Job Description
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. 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 bolthires 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 bolthires 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 Apply tot his job Apply tot his job