GEMCORE · 16 hours ago
Payer Partnerships Administrator
Hudson, OH
Full-time
Onsite
New Grad, Entry LevelGEMCORE is a recognized healthcare distribution company, and they are seeking a highly motivated Payer Partnership Administrator to join their team. The main responsibility of this role is to assist the payer team with key support functions of 3rd party-payer relationships for the GEMCORE Family of Companies.
Health CareMedicalPharmaceutical
Responsibilities
Research health insurance plans and Pharmacy Benefit Managers (PBMs) provider enrollment and contracting processes
Complete and disseminate payer enrollment applications and credentialing/re-credentialing documents on a timely basis
Monitor payer’s communications identifying market shifts, fee schedule changes, and other items that impact the relationship and could require action
Support payer team with contracting initiatives; including maintaining payer database, reports, and administrative tasks
Support payer contract implementation and coordination between cross-functional teams
Maintain department communications; including analyzing, reviewing, and delegating various communications to appropriate team members
Qualification
Required
Strong knowledge of CPT/HCPC coding is a must
Ability to multi-task, adapt to change, and prioritize work assignments
Proficient with all Microsoft Office applications Word, Excel, PowerPoint etc. with high business acumen
Good organizational skills and practices, and cognitive reasoning ability
Strong written and verbal communication skills
Light lifting of up to 25 pounds
Preferred
Experience working in the Durable Medical Equipment industry (DME) preferred
Knowledge of health insurance and PBMs preferred
Managed Care, Medicare, Medicaid, and 3rd party-payer enrollment and credentialing experiences helpful
Benefits
Employer paid vacation
Benefits available included medical/dental/vision, life, short and long-term disability insurances, and 401K Retirement Savings Plan
Ongoing training and development
Company
GEMCORE
GEMCORE offers a set of sustainable and innovative healthcare products and services for the betterment of human lives.
Founded in 1992
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase