Role Summary
The Associate Director, Managed Care Payer Contracting supports the development, drafting, negotiation, and management of contractual agreements with payers, PBMs, and other market access stakeholders. The role ensures contract strategy aligns with organizational goals and compliance standards, facilitating patient access to therapies through well-structured, risk-appropriate contractual arrangements. The position 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: Hybrid opportunity based in Parsippany, NJ or West Chester, PA offices.
Responsibilities
- 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
- 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
- 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
- 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
- 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
Qualifications
- 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
- 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
Education
- Bachelor’s degree in Business, Law, Healthcare Administration, or related field (MBA or JD or advanced degree preferred)
Additional Requirements
- Approximately 5 – 10% domestic travel throughout the US