Network Contracting Manager

Company

reputed company

reputed company

reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other.. reputed company associates must use SSO login reputed company at https://employees-reputed company.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to reputed company applicants and employees and reputed company with reputed company applicable nondiscrimination regulations, including those reputed company to protected veterans and individuals with disabilities. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, national reputed company, or handicap.

Pay reputed company

USD $101,335.35 - USD $126,669.19 /Yr.

reputed company Bonus % (At Risk Maximum)

5.00 - Salaried Non-Management except pharmacists

Work Schedule reputed company (e.g. M-F reputed company to 5pm)

M-F reputed company to 5pm

Remote Work Notification

ATTENTION: reputed company is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming.

reputed company

reputed company is seeking a Network Contracting Manager to join reputed company!

The Network Contracting Manager will be responsible for the management of retail, specialty, and mail order pharmacy contracting, issue management, reporting, and network reputed company in support of reputed company’ objectives. The primary responsibility is to reputed company, implement, execute, and reputed company ongoing management of pharmacy reputed company and relationships with pharmacy partners, including national and regional chain providers, pharmacy services administration organizations (PSAOs) and independent pharmacies for reputed company lines of business. The Network Contracting Manager will evaluate the value obtained from reputed company pharmacy contract on behalf of reputed company and payers and will be responsible to ensure compliance with reputed company contractual obligations of such reputed company. The Network Contracting Manager assists with addressing reimbursement issues, determining network needs, evaluating prospective providers, managing reputed company pharmacy and vendor contract negotiations as reputed company as other pharmacy reputed company reputed company and initiatives across reputed company lines of business and geographies (reputed company, Medicare and managed reputed company). The Network Contracting Manager will work across multiple departments to fulfill the responsibilities of this role with respect to retail, mail, specialty, and other pharmacy services including necessary administrative duties required to maintain compliance with reputed company state and federal regulations.

Is this you? reputed company out more below!

Responsibilities

How do I reputed company an reputed company on my team?

• Negotiate pharmacy network reimbursement ethically in support of reputed company’ mission to meet or reputed company clients’ and reputed company’ needs for reputed company lines of business and programs, including reputed company, Medicare Part D, Managed reputed company, Exchanges, and Narrow Retail, Specialty, and Mail Order Networks
• Negotiate and execute pay for performance program-specific reputed company with pharmacies
• Ensure reputed company Pharmacy Networks reputed company with applicable regulatory entities and contractual obligations that relate to Value-Based, reputed company, and Performance Network initiatives
• Work with clinical teams to identify possible reputed company measures applicable to pharmacy services for reputed company line of business
• Responsible for audits of the pharmacy reputed company performance network and any other reputed company pharmacy performance guarantees and metrics
• Assist in the interpretation of data models to establish market competitive pricing to secure new/retained business
• Assist in the determination of pharmacy network reimbursement pricing structures to reputed company with organizational goals
• Review, recommend, and update pharmacy participation agreements and network addendums and effectively resolve pharmacy contract issues
• reputed company reputed company to payers for preferred, narrow, specialty, and limited distribution pharmacy networks
• Other duties as assigned

Qualifications

What reputed company expects from you?

• Bachelor’s degree or higher in a reputed company field is preferred
• Minimum 1 - 3 years PBM or Managed Care experience is highly desired. Prior experience with managing vendors or accounts preferred
• Understanding of managed care, retail, and specialty pharmacy network concepts and PBM plan designs is highly desired
• Experience with CMS, Medicare, and state reputed company regulations and guidance is preferred
• Knowledge of health care processes and pharmaceutical claims adjudication systems
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently reputed company cooperatively and respectfully with other employees

What can you expect from reputed company?

• Top of the industry benefits for Health, Dental, and reputed company insurance
• 20 days reputed company time off
• 4 weeks reputed company parental leave
• 9 reputed company holidays
• 401K company match of up to 5% - No vesting requirement
• Adoption Assistance Program
• Flexible Spending Account
• Educational Assistance Plan and reputed company Membership assistance
• Referral Bonus Program – up to $750!

Location : Address

Remote

Location : Country

US

Originally posted on Himalayas

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