Specialty Pharmacy Network Contracting Manager

5 days ago

🥔 Idaho – Remote

Although this job is listed in Idaho, this company may be open to hiring remote in other states.

💵 $98.4k - $123k / year

⏰ Full Time

🟢 Junior

👔 Manager

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10,000+ employees

🤝 B2B

👥 B2C

☁️ SaaS

📋 Description

•Navitus is seeking a Network Contracting Manager for pharmacy contract management •Negotiate pharmacy network reimbursement and contract agreements •Ensure compliance with all regulatory entities and contractual obligations •Work with clinical teams for quality measures in pharmacy services •Assist in pricing structures and market competitive positioning

🎯 Requirements

•Bachelor’s degree or higher in a related field is preferred •Minimum 1 - 3 years PBM or Managed Care experience is highly desired. •Prior experience with managing vendors or accounts preferred •Understanding of managed care, retail, and specialty pharmacy network concepts and PBM plan designs is highly desired •Experience with CMS, Medicare, and state Medicaid regulations and guidance is preferred •Knowledge of health care processes and pharmaceutical claims adjudication systems •Participate in, adhere to, and support compliance program objectives •The ability to consistently interact cooperatively and respectfully with other employees

🏖️ Benefits

•Top of the industry benefits for Health, Dental, and Vision insurance •20 days paid time off •4 weeks paid parental leave •9 paid holidays •401K company match of up to 5% - No vesting requirement •Adoption Assistance Program •Flexible Spending Account •Educational Assistance Plan and Professional Membership assistance •Referral Bonus Program – up to $750!