- Atlanta, Georgia, United States
- Full-time · Mid
- $88K–$116K per year
- 5+ years
Support payer and Pharmacy Benefit Manager contracting operations, ensuring accurate administration of contracts and rebate programs through data analysis, contract maintenance, pricing validation, and reimbursement management.
Compensation
The reasonably anticipated salary range for this position is $88,000-$115,500 per year.
Responsibilities
- Serve as the Single Point of Contact (SPOC) for assigned payer and Pharmacy Benefit Manager accounts
- Manage payer and PBM contracts, including pricing, membership, renewals, amendments, cancellations, and other contract lifecycle activities
- Process, validate, and reconcile Commercial, Managed Care, Trade, and Medicare Part D rebate payments
- Analyze pricing, utilization, reimbursement, and financial data to identify trends, resolve discrepancies, mitigate risk, and optimize revenue performance
- Validate contract terms, rebate eligibility, and customer utilization data to ensure payment accuracy, compliance, and data integrity
Requirements
- Bachelor's degree in Finance, Business, Statistics, Healthcare Management, Economics, Marketing, or a related field
- Nice to have: MBA
- Nice to have: MHA
- Nice to have: pharmaceutical
- Nice to have: biotechnology