POSITION DESCRIPTION Ministry of Health POSITION TITLE: DIVISION: BRANCH: SUPERVISOR’S TITLE: SUPERVISOR’S CLASSIFICATION: Executive Director POSITION NUMBER(S): 89456 Pharmaceutical Services Business Management, Supplier Relations and Systems Assistant Deputy Minister Executive LOCATION: New Westminster POSITION NUMBER PHONE NUMBER: PROGRAM Prescription drugs constitute the second largest category of health care expenditure in Canada. Provincial Ministries are faced with the challenge of optimizing the benefits of prescription drugs while managing the risks and complexities associated with this rapidly evolving sector. Pharmaceutical Services comprises five branches: (1) Drug Intelligence determining the array of drugs (formulary) available to BC citizens and covered by the PharmaCare Program; (2) Drug Use Optimization informing and reducing the demand side of the drug utilization market; (3) Policy Outcomes, Evaluation and Research translating the political direction into policy and direction for the division; and (4) Business Management, Supplier Relations and Systems. Business Management, Supplier Relations and Systems negotiates pricing of publicly funded drugs in British Columbia, manages Pharmaceutical Services’ economic relationships with manufacturers, distributors and pharmacies, and provides oversight to the electronic information systems used in pharmaceutical management, including the development of systems supporting electronic prescribing. PURPOSE OF POSITION The Executive Director, Business Management, Supplier Relations and Systems leads the negotiation of contracts and agreements with drug manufacturers, distributors, pharmacies and other stakeholders to ensure the best value possible for the best available products and services. The position is also responsible for the strategic direction of electronic information systems like PharmaNet and managing the Division’s relationship with external service providers that support such systems. Finally, the position is responsible for managing PharmaCare coverage for non-drug medical supplies (e.g. prosthetics, orthotics and ostomy supplies). NATURE OF WORK AND POSITION LINKS The Branch leads negotiations with manufacturers to achieve cost savings on branded drugs similar to those experienced in other Canadian and international jurisdictions. The Branch is also responsible for managing coverage and pricing for generic drugs covered by PharmaCare and for establishing the terms of the program’s contractual relationships with community pharmacies. In working collaboratively with these external stakeholder groups, the Executive Director will be challenged to strike a balance between achieving cost savings, ensuring continued access to community pharmacy services across the Province and maintaining a robust formulary that sees patients receiving appropriate therapeutics in a timely fashion. PharmaNet is a province-wide network supporting drug dispensing, drug monitoring, and claims processing (28 Million claims annually). PharmaNet upgrades presently under development will provide important enhancements to system functionality, although significant work will be required to achieve broad adoption of the new functionality in clinical practice. Apart from major functionality upgrades, systems changes are required to support implementation of many of the Division’s program initiatives and the Division relies on this Branch to manage multiple, concurrent system-related projects. The Branch is also responsible for managing reimbursement for medical supplies that have been designated as PharmaCare benefits. The policy issues related to this dimension of the PharmaCare program, including relationships with service providers, are complex and materially distinct from those pertaining to drug coverage. 81912929 and Systems Page 1 1. Pharmaceutical Companies (Brand, Generic) – Negotiate pricing and Product Listing Agreements for the Province. Establish pricing and other requirements for PharmaCare coverage of generic drugs. 2. Pharmacies and Pharmacy Associations – Negotiate/consult regarding remuneration and other contractual terms. Consult on system-related issues impacting community pharmacies 3. Medical Supplies Providers – Consult regarding reimbursement policy, remuneration rates and other contractual terms. 4. Other Stakeholder Groups – Collect evidence; exchange information and obtain feedback on funding strategies. 5. Minister and Deputy Minister of Health – Recommend strategies that will achieve cost savings for the Province. 6. Federal Provincial and Territorial Partners – Partner with or share strategies on reducing drug costs. SPECIFIC ACCOUNTABILITIES / DELIVERABLES Provide leadership for the staff and functions of the Branch. Build a team of committed and engaged staff by recruiting, selecting, developing, coaching and assessing their performance. Ensure optimal value for pharmaceutical products and services by negotiating pricing, cost recovery schemes, risk sharing agreements and other cost-containment measures with drug manufacturers and by directing the development of Product Listing Agreements; Develop and administer policies, contracts and processes to manage PharmaCare coverage for multi-source drugs and achieve optimal value for expenditures on those products. Develop and manage PharmaCare compensation arrangements for BC pharmacies, including dispensing and service fees, drug cost reimbursement and contractual relationships. Develop overarching objectives and strategies to improve the functionality and integrity of the PharmaNet system. Prioritize PharmaNet system changes and direct the management of systems projects. Manage relationships with internal and external service providers to ensure that PSD receives sufficient and timely support with system-related requirements. Provide oversight for the administration of PharmaCare coverage for designated medical supplies (e.g. prosthetics, orthotics and ostomy supplies), including the relationship between PharmaCare and service providers in relation to reimbursement for these products. On subject matters falling within the scope of the role, represent British Columbia’s perspectives and interests in interactions with other jurisdictions. Prepare policy, ministerial speaking notes, discussion papers, briefing notes, cabinet submissions, requests for legislation and ministerial response letters. Provides advice to the senior Executive, including briefing the ADM, DM and Minister on emerging issues; As part of the executive team of Pharmaceutical Services, improve the efficiency and effectiveness and fairness of pharmaceutical programs and services by developing service plans, budgets, and performance measures; FINANCIAL RESPONSIBILITY Responsible for stewardship of the Branch’s operating budget ($2.3 million). Develop the cost-benefit analysis for input into budget, project or program decisions. Negotiates or provides input, as a subject matter expert, into agreements with pharmaceutical manufacturers, distributors and/or pharmacies and recommends acceptance to the ADM. DIRECT SUPERVISION (i.e., responsibility for signing the employee appraisal form) 81912929 and Systems Page 2 # of Regular FTE’s Role Directly supervises staff 3 Supervises staff through subordinate supervisors 7 # of Auxiliary FTE’s PROJECT /TEAM LEADERSHIP OR TRAINING (Check the appropriate boxes) Role # of FTE’s Supervises students or volunteers Lead project teams 81912929 and Systems Role # of FTE’s Provides formal training to other staff 10 Page 3 Assigns, monitors and examines the work of staff 3 TOOLS / EQUIPMENT Laptop, desktop computer, cell phone or other handheld communication devices Software, Word, PowerPoint, Excel, Outlook Calendar and e-mail WORKING CONDITIONS Regular travel between Victoria and Vancouver and some overnight travel within Canada WORK EXAMPLES Explores cost efficiencies on off-patent pharmaceuticals, opportunities for collaboration with third-party insurers, changes to drug pricing and reimbursement. PREPARED BY NAME: DATE: Bob Nakagawa Edited by W.A. Fosdick April 2007 (Revised May 2011) EXCLUDED MANAGER AUTHORIZATION I confirm that: 1. the accountabilities / deliverables were assigned to this position effective: October 1, 2006. 2. the information in this position description reflects the actual work performed. 3. a copy has / will be provided to the incumbent(s). NAME: SIGNATURE: DATE: R Nakagawa STAFFING CRITERIA Education and Experience Post graduate degree in Economics, Public Administration or Business Administration plus five years relevant experience or equivalent combination of education and experience. Experience with complex negotiations, stakeholder relations and issues management. Experience on complex projects (high public profile, large budgets, multi-year and/or divergent stakeholder issues), and recommending government strategies and remedial measures; Progressive experience leading a management team requiring collaboration, collegial challenges and sensitivity to stakeholder perspectives; Experience in preparing high level reports and decision papers for review by others and ultimately for provincial implementation. Required Knowledge: Project management, tracking, reporting and controls; Contract management including assessing proposals, awarding contracts, supervising contractors, monitoring implementation and evaluating performance; Business case analysis and performance evaluation techniques, analytical methodologies and processes; editing work of others for presentation to senior executives or publication; Research and investigation techniques, methodologies and processes; Desk-top self-sufficiency using Microsoft office, (Word, Excel, PowerPoint and Outlook). Preferred Knowledge: Ministry organization structure, provincial health systems their mandates and programs; Pharmaceutical sector, industry contacts and supply chain management; Health service directions, priorities, regionalization and related issues; Relevant acts, regulations, policies and current issues 81912929 and Systems Page 4 Competencies: Strategic Orientation (5) - is aware of political climate to undertake policy directions and is able to assess implications of trends and developments as they affect present policies, processes and ongoing issues on a national stage; Analytic Thinking (3)– identify key components and underlying issues and ensure systematic analysis of provincial and territorial systems; determine cause effect relationships and resolve problems in a sound decisive manner; interpret data and draw logical conclusions using deductive reasoning and critical thinking; able to lead analyses and develop strategies to implement change or introduction of new policies; Relationship Building (4)– able to initiate relationships on behalf of the Ministry with people in other provinces and territories, Health Canada, industry and advocacy groups in order to maintain transparency of decision making and gain consensus on policy direction; Flexibility (3) - willingness to be flexible to ongoing changes in responsibilities, assignments and corporate structures; and willingness to be available and respond to new emerging priorities and re-prioritize existing work in a group environment; Impact Influence (5) - able to lead consultations with federal, provincial and territorial officials and effect change and influence/persuade clients and stakeholders; able to apply influence indirectly in order to effect systemic change and see projects completed; Results Orientation (4) – able to work independently while using initiative and resourcefulness in a high volume, demanding environment; able to organize and manage concurrent activities and projects, keeping team members, supervisors and colleagues informed of progress and significant issues; Building Partnerships with Stakeholders (5) – able to build on-going relationships with provincial and territorial representatives in order to define common interests and gain commitment of resources to develop national strategies; Results Orientation (4) is able to achieve results through others, especially services delivered through third parties that are highly visible to the public (HIBC); achieve cost savings through negotiating processes that will be relatively new to all participants. 81912929 and Systems Page 5
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