Payor Contracting Specialist jobs in United States
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VytlOne · 4 hours ago

Payor Contracting Specialist

VytlOne is the nation’s only independent, fully integrated total pharmacy solutions partner. The Payor Contracting Specialist will perform various administrative functions including the completion and tracking of pharmacy agreements and provide problem solving, auditing, reporting, and process recommendations for optimal departmental outcomes.

Health CarePharmaceutical
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Growth Opportunities

Responsibilities

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

Qualification

Pharmacy contractingClaims processingMicrosoft ExcelProject managementInterpersonal skillsProblem-solvingAttention to detailOrganizational skillsCommunication skillsWriting skills

Required

High School Diploma or equivalent
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 contacting processes

Preferred

Bachelor's Degree
Experience in pharmacy contracting, insurance, or other business-related environment
Basic knowledge of contracts, third party insurance, and claims processing

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
And more!

Company

VytlOne

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With its nearly 100 years of Pharmacy Rxpertise, VytlOne (formerly Maxor) is the nation’s only independent, fully integrated total pharmacy solutions partner.

Funding

Current Stage
Late Stage
Total Funding
unknown
2014-01-31Acquired
2014-01-01Debt Financing

Leadership Team

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Mike Ellis
Chief Executive Officer
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Jennifer Gallego (Pein)
Chief Operating Officer - Maxorplus
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Company data provided by crunchbase