Pillr Health is hiring a Senior Director, Pharmacy Accelerator Payor Strategy to join our Pharmacy Management team. This role is a key business subject matter expert, leading the creation of relationships between payors, PSAOs, and PBMs on behalf of our clients. You will be responsible for ensuring clients have all necessary payor contracts, from negotiation to analysis, in this payor and client-facing position.

What You'll Do

Negotiate and manage contractual agreements with national and regional payors and PBMs to gain and retain in-network access.
Understand 340B pricing and requirements.
Manage PBM reporting.
Partner and work with multiple PSAOs in the market.
Evaluate network participation criteria and lead submissions to meet access requirements, including credentialing, accreditation, and performance standards.
Collaborate with legal, compliance, and finance teams to ensure contract terms are favorable and align with regulatory and operational standards.
Maintain a comprehensive understanding of formulary structures, access restrictions, and rebate strategies impacting specialty pharmacy access.
Serve as the primary liaison with payors and PBMs regarding contract performance, dispute resolution, and renewals.
Analyze reimbursement rates, performance guarantees, and payor policies to optimize contract value and operational efficiency.
Support business development by identifying new network opportunities and assisting with the launch of limited-distribution drug programs.
Prepare reports and dashboards to communicate contract status, payor mix trends, and access barriers to internal stakeholders.

What We're Looking For

5+ years of experience working in the health insurance or PBM industries.
Proven negotiation skills and experience managing complex contracts across multiple stakeholders.
Strong analytical and communication skills with the ability to translate complex contractual data into actionable insights.
Advanced degree required (PharmD, JD, MPH, MHA, or related).
Possess strong verbal and written communication skills, suitable for interaction across all organizational levels and external contacts.
Demonstrate advanced knowledge and experience in strategic sourcing processes and methodologies.
Display expertise in contract structures, terms, conditions, and risk mitigation, with a proven track record in executing and drafting business requirements and key performance indicators.
Proficiently use Microsoft Word, Excel, PowerPoint, and Outlook.
Exhibit the ability to organize and prioritize work effectively to achieve specific deliverables in a fast-paced environment with tight deadlines and competing priorities.
Ability to influence, build and maintain effective relationships with critical external partners and payors.