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Specialty Pharmacy Contract Manager
Manage payer accounts, contractual obligations, reporting, and customer service for Elevance Health’s BioPlus Specialty Pharmacy. This full-time hybrid role supports relationships with health plans and pharmacy benefit managers.
विवरण
- Lead strategic planning and account management for larger payer accounts
- Oversee the administration of payer contract requirements and obligations
- Support account implementation for new and renewed contracts
- Partner with operations to help ensure reliable service delivery
- Build and maintain relationships across health plan and PBM organizations
- Recommend service improvements aligned with stakeholder expectations
- Deliver customer service both on-site and remotely
- Interpret health plan and benefit designs
- Investigate and resolve telephone and written inquiries
- Address claims, benefit, and enrollment concerns
- Prepare and submit required health plan and PBM reports and metrics
- Manage payer relationships and contracts
आवश्यकताएँ
- Bachelor’s degree required
- At least three years of experience managing business operations and/or customer relationships
- Equivalent combinations of education and experience may be considered
- Experience in specialty and infusion pharmacy is strongly preferred
- Experience with payer contracts, health plans, and PBMs is preferred
- Experience using Smartsheet and Excel for payer reporting is preferred
- Must live within a reasonable commuting distance of a posting location unless an accommodation is approved
- Available Monday through Friday from 8:00 a.m. to 5:00 p.m. Eastern Time
- New candidates for certain patient- or member-facing roles must receive COVID-19 and influenza vaccinations; exemptions require an acceptable explanation
लाभ
- Merit-based pay increases
- Paid holidays
- Paid time off
- Incentive bonus programs
- Medical coverage
- Dental coverage
- Vision coverage
- Short-term disability coverage
- Long-term disability coverage
- 401(k) plan with company match
- Employee stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Flexible hybrid and virtual work options
- Work-life balance support
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