AmeriPharma · 1 day ago
Payor Contracts Specialist
Laguna Hills, CA
Full-time
Onsite
Mid Level
3+ years expAmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. The Payor Contracts Specialist will be responsible for negotiating and managing payer contracts, optimizing market access strategies, and collaborating with various internal stakeholders to support the company's objectives.
Health CareMedicalNursing and Residential CareRehabilitation
Responsibilities
Negotiate, review, and execute payer contracts for pharmaceutical products, ensuring favorable terms and conditions for the company
Manage the full contract lifecycle, from initial negotiation to renewal and termination
Analyze contract performance and identify opportunities for improvement
Ensure compliance with all relevant laws, regulations, and company policies
Monitor changes in the payer landscape, including policy updates, formulary decisions, and reimbursement trends
Develop and implement strategies to optimize market access and reimbursement for new and existing products
Collaborate with internal stakeholders (e.g., sales, marketing, legal, finance) to support market access initiatives
Track and analyze key performance indicators (KPIs) related to payer contracts and market access
Prepare regular reports on contract status, performance, and market access trends for management
Utilize data to identify areas for strategic focus and improvement in payer relations
Build and maintain strong relationships with key payer contacts and stakeholders
Serve as a primary point of contact for payer-related inquiries and issues
Represent the company at industry conferences and meetings as needed
Work closely with legal counsel to ensure contract compliance and mitigate risks
Collaborate with finance to assess financial implications of contract terms
Partner with sales and marketing teams to support product launch strategies and market penetration
Qualification
Required
Bachelor's degree in business, healthcare administration, finance, or a related field
3+ years of experience in payer contracting within the pharmaceutical or healthcare industry
Proven track record of successful contract negotiation and management
In-depth knowledge of managed care organizations, commercial payers, Medicare, and Medicaid
Strong understanding of pharmaceutical reimbursement methodologies and market access strategies
Excellent analytical, negotiation, and communication skills (written and verbal)
Ability to work independently and as part of a team in a fast-paced environment
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
Preferred
Experience with specialty pharmacy and/or infusion therapy preferred
Proven experience in managing relationships and negotiating with health plans, PBMs, and other payer organizations
Benefits
Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
Great pay and general compensation structures
Employee assistance program to assist with mental health, legal questions, financial counseling etc.
Comprehensive PTO and sick leave options
401k program
Plenty of opportunities for growth and advancement
Company sponsored outings and team-building events
Casual Fridays
Company
AmeriPharma
AmeriPharma is a healthcare group that offers long term care, infusion, and customized medical packing for vulnerable patients.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Andrew Allen Harper
COO
Company data provided by crunchbase