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Specialty Pharmacy Contract Manager
Elevance Health. Provide strategic planning and account management for larger payor accounts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in strategic planning and account management for payor accounts, with a strong focus on maintaining relationships and ensuring compliance with contractual obligations. Proficient in managing operations and customer service within health plan and PBM environments.
Highest-signal resume keywords
Payor Contract ManagementHealth Plan ExperiencePBM ExperienceSmartsheet ProficiencyExcel Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Strategic PlanningAccount ManagementContractual ComplianceCustomer Relationship ManagementClaims ResolutionBenefit InterpretationEnrollment Issue ResolutionReporting and Metrics Preparation
Soft Skills
Customer ServiceProblem SolvingInterpersonal Communication
Certifications & Qualifications
BA/BS Degree
Industry Keywords
Specialty PharmacyInfusion PharmacyPayor AccountsHealth PlanPBM
About the role
Key responsibilities & impact- Provide strategic planning and account management for larger payor accounts
- Direct and manage administration of payor contractual requirements and obligations
- Assist with new and renewal implementation processes for accounts
- Interface with operations to ensure smooth service delivery
- Maintain payor account relationships at multiple levels throughout health plan and PBM organizations
- Recommend improvements to meet expectations
- Provide on-site and off-site customer service
- Interpret plan design
- Research and resolve phone and written inquiries
- Resolve claims, benefit, and enrollment issues
- Prepare and submit contractually required health plan and PBM reports and metrics
- Manage payors and payor contracts
Requirements
What you’ll need- Requires a BA/BS
- Minimum of 3 years of experience managing business operations and/or customer relationship
- Any combination of education and experience which would provide an equivalent background
- Specialty and Infusion Pharmacy experience strongly preferred
- Payor contract, health plan, and PBM experience preferred
- Smartsheet and Excel proficiency for payor reporting experience preferred
- Must reside within a reasonable commuting distance from a posting location unless an accommodation is granted
- Monday–Friday availability, 8:00am–5:00pm EST
- New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza; exemptions require an acceptable explanation
Benefits
Comp & perks- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short-term disability benefits
- Long-term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid work arrangement with flexibility and virtual work
- Work-life balance support