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Manager Payer Contracting Remote
Manager Payer Contracting Remote-March 2024
Madison
Mar 28, 2026
About Manager Payer Contracting Remote

  JOB REQUIREMENTS: Lumicera Health Services Powered by Navitus InnovativeSpecialty Pharmacy Solutions- Lumicera Health Services is defining the\"new norm\" in specialty pharmacy to optimize patient well-beingthrough our core principles of transparency and stewardship. Here atLumicera, our team members work in an environment that celebratescreativity and fosters diversity. Due to growth, we are adding thisManager, Payer Contracting to our Trade Relations department. We areunable to offer remote work to residents of Alaska, Hawaii, Maine,Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island,South Carolina, South Dakota, West Virginia, and Wyoming. The Manager,Payer Contracting will be responsible for the management of pharmacycontracts for Lumicera and its partners. The primary responsibility isto drive growth and profitability for Lumicera through effectivecontract administration. This position leader with experience onboardingnew pharmacy payers and operationalizing payer contract requirements.Responsible for implementing the strategy for the pharmacy payerorganization sector driving revenue enhancement through partnershipswith pharmacy payers and developing value propositions for the payercommunity. The Manager, Payer Contracting will evaluate the valueobtained from each pharmacy contract and will be responsible to ensurecompliance with all contractual obligations of such contracts. TheManager, Payer Contracting assists with addressing reimbursement issues,audit review, and managing all personnel responsible for payercontracting and payer audits. The Manager, Payer Contracting handlesnegotiations as well as other pharmacy related projects and initiativesacross all lines of business and geographies (Commercial, Medicare andmanaged Medicaid). The position will work with multiple departments tofulfill the responsibilities of this role with respect to pharmacyservices including necessary administrative duties required to maintaincompliance with all state and federal regulations. Is this you? Find outmore below! How do I make an impact on my team? Oversees and providesstrategy for payer contracting, reviews and negotiates contracts,develops financial models. Leads/participates in pharmacy relatedbusiness development opportunities such as value based contractingmodels with the aim to decrease PMPM. Negotiate pharmacy networkreimbursement ethically in support of Lumicera\' s mission and strategicobjectives. Performs human resources responsibilities for staff whichinclude interviewing and selection of new employees, promotions, staffdevelopment, performance evaluations, compensation changes, resolutionof employee concerns, corrective actions, terminations, and overallemployee morale. Negotiate and execute pay for performance contractswith... For full info follow application link. Navitus Health Solutionsis an Equal Opportunity Employer:Disabled/Veterans/Male/Female/Minority/Other ***** APPLICATIONINSTRUCTIONS: Apply Online: ipc.us/t/4C38E5B58B1F45C6

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