AnewHealth · 4 days ago
VP, Strategic Payer Relations
United States
Full-time
Remote
Director/Executive
10+ years expAnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with complex, chronic needs. The VP, Strategic Payer Relations will lead the development and management of strategic partnerships with health plans and PBMs, managing contracting and negotiations while providing strategic guidance on market trends and reimbursement strategies.
Health CarePharmaceutical
Responsibilities
Solve patient experience barriers with health plans including co-pay differential and medication synchronization fulfillment timing / overrides
Establish and manage payer performance expectations including STARS, outcomes, and value-based programs (e.g., quality bonus programs)
Build relationships with key external partners in market access, including Health Plans, PBMs, to stimulate, surface, and shape demand for AnewHealth services, exploring new opportunities for value creation and ensuring service levels (e.g., QBRs)
Identify new partners within the organization and partners with growth leaders to propose services
Stay on top of trends and information with health plans and PBMs that can impact the business, keeping leadership and key stakeholders informed of changes (e.g. policy, reimbursements)
Interpret the impact of marketplace changes and advise leadership on how to react and position the business
Provide strategies and growth plans for market segments (e.g., Nationals, Blues, SNP Plans, Medicaid, etc.) that inform business goals, focus areas, closing strategies, capabilities, and activities
Own the contracting and negotiation with reimbursement partners including comprehensive contract lifecycle management
Actively contribute to the annual brand planning, forecasting, and budgeting process
Recruit, motivate, and retain a high-performing organization, ensuring cross-functional knowledge and mastery of communicating key concepts, driving employee engagement, satisfaction, and morale
Qualification
Required
Bachelor's degree in business/business administration, Healthcare, or related field or significant related experience
10+ years of progressive experience in relationship management and driving value from strategic partnerships
Proven ability to build effective partnerships to drive increased value and expanded business opportunities
Adept at creating productive, long-term customer relationships
Excellent leadership and coaching, ability to lead teams and stay on top of market trends
Excellent written and verbal communication skills, and professionalism when working with account stakeholders
Can model positive energy and handle stress in the face of challenges, deadlines, and financial pressures in a fast-paced, dynamic environment
Ability to successfully perform with key decision makers at the Executive/C-Suite level of mid-size and large companies
Experience conducting presentations to groups
Detail oriented and able to prioritize workload
Strong computer skills including using Word processors, spreadsheets, and database software
Preferred
Advanced degree in Business/Business Administration, Healthcare, or related field
Health Plan/PBM Pharmacy Contracting experience
Ability to manage multiple priorities and work independently
Demonstrated leadership skills
Strong understanding/experience in healthcare, particularly with health plans, PBMs, or similar groups
Benefits
Medical/dental/vision
Flexible spending
Company-paid life insurance
Short-term disability
Voluntary benefits
401(k)
Paid Time Off
Paid holidays
Company
AnewHealth
AnewHealth is a pharmacy care that enhances healthcare outcomes by offering an assortment of solutions, comprising full pharmacy services.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Vistria Group
2024-07-22Private Equity
Leadership Team
Brian Adams
President and CEO
Celynda Tadlock
President, Value-Based Care Solutions
Recent News
2025-12-02
Company data provided by crunchbase