Director of Biologics, Strategy
2 weeks ago
Job Description:
The Director of Biologics, Strategy and Operations role will lead regular management structures, ensure seamless coordination between Biologics Coordinators and local points of contact (POCs), and oversee training initiatives for team members. The Director will also drive growth initiatives, including provider discovery campaigns, onboarding of new providers, and conversions from external to internal management programs. In addition, the role will co-lead specialty pharmacy operations, set key performance indicators (KPIs), and build comprehensive reporting and strategic plans to guide future growth and operational excellence. This role will serve a key function reporting to the Executive Team on planning and results for a rapidly growing segment of the business.
Duties/Responsibilities:
Management
Establish and maintain the overall structure, cadence, and content for regular meetings and reviews, ensuring alignment across teams.
Lead the development, packaging, and coordination of training materials for Biologics department team members in coordination with Director of Biologics, Clinical Operations and Access Management.
Collaborate with Operations to ensure local teams (Medical Assistants and local points of contact) are trained, supported, and effectively executing initiatives.
Growth Initiatives
Drive Provider Discovery Campaigns, distilling insights into actionable strategies and coordinate the Biologic portion of onboarding new providers, managing timing and materials.
Serve as the administrative and planning lead for standing up new internal Buy and Bill programs and for converting existing programs to platform standards.
Co-lead efforts to manage the Specialty Pharmacy workflow in collaboration with Operations, ensuring efficient coordination and execution.
Administration
Serve as the primary point of contact for wholesale drug distributors, overseeing contract management, user administration, and location updates.
Co-lead drug manufacturer relationships, specifically managing rebate contracts, including monthly reconciliations, ongoing contract negotiations, and collaboration to support growth opportunities.
Reporting and KPIs
Set target metrics and build sustainable reporting structures to track program success, support decision-making, and ensure alignment with business goals.
Conduct month-end reviews, analyzing charges, COGS, and inventory, while reconciling rebates by drug manufacturer and resolving discrepancies.
Strategic Planning
Own the development and presentation of the annual strategic plan and budget for the Biologics program.
Build proposals for organizational structure as the program evolves, determining the plan for scalable resources to handle increasing volumes of enrollments, prior authorizations, and other specialty pharmacy management.
Education and Experience:
To perform this job successfully, the candidate must be able to perform each duty adequately in a culturally competent environment. The requirements listed below are representative of the knowledge, skill, and /or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree in Healthcare Administration, Business, or a related field; Master's degree preferred.
5+ years of experience in clinical operations, payer strategy, or biologics/specialty drug management.
Proven track record in setting up management structures, training teams, and overseeing cross-functional initiatives.
Expertise in distributor relationship management, contract negotiation, and rebate management.
Strong understanding of payer policies, prior authorizations, and strategic payer engagement for complex medical care.
Experience in specialty pharmacy workflows and operational coordination.
Demonstrated ability to develop KPIs and build reporting frameworks that support business growth.
Strong leadership, communication, and relationship-building skills with internal and external stakeholders.
Ability to develop and execute strategic plans and budgets, with an eye toward optimizing organizational structure.
High attention to detail and ability to manage multiple priorities in a fast-paced environment.
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