DE Jobs

Search from over 2 Million Available Jobs, No Extra Steps, No Extra Forms, Just DirectEmployers

Job Information

NAVITUS HEALTH SOLUTIONS LLC Manager Payer Contracting Remote in MADISON, Wisconsin

JOB REQUIREMENTS: Lumicera Health Services Powered by Navitus Innovative Specialty Pharmacy Solutions- Lumicera Health Services is defining the \"new norm\" in specialty pharmacy to optimize patient well-being through our core principles of transparency and stewardship. Here at Lumicera, our team members work in an environment that celebrates creativity and fosters diversity. Due to growth, we are adding this Manager, Payer Contracting to our Trade Relations department. We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. The Manager, Payer Contracting will be responsible for the management of pharmacy contracts for Lumicera and its partners. The primary responsibility is to drive growth and profitability for Lumicera through effective contract administration. This position leader with experience onboarding new pharmacy payers and operationalizing payer contract requirements. Responsible for implementing the strategy for the pharmacy payer organization sector driving revenue enhancement through partnerships with pharmacy payers and developing value propositions for the payer community. The Manager, Payer Contracting will evaluate the value obtained from each pharmacy contract and will be responsible to ensure compliance with all contractual obligations of such contracts. The Manager, Payer Contracting assists with addressing reimbursement issues, audit review, and managing all personnel responsible for payer contracting and payer audits. The Manager, Payer Contracting handles negotiations as well as other pharmacy related projects and initiatives across all lines of business and geographies (Commercial, Medicare and managed Medicaid). The position will work with multiple departments to fulfill the responsibilities of this role with respect to pharmacy services including necessary administrative duties required to maintain compliance with all state and federal regulations. Is this you? Find out more below! How do I make an impact on my team? Oversees and provides strategy for payer contracting, reviews and negotiates contracts, develops financial models. Leads/participates in pharmacy related business development opportunities such as value based contracting models with the aim to decrease PMPM. Negotiate pharmacy network reimbursement ethically in support of Lumicera\' s mission and strategic objectives. Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale. Negotiate and execute pay for performance contracts with... For full info follow application link. Navitus Health Solutions is an Equal Opportunity Employer: Disabled/Veterans/Male/Female/Minority/Other ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/4C38E5B58B1F45C6

DirectEmployers