Giant Eagle Supermarkets

About Giant Eagle Supermarkets

 

Job Category:

Pharmaceutical

Country:

United States

Postal Code:

15122

Approximate Salary:

Not Specified

Position Type:

Full Time

Director, Managed Care

Giant Eagle Supermarkets - Pittsburgh, Pennsylvania

Posted: 09/3/2018

About Us

Giant Eagle Inc., ranked 36 on Forbes magazine's largest private corporations list, is one of the nation's largest food retailers and distributors with approximately \\$9.5 billion in annual sales. Founded in 1931, Giant Eagle, Inc. has grown to be the number one supermarket retailer in the region with more than 420 stores throughout western Pennsylvania, north central Ohio, northern West Virginia, Maryland and Indiana.

Giant Eagle was previously named America's Second Harvest Regional Retailer of the Year for its support of local food banks, and also actively supports numerous community events, the United Way, Children's Hospital, Race For The Cure and other non-profit organizations. The company also has created education initiatives such as Apples For The Students, which has provided millions of dollars in computer equipment, software and other classroom learning tools for local schools and the Be A Smart Shopper school nutrition program. Further information can be found at GiantEagle.com.

Position Summary

This position is responsible for all managed care contracting for retail and specialty pharmacy ensuring profitability and access to networks driving sales. The Director also oversees reconciliation of payment, clinical programming to drive STARS ratings, reimbursement disbutes and insurance audit compliance aligned to contracting.

Job Responsibilities

  • Develop and execute strategy to contract with PBMs, Health Plans and employers that bring volume or maintain network access to Giant Eagle Pharmacy, incorporate contractual terms and financial rates, as well as and levels of risk, that are acceptable to the Company.
  • Evaluate the financial feasibility of current contracted rates and proposed rates, including the impact of rate-related terms, and ultimately determine that any agreed upon payment rates fall within those that are acceptable to Giant Eagle.
  • Gather and utilize market rate and rate-related information to update and revise payment strategies.
  • Work with senior leadership to develop and execute an enterprise-wide managed care strategy.
  • Lead business development efforts to create favorable risk contract opportunities.
  • Major budgetary and financial responsibility for a group function. Amount of Budgetary Responsibility: \\$5mm +
  • Responsible for direct and indirect supervision of team members in one or more departments.

Education and Training Required

  • Bachelors Degree Pharmacy

Experience Required

  • 5 to 10 years

Competencies Required

  • Adaptability
  • Customer Focused
  • Gets Things Done
  • Interpersonal Skills
  • Problem Solving
  • Respect for Self and Others
  • Business and Financial Acumen
  • Builds High Performance Teams
  • Communicate w/Courage & Impact
  • Manages Team Execution
  • Strategic Thinking & Planning

Work Environment

  • Normal office environment

Physical requirements

Equipment Used

  • Calculator
  • Computer
  • Copier
  • Fax Machine
  • Printer
  • Telephone

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