases, financial impact assessments, or pharmacoeconomic analyses.
  • Knowledge of formulary management, utilization management, pharmacoeconomics, and specialty pharmacy markets.
  • Experience presenting trend data to clients or executive audiences and using PBM trend reporting tools.
  • Familiarity with net-cost formulary architecture, rebate-aware formulary strategy, and FDA pipeline monitoring.

Benefits

  • Competitive compensation package.
  • Health, dental, vision, and other benefits.
  • Opportunity to influence pharmacy benefit management and patient outcomes.
  • Collaborative culture focused on employee and business success.
  • Remote work option with expectations for a professional, distraction-free work environment.

Interested in this position?

Apply directly on the company website

Apply Now

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