Elevance Health
Elevance Health
Elevance Health insonlar salomatligini qo‘llab-quvvatlashga kengroq va uzoq muddatli yondashuvni shakllantirayotgan sog‘liqni saqlash va tibbiy sug‘urta kompaniyasidir. Uning faoliyati tibbiy sug‘urta imtiyozlari, salomatlikka yaxlit yondashuvni ta’minlaydigan integratsiyalashgan xizmatlar hamda tibbiy yordam va sug‘urta qamrovini yanada samarali bog‘lash uchun yaratilgan raqamli sog‘liqni saqlash imkoniyatlarini birlashtiradi. Qariyb 100 000 nafar xodimi 118 milliondan ortiq kishiga xizmat ko‘rsatayotgan Elevance Health sog‘liq natijalarini yaxshilash, sog‘liqni saqlash tizimini rivojlantirish va yanada kuchli hamjamiyatlarni qo‘llab-quvvatlashga e’tibor qaratadigan katta, ko‘p yo‘nalishli tashkilotda turli lavozimlarni taklif etadi.

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.

Tavsif

  • 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

Talablar

  • 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

Imtiyozlar

  • 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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