AmeriPharma

Specialty Care | Infusion Center | MedBox

Director, Payor Contracting – Network Development

DirectorDirectorFull TimeRemoteTeam 51-200Since 2006H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

17 days ago

Salary

$180K - $190K / year

Bachelor Degree9 yrs expEnglish

Job Description

• Develop business relationships with payers, advocate for mutual interests and ensure the organization’s best interests are advanced. • Lead the drafting, negotiation, and execution of payer contracts to ensure favorable and equitable terms for AmeriPharma. • Monitor financial performance across payer contracts, ensuring compliance, maintaining fairness and consistency across all payer agreements, and identifying areas for improvement or adjustment. • Create business plan for the Payer Contracting team, to present to the Executive team, to ensure strategic alignment. • Guide practices through contract negotiations, providing support and expertise to achieve beneficial outcomes. • Ensure that contracts meet all regulatory requirements and incorporate effective strategies for dealing with payer-specific policies.

Job Requirements

  • Bachelor’s Degree from an accredited institution or equivalent experience
  • 8+ years of experience in pharmacy contracting, pharmacy quality improvement, and/or pharmacy regulatory and payer compliance
  • 9+ years of professional experience in contract management or payer relations role, particularly within the healthcare space (specialty pharmacy and/or infusion therapy preferred)
  • 8+ years of experience in writing, negotiating, and managing healthcare payer contracts
  • Proven experience in managing relationships and negotiating with health plans, PBMs, and other payer organizations

Benefits

  • Full benefits package including medical, dental, vision, and life
  • Great pay and general compensation structures
  • Employee assistance program to assist with mental health, legal questions, financial counseling etc.
  • Comprehensive PTO and sick leave options
  • 401k and matching programs
  • Company sponsored outings and team-building events

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