[Hiring] Payor Contracting Specialist @Maxor National Pharmacy Services, LLC

Role Description

The Payor Contracting Specialist will perform a variety of administrative functions for Maxor’s owned and managed pharmacies. This includes:

• Completion and tracking of pharmacy agreements
• Credentialing forms, surveys, pharmacy requests, and inquiries
• Ongoing maintenance of departmental documents
• Problem solving, auditing, reporting, and process recommendations for optimal departmental outcomes

This is a remote-based position within the Continental US.

Qualifications

• High School Diploma or equivalent; Bachelor’s Degree preferred
• Experience in pharmacy contracting, insurance, or other business-related environment
• Basic knowledge of contracts, third party insurance, and claims processing is preferred
• Proficiency in Microsoft Word, Excel, Outlook, PDF Software and other management tools
• Motivated to quickly learn and demonstrate strong problem-solving skills
• Strong project management and multitasking skills
• Excellent interpersonal and communication skills
• Strong writing skills and attention to detail
• Strong organizational skills and ability to be attentive to details
• Firm understanding of pharmacy contracting processes

Requirements

• Timely and accurately complete new and renewing contract documents
• Able to work independently with minimal supervision
• Coordinate with management and other stakeholders on all new payor contracts for possible negotiations and rate validation
• Ensure ongoing maintenance of departmental database and demographic information for all pharmacies and their contracts
• Conduct ongoing follow-up and status updates of pending tasks
• Communicate effectively with external and internal departments
• Timely complete and submit required contractual agreements and documents as needed
• Ensure that all contractual documents are recorded and saved according to departmental policies
• Establish and maintain strong work relationships with both external and interdepartmental staff
• Maintain regular attendance in accordance with policies
• Willingness to work outside the box and open to change for the betterment of the department
• Assist with the development, maintenance, and enforcement of departmental policies and procedures
• Able to follow direction with minimal ongoing support and apply knowledge to new situations

Benefits

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• Hourly rate ranging from $25-$31/hour, based on experience and qualifications