Elevance Health
Elevance Health
Elevance Health is a healthcare and health insurance company building a broader, long-term approach to supporting people’s health. Its work combines health benefits, integrated whole-health services, and digital health capabilities designed to connect care and coverage more effectively. With a workforce of nearly 100,000 associates serving more than 118 million people, Elevance Health offers roles across a large, multidisciplinary organization focused on improving health outcomes, evolving the healthcare system, and supporting stronger communities.

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.

Description

  • 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

Requirements

  • 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

Benefits

  • 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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