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Director, Pharmacy Trend and Pipeline Strategy

Affirmedrxpbc • Remote

Job Description

<p><strong>AffirmedRx</strong> is on a mission to improve health care outcomes by bringing clarity, integrity, and trust to pharmacy benefit management. We are committed to making pharmacy benefits easy to understand, straightforward to access and always in the best interest of employers and the lives they impact. We accomplish this by bringing total clarity to business practices, leading with clinical approaches, and utilizing state-of-the-art technology.</p> <p>Join us in improving health care outcomes for all! <strong>We promise to do what’s right, always.</strong></p> <p><strong>Position Summary:</strong></p> <p>The Director, Pharmacy Trend & Pipeline Strategy serves as AffirmedRx's lead strategist for emerging pharmacy trends, pipeline intelligence, and cost-of-care optimization. The role proactively identifies, evaluates, and recommends strategies related to evolving market dynamics, specialty drug trends, biosimilars, generic launches, utilization patterns, and other emerging cost drivers. Through cross-functional collaboration, this position drives strategic interventions that improve affordability, support formulary and clinical decision-making, and position AffirmedRx and its clients ahead of market change.</p> <p><strong>What you will do:</strong></p> <p><strong>Pharmacy Trend and Pipeline Strategy:</strong></p> <ul> <li>Own enterprise pharmacy trend forecasting and market surveillance to identify emerging cost drivers and utilization patterns</li> <li>Maintain oversight of the drug development pipeline, assessing clinical, financial, operational, and formulary impacts of new therapies</li> <li>Evaluate therapeutic category shifts and recommend proactive strategies before they materially impact client spend</li> <li>Monitor market trends, access strategies, and industry developments to identify opportunities for intervention and differentiation</li> </ul> <p><strong>Trend Mitigation and Clinical Strategy Development: </strong></p> <ul> <li>Develop and maintain a multi-year pharmacy trend mitigation roadmap aligned with organizational goals</li> <li>Recommend formulary, utilization management, biosimilar, generic, and channel management strategies to address emerging cost pressures</li> <li>Evaluate new-to-market and high-impact pipeline therapies and provide clinical recommendations prior to launch</li> <li>Partner with internal stakeholders to prioritize and implement initiatives that improve trend performance and cost management</li> </ul> <p><strong>Biosimilar and Formulary Optimization:</strong></p> <ul> <li>Lead the development of AffirmedRx’s biosimilar strategy in collaboration with Formulary Strategy and Utilization Management</li> <li>Recommend formulary positioning, utilization management approaches, and conversion strategies to support biosimilar adoption</li> <li>Support provider education and adoption monitoring efforts to ensure successful implementation</li> <li>Assess formulary and benefit design opportunities that optimize outcomes while managing pharmacy spend</li> </ul> <p><strong>Clinical Intelligence and Financial Analysis: </strong></p> <ul> <li>Serve as a key contributor to the Clinical Intelligence Council by evaluating trend drivers and prioritizing intervention opportunities</li> <li>Partner with Clinical Modeling to develop financial impact assessments and pharmacoeconomic analyses</li> <li>Quantify projected trend drivers, savings opportunities, and return on investment for proposed strategies</li> <li>Support enterprise decision-making through

Job Reference ID: CF-145521 • Posted on CloudFrame Job Scanner