Director, Payor Contracting – Network Development
AmeriPharma
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $180,000 - $190,000 per year
Job Level
About the role
- 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.
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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract managementpayer relationsnegotiationfinancial performance monitoringregulatory compliancehealthcare payer contractspharmacy contractingquality improvementwriting contractsstrategic planning
Soft Skills
relationship managementadvocacyleadershipcommunicationcollaborationproblem-solvingexpertise guidanceorganizational skillsnegotiation skillsstrategic alignment
Certifications
Bachelor’s Degree