Director PBM Specialty Strategy

Job Description

ABOUT THE ROLE:

Our PBM goal is to help clients better manage pharmacy spend to make drugs more affordable for their employees and dependents. Rightway is responsible for designing, building, and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers.

The exponential growth of specialty drug spend has made the successful management of specialty drug products absolutely critical for Rightway, our plan sponsors, and ultimately the members utilizing these drugs. Rightway strives for a holistic and member centric approach to specialty pharmacy management.

The role requires equal parts strategy and execution. The ideal candidate has a sense of urgency to build and grow and is also able to step back and assess priorities, goals, and KPIs.

WHAT YOU’LL DO:

• Continue to build and iterate on the Rightway specialty pharmacy strategy
• Lead a hybrid team of virtual and in office employees, including two specialty Sr. Managers, specialty clinical pharmacists, and certified pharmacy technicians
• Manage Rightway’s current specialty programs: direct clinical management of specialty members, optimize our specialty supply chain network, copay maximization, patient assistance, and supporting all PBM aspects of specialty drugs (formulary, clinical pathways, etc.)
• Develop and implement future strategic specialty programs such as such as international sourcing, 340b, medical management, and assess trends to identify additional opportunities
• Develop and maintain SOP’s for all specialty programs offered by Rightway
• Identify and implement methods to leverage technology to enhance member experience and internal operations
• Build relationships with key external stakeholders
• Refine and oversee a set of KPIs to track success of specialty programs
• Develop and mentor team members on their career goals
• Identify and surface patterns to senior leadership with regards to root cause analysis
• Use experience, knowledge, and data to anticipate future opportunities and own solution development
• Scale operations to support rapid growth and develop strategies to support peak or high-volume time periods
• Foster a culture of empathy and respect in all interactions with customers and co-workers
• Create an internal work environment that prioritizes continuous improvement, innovation, and employee engagement

WHO YOU ARE:

• PharmD degree
• 5-10 years experience in specialty pharmacy benefit management with a Health plan or PBM
• At least 5 years of leadership experience with at least 3 years as Director or above
• Strong financial and analytical skills
• Relentlessly focused on member experience in aspects of specialty pharmacy
• Proven success leading multiple large, high priority, cross functional clinical and operational strategic programs
• A strong track record of driving results and meeting financial targets that achieve the goals of the PBM/Health Plan, plan sponsor, and member.
• Demonstrated ability to create an inclusive environment that’s welcoming to all
• Outstanding interpersonal skills and ability to communicate clearly and effectively
• Highly collaborative with cross-functional stakeholders and able to influence decisions
• Analytically minded, with an ability to leverage data to drive strategy and prioritization
• Comfortable with ambiguity and motivated by a dynamic environment
• Ownership mentality
• Strong PowerPoint and Excel skills, with a knack for storytelling

BASE SALARY: $150,000-185,000

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

1. We are human, first Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

2. We redefine what is possible We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.

3. We debate then commit We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.

4. We cultivate grit Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.

5. We seek to delight Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.