GEMCORE · 6 hours ago
Sr. Manager Payer Partnerships
Hudson, OH
Full-time
Onsite
Senior Level
5+ years expGEMCORE is a well-established healthcare distribution company recognized for its growth and workplace culture. They are seeking a highly motivated Sr. Manager Payer Partnerships to manage the Key Payer Network Program, ensuring alignment with company growth objectives and fostering relationships with payers.
Health CareMedicalPharmaceutical
Responsibilities
Identify and remain current on payer trends and be knowledgeable of the industry leaders in the commercial, Medicare, Medicaid, networks and self-funded, payer markets
Procure payer contracts from designated sources, expand relationships with preferred payers and secure new opportunities
Assess the profitability of payer contracts in accordance with division goals and validate the terms of payer contracts through review and negotiation
Identify payor marketing channels and recommend strategies to maximize utilization of payer contracts
Nurture payer relationships and promote EHCS service and capabilities with key points of contact
Communicate pertinent payer contract changes to company personnel on a timely basis
Produce manufacturer payer reports
Qualification
Required
Knowledge of HCPC coding
Familiarity with durable medical equipment fee schedules
Exposure to benefits interpretation
Advanced research and problem-solving capacity
Ability to multi-task, adapt to change and prioritize work assignments
Proficient with all Microsoft Office applications Word, Excel, PowerPoint etc. with high internet acumen
Good organizational and cognitive reasoning ability
Strong written and verbal communication skills
5-7 years of experience in provider relations or network management
College degree, preferred
Light lifting of up to 25 pounds
Travel as required
Preferred
College degree, preferred
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.
201-500 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase