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Reimbursement Contract Manager – Infusion
Soleo HealthManage reimbursement contracts and support intake teams at specialty infusion pharmacy. Collaborate on commercial contracting and government programs with a focus on payer compliance.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in reimbursement processes for injectable or infused drugs and medical devices, with strong analytical and communication skills to support contract management and provider relations. Proven ability to analyze payer contracts and identify cost-saving opportunities in reimbursement trends.
Highest-signal resume keywords
Reimbursement AnalysisProvider RelationsContract ManagementMedicare and Medicaid ProficiencySpecialty Pharmacy Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Reimbursement SupportContract ReviewAnalytical SkillsProblem SolvingOrganizational Skills
Soft Skills
Verbal CommunicationWritten CommunicationTeam Building
Certifications & Qualifications
Bachelor's Degree
Industry Keywords
Managed CarePayer ContractsIntake and ReimbursementHome InfusionSpecialty Pharmacy
About the role
Key responsibilities & impact- Support the intake and reimbursement teams in the area of commercial contracting and government programs.
- Research payor contracts and other published information.
- Publication and maintenance of resource documents.
- Communication with provider relation teams to resolve contract and/or regulation non-compliance.
- Review payor contracts for intake and reimbursement contract terms.
- Work with Managed Markets team to address any missing or unfavorable intake and reimbursement contract terms.
- Provide comprehensive analyses of missing or unfavorable intake and reimbursement contract terms to VP of Reimbursement and CFO.
- Provide payor education to intake and reimbursement teams, including reimbursement trends and policies.
- Create, maintain, and manage all Intake and Reimbursement contract resource documents.
- Cultivate and maintain effective working relationships with contracted and non-contracted insurance Provider Relations personnel.
- Identify opportunities for cost savings and cash collections through payer reimbursement analysis/trends.
Requirements
What you’ll need- Bachelor's Degree or a minimum of 5 years of Reimbursement/Account Management experience with injectable or infused drugs, or medical device products that require reimbursement support.
- High school diploma (or equivalent) required
- Significant specialty pharmacy or home infusion experience required
- Demonstrated proficiency in working on Medicare, Medicaid, or Managed Care reimbursement issues at the provider and payer levels
- Possess exceptional verbal and written communication skills, along with problem solving and organizational skills
- Strong business, analytical, administrative, and team building skills are essential.
Benefits
Comp & perks- Competitive Wages
- 401(k) with a Match
- Referral Bonus
- Paid Time Off
- Great Company Culture
- Annual Merit Based Increases
- No Weekends or Holidays
- Paid Parental Leave Options
- Affordable Medical, Dental, & Vision Insurance Plans
- Company Paid Disability & Basic Life Insurance
- HSA & FSA (including dependent care) Options
- Education Assistance Program