Staff VP Spclty Pharma Payer Sales (US) at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Pharmaceutical, Healthcare, Specialty PharmacyIndustries

Requirements

BA/BS degree
Minimum of 10 years leadership experience within pharmaceutical, specialty pharmacy, or healthcare industry
Minimum of 5 years in payer sales
Or any combination of education and experience which would provide an equivalent background

Responsibilities

Provide the vision and strategy for building and maintaining payer stakeholder relationships with all pharmacy business managers (PBMs), health plans, and employer groups to meet the strategic and profitability goals of the business unit
Oversee a sales team responsible for bringing on new opportunities in the pharmacy benefit manager (PBM), health plans, and employer space
Develop overall reimbursement strategy to support budget and long-term strategic planning and ensure reimbursement alignment with overall financial goals
Monitor changes in the payer landscape and communicate opportunities which enhance the payer book of business
Work closely with internal leadership as well as payers, pharmaceutical manufacturers, and other industry stakeholders
Oversee the development of business review content for payer account management to include payer level key performance indicators related to drug utilization
Oversee the contracting and credentialing teams
Lead as the subject matter resource/liaison for payer strategy
Work with sales and operations with a focus on strategic opportunities
Hire, train, coach, counsel, and evaluate performance of direct reports

Skills

Payer Sales

PBM Relationships

Health Plans

Employer Groups

Reimbursement Strategy

Contracting

Credentialing

Sales Leadership

Strategic Planning

Stakeholder Management

Drug Utilization KPIs

Team Management

Pharmaceutical Industry

Healthcare Sales

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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