The Associate Director, Managed Care Payer Contracting plays a pivotal role in supporting the development, drafting, negotiation, and management of contractual agreements with payers, PBMs, and other market access stakeholders. This position ensures contract strategy aligns with organizational goals and compliance standards, facilitating appropriate patient access to therapies through well-structured, risk-appropriate contractual arrangement. The role combines strategic analysis, legal insight, and cross-functional collaboration to optimize payer relationships and business outcomes. This position will support Teva's Innovative and Biosimilar product portfolio.
Location: The selected candidate will ideally work a hybrid schedule (2-3 days/week onsite) in either our Parsippany, NJ or West Chester, PA office. However, we may consider remote flexible arrangements where it's deemed necessary due to a candidate's location. If remote, occasional travel into one of our offices will be required on an as-needed basis.
How You'll Spend Your Day
All areas of responsibility listed below are essential to the satisfactory performance of this position by any incumbents with reasonable accommodation if necessary. Any non-essential functions are assumed to be included in other related duties or assignments.
Contract Strategy and Development:
- Collaborate with Account Management, Payer Contracting Analytics, Payer Marketing, Legal, Finance, Compliance, and Commercial teams to develop payer contracting strategies as aligned with Teva's business objectives
- Interpret business goals and translate them into clear, actionable contract language that appropriately captures all parties' intent
Authoring and Drafting:
- Author and manage the lifecycle of National pharmacy and medical benefit payer contracts, including Commercial, Medicare and Managed Medicaid
- Assess contract language risks and opportunities along with mitigation strategies, as appropriate, with a proactive and forward-thinking view
- Draft language that reflects negotiated terms and ensures legal and regulatory compliance
- Create and maintain contract templates, playbooks and clause libraries
Review and Negotiation Support:
- Work closely with Legal and Compliance teams to review terms and address legal risk
- Support and/or lead negotiations with payers and GPOs/PBMs where appropriate in collaboration with Account Management
- Coordinate redlines and counterproposals during the contract negotiation process
Process Improvement and Governance:
- Manage RFP and bid process for assigned accounts to meet required internal and external timelines
- Lead Teva's contract approval process to ensure organizational awareness and Leadership alignment
- Optimize and standardize contract workflows, tools, and documentation practices
- Ensure contracts are executed and stored per internal governance and audit requirements
- Maintain knowledge of relevant laws, regulations, and industry best practices
Cross-Functional Collaboration:
- Serve as the liaison between internal teams and external partners to ensure alignment and successful contract implementation with key stakeholders, including Finance, Operations and Pricing
- Partner with Payer Contracting Analytics, Finance and Compliance to ensure key contract changes impacting financials are captured for accrual and business planning purposes
- Support Finance and Contract Compliance teams on audits, payment reconciliation and disputes, as necessary
- Lead training sessions and provide guidance on contract language and interpretation from Teva's business perspective
Your Skills and Experience
Any equivalent combination of education, training and/or experience that fulfills the requirements of the position will be considered.
Education/Certification/Experience:
- Bachelor's degree in Business, Law, Healthcare Administration, or related field (MBA or JD or advanced degree preferred)
- Minimum 7 years of experience in payer contracting, healthcare law, or managed care agreements (pharma/biotech or health insurance industry preferred)
- Contracting experience with National GPO and PBM customers
- Proven ability to propose, draft and interpret complex and innovative contract language
- Deep understanding of commercial and government payer environments and regulations
- Proficiency in contract lifecycle management (CLM) tools and Microsoft Office Suite
- Knowledge of compliance standards including anti-kickback statute, Medicaid Best Price, and regulatory guidance related to value-based contracting
Skills/Knowledge/Abilities:
- Keen understanding of drug pricing, rebate, fee structures, formulary design, and access strategies
- Understanding of healthcare reimbursement models and benefit designs (pharmacy, medical benefit, innovative and value-based contracting, etc.), regulatory environments, and commercial and government payer dynamics
- Strong negotiation, presentation, communication, interpersonal and time management skills
- Innovative and value based contracting experience and expertise with solutions-oriented mindset
- Experience in a matrixed environment with cross-functional collaboration
Travel Requirements:
- Approximately 5 - 10% domestic travel throughout the US.
Salary Range
The annual starting salary for this position is between $156,000 - 193,000 annually. Factors which may affect starting salary within this range and level of role may include geography/market, skills, education, experience and other qualifications of the successful candidate.
How We'll Take Care of You
We offer a competitive benefits package, including:
- Comprehensive Health Insurance: Medical, Dental, Vision, and Prescription coverage starting on the first day of employment, providing the employee enrolls.
- Retirement Savings: 401(k) with employer match, up to 6% and an annual 3.75% Defined Contribution to the 401k plan.
- Time Off: Paid Time Off including vacation, sick/safe time, caretaker time and holidays.
- Life and Disability Protection: Company paid Life and Disability insurance.
- Additional benefits include, but are not limited to, Employee Assistance Program, Employee Stock Purchase Plan, Tuition Assistance, Flexible Spending Accounts, Health Savings Account, Life Style Spending Account, Volunteer Time Off, Paid Parental Leave, if eligible , Family Building Benefits, Virtual Physical Therapy, Accident, Critical Illness and Hospital Indemnity Insurances, Identity Theft Protection, Legal Plan, Voluntary Life Insurance and Long Term Disability and more.
The total compensation may also include restricted stock units and discretionary awards, depending on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.
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