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Director of Payer Programs & Services, Patient Innovations

Director of Payer Programs & Services, Patient Innovations

Job ID 
2018-1536
Job Locations 
US-MD-Rockville
US
Posted Date 
7/18/2018
Category 
Project/Program Management

More information about this job

About DrFirst

This is a great opportunity to be a part of a successful Healthcare IT company experiencing significant growth. We have a proven product, brand-name customers, significant revenue and growth, and are backed by leading investors. Here you'll get to work with some of the smartest and most interesting people around; solving unique and complex challenges in healthcare on a scale matched by few companies.

 

Over 170,000 healthcare professionals, 67,000 pharmacies and 60% of the healthcare IT vendors in the market depend on us every day to manage medication safety and efficiency, reduce clinical errors, and improve patient outcomes.

 

Our culture is entrepreneurial, team oriented, collaborative, and fast-paced. If you get excited about stretching yourself in new ways, developing yourself to your fullest potential, and care about working with smart colleagues then we want to talk to you!

Position Overview

The Sr. Director, Payer Programs is responsible for managing the planning and execution of PI strategic and tactical initiatives. The Sr. Director works closely with the President as well as development, product, sales and business development teams, existing/prospective clients, and internal DrFirst divisions to ensure the overall success of the programs; executing creative business strategies developed by the PI team and ensuring fulfillment of contract obligations (e.g. client deliverables). The Sr. Director has line P/L responsibility for the Payer team, and a large part of his or her responsibility is to ensure good planning, accurate and attainable budgeting/forecasting, and achievement of aggressive financial goals.  The Sr. Director will create and implement a strategic vision around Payer needs and solutions, be able to articulately convey that vision, and have the interpersonal and organization skills to drive the Company to achieve it.

What you will work on

Key responsibilities fall into four areas: Leadership, Program execution, Operations, and Analysis

 

Leadership

  • Collaborate on Strategy development, planning, and tactical decision-making on Patient Innovations initiatives
  • Hire, Manage, mentor, and hold accountable staff in areas of responsibility
  • Recommend new products and programs based on sound business fundamentals
  • Participate in financial planning, budgeting, and measuring Patient Innovations performance
  • Actively advocate for headcount, process, innovations, organizational changes necessary for the success of Patient Innovations
  • Specifically define ongoing operating plans for execution of the PI service portfolio. This includes helping craft specific value propositions to Pharma, EHRs, and Payors.

Program Execution

  • Ensure that all SOWs are developed within able to be achieved delivery parameters, with all aspects from requirements definition through reporting requirements and delivery accounted for
  • Work closely with Sales, clinical team, and legal to develop acceptable messages and workflow for Payer programs
  • Work closely with Partners and Core business teams to educate, coordinate, and internally partner to drive strategic relationships and build PI reach
  • Collaborate with Partners and Core business teams to understand technical requirements and operating needs regarding broader API integration (ie, Acute care, Long Term Care settings, Pharmacy) and ensure they are met
  • Support pre-sales and post-sales prospects as well as work with the Sales team to manage interaction with clients
  • Ensure that client deliverables are developed, calendared, and delivered with excellence in accordance with contract terms
  •  Development
    • Timely delivery/Implementation
    • Training and Support
    • Reporting
    • Product changes/enhancements

Operations

  • Work closely with customers and internal organizations to proactively resolve issues and manage relationships
  • Prepare relevant reporting and graphs for internal operational reporting (e.g. KPIs, Projections, meetings) and for general business management
  • Work closely with Patient Innovations and DrFirst management to support RFPs, internal projects, program requirements and schedules
  • Advocate for and manage internal DrFirst groups to ensure compliance with Patient Innovation needs, escalating proactively to ensure on-time delivery 

Analysis

  • Ensure that necessary data elements are being captured by DrFirst systems and ensure their accessibility
  • Manage and coordinate data acquisition and analytics for Patient Innovations internal needs and customer reporting
  • Work with internal DrFirst Tech, Support, and Product groups to ensure high quality, reliability and meet PI SLAs
  • Develop operational, customer, and strategic analytics and reports to ensure high levels of customer satisfaction, proof points for Patient Innovations initiatives, accurate assessment of data to provide business cases for future Patient Innovations programs

Qualifications

Education and Skill Set

  • Undergraduate degree in business administration, finance, accounting, or similar field, masters/MBA preferred
  • Ten (10+) years of direct experience in applicable areas (preferably, product marketing, consultative sales, strategic planning, or project management) with health plan, PBM, or payer expertise highly desired
  • Demonstrated experience and effectiveness in working within and across departments to achieve strategic goals and activities
  • Exceptional oral and written communication skills
  • Exceptional experience in managing customer relationships (via phone and in person) in a professional manner

Internal and External Communications

  • Candidate will be interacting with both external and internal customers.
    • External Customers Include: DrFirst Partners, Product End Users, Program/Services Sponsors (e.g. Pharma, Payers, and Hospitals/Health Systems), Third Party Vendors, etc.
    • Internal Customers Include: Patient Innovations (General Manager, Program Director, Business Development & Sales Operations) and DrFirst Accounting

Physical Requirements

  • 50% desk and office work
  • 50% travel to:
    • To Rockville office as often as possible, but at least two work weeks per month
    • To client sites, U.S., TBD

Benefits

We offer comprehensive benefits to keep you healthy as you grow in your life and career. Your merit-based compensation will reflect the impact your work has on the company and our customers. 

 

Learn more about our benefits and professional development opportunities here.