Senior Director, Clinical Service

The role

The Senior Director - Vice President of Clinical Services will support APS staff and clients with drug information, pharmacotherapy, and payer expertise. This role involves providing clinical insights to inform strategic generation and overseeing clinical workstreams and client deliverables.

What you will do

• Provide expert opinions to staff and clients regarding clinical value of drugs to payers
• Support staff and clients with drug information expertise across therapeutic areas
• Conduct drug information and clinical research regarding payer perceptions of new drugs
• Serve as a resource regarding payer rationales for Prior Authorizations and coverage rules
• Prepare documents describing commercial viability and payer coverage management practices
• Plan, conduct, and summarize payer research
• Plan, develop, and facilitate virtual and in-person payer advisory boards
• Review and improve client value proposition presentations
• Interact with current and prospective clients
• Assist in preparing statements of work and participating in client presentations

Required qualifications

• Pharm. D degree or equivalent e.g., BS pharmacy with advanced degrees
• At least 10-years of experience in a managerial/supervisory drug information position with a payer, i.e., health plan or PBM, in the areas of formulary development, coverage management, and benefit de
• Comprehensive understanding of current payer organizations and payer regulatory landscape in Commercial and Medicare
• Drug information experience with payers in developing drug monographs, class reviews, drug formularies, coverage criteria, appeals criteria, clinical policies, etc.
• Experience managing individuals and teams
• Experience with the Commercial and Medicare lines of business
• Experience in benefit design, coverage determination, benefit allocation, coverage review and appeal processes, etc.
• Experience in P&T committee processes
• Excellent written and verbal communication skills
• Dedication to life-long learning and development
• Ability to facilitate/moderate virtual or in person payer advisory boards and payer advisory panels
• Ability to collaborate and support other clinical and non-clinical experts

Nice to have

• experience in Medicaid is also desirable

About the company

Advantage Point Solutions (APS), part of The Lockwood Group, is a pharmaceutical consulting agency working with Pharmaceutical Manufacturers and Payers. Their team has defined formulary, contracting and outcomes strategies for over 20 years.