Job Description
This position will be part of Pharmacy Management team that will be the leader in creating relationships between payors, Pharmacy Services Administration Organizations (PSAOs), and Pharmacy Benefit Managers (PBMs)/third-party administrators of prescription drug programs on behalf of our retail/specialty pharmacy clients. You will lead the efforts in ensuring that our clients have all the payor contracts needed to fill prescriptions in their pharmacy including but not limited to Contract Negotiations; understanding reimbursement issues; reporting requirements; analyze network opportunity; and compliance/audit capabilities.
You will work cross functional with other departments in the organization and be able to navigate the payors and PSAO for each pharmacy. This role will be a payor and client facing to include Director of Pharmacies and C- suites. Negotiate and manage contractual agreements with national and regional payors and PBMs to gain and retain in-network access, understand 340B pricing and requirements. Analyze reimbursement rates, performance guarantees, and payor policies to optimize contract value and operational efficiency.