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Elevance Health
Elevance Health
Sponsor pentru viza H1BAsigurare de sănătateAsistență medicalăB2B
Elevance Health este o companie de servicii medicale și asigurări de sănătate care dezvoltă o abordare mai amplă și pe termen lung pentru sprijinirea sănătății oamenilor. Activitatea sa combină beneficiile medicale, serviciile integrate pentru sănătatea întregii persoane și capacitățile de sănătate digitală, concepute pentru a conecta mai eficient îngrijirea medicală cu acoperirea de asigurare. Cu o echipă de aproape 100.000 de angajați care deservește peste 118 milioane de persoane, Elevance Health oferă roluri într-o organizație mare și multidisciplinară, concentrată pe îmbunătățirea rezultatelor în materie de sănătate, evoluția sistemului de sănătate și sprijinirea unor comunități mai puternice.
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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.

USStatele Unite ale AmericiiFLFloridaKSKansasNCCarolina de NordOHOhioTXTexasHibridNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăFarmacist

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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