Payor Contracting Specialist @ Maxor National Pharmacy Services, LLC | Jobright.ai
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Maxor National Pharmacy Services, LLC · 1 day ago

Payor Contracting Specialist

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Responsibilities

Timely and accurately complete new and renewing contract documents.
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

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Pharmacy contractingClaims processingMicrosoft ExcelProject managementMicrosoft WordMicrosoft OutlookPDF SoftwareMultitasking skillsContractsThird party insurance

Required

High School Diploma or equivalent
Experience in pharmacy contracting, insurance, or other business-related environment
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
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
Career growth
And more!

Company

Maxor National Pharmacy Services, LLC

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At Maxor, we believe pharmacy is the heart of healthcare.

Funding

Current Stage
Late Stage
Total Funding
unknown
2014-01-31Acquired· by Beecken Petty O'Keefe & Company
2014-01-01Debt Financing· Undisclosed

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
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