Director of Payor Contracting – Specialty

Elevance Health

Director of Payor Contracting overseeing specialty pharmacy contracting strategy and leading negotiations with PBMs. Ensuring compliance and financial performance across specialty pharmacy networks.

Posted 5/13/2026full-timeIndianapolis • Connecticut, Florida, Ohio • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

Directs the enterprise payor contracting strategy for a specialty pharmacy organization
Ensures standardized and approved processes are utilized for payor relationship management, contract negotiation, network participation strategy, and reimbursement optimization
Develops and leads a comprehensive contracting strategy aligned with growth goals across specialty pharmacy
Serves as a strategic advisor to executive leadership on PBM and specialty network trends
Leads complex negotiations with national and regional PBMs and specialty networks
Oversees contract modeling, financial impact analysis, approval governance, and ongoing performance monitoring
Partners with finance and analytics to evaluate pharmacy benefit reimbursement methodologies
Acts as the primary liaison between contracting and internal stakeholders
Leads, mentors, and develops a team of payor contracting professionals

Requirements

What you’ll need

Bachelor’s degree
Minimum of 10 years of progressive experience in payor contracting, reimbursement, or managed care within specialty pharmacy, infusion services, PBM, or health plan environments
Demonstrated success leading complex national and regional negotiations
Proven people leadership experience
MBA/advanced degree preferred
Deep experience in specialty pharmacy, including limited distribution drugs (LDDs)
Strong understanding of Medicare Part D, Medicaid, and commercial payor dynamics preferred
Proven experience negotiating with PBMs and securing access into specialty pharmacy networks preferred
Strong knowledge of specialty drug landscape, including disease states and drug pipelines preferred
Experience leading large, complex teams including contract managers and credentialing functions preferred

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short and long term disability benefits
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

payor contractingcontract negotiationreimbursement optimizationcontract modelingfinancial impact analysispharmacy benefit reimbursement methodologiesspecialty pharmacylimited distribution drugsMedicare Part DMedicaid

Soft Skills

leadershipmentoringstrategic advisingnegotiationteam developmentrelationship managementcommunicationcollaborationorganizational skillsanalytical skills

Certifications

Bachelor's degreeMBA/advanced degree