- Atlanta, Georgia, United States
- Hybrid
- Full-time · Mid
- $88K–$116K per year
- 5+ years
Supporting payer and Pharmacy Benefit Manager (PBM) contracting operations with significant financial and operational impact, ensuring accurate administration of contracts and rebate programs.
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 (PBM) accounts, managing stakeholder communications, issue resolution, and day-to-day contract operations.
- 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 in accordance with contractual requirements.
- 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