Director, Payer and Pharma Contracting - Hybrid

Option Care Health•Bannockburn, IL

1d•Hybrid

About The Position

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States, with over 8,000 team members including 5,000 clinicians. The company is dedicated to elevating standards of care for patients with acute and chronic conditions across all 50 states and fostering an inclusive, respectful, engaging, and rewarding culture. The Director of Payer and Pharma Contracting is responsible for leading the contracting process with targeted payer and pharma accounts. This role involves designing, implementing, and managing Option Care Health's contracting processes, including vendor/technology management, process improvement, and execution. The Director collaborates with Market Access, Pharma Relations/Business Development, Contracting Performance, Sales, and Operations colleagues to address patient access barriers. Additionally, this role serves as the Secretary of the Pricing and Contracting Committee and works with Revenue Cycle Management and Finance to ensure contracts are operationalized.

Requirements

Bachelor’s degree
At least five (5) years of experience in contract analysis and development
At least eight (8) years of experience in a combination of Contracting, Finance, Legal, Account Management, Pricing or Corporate Strategy
At least three (3) years’ experience in an account management role
Experience evaluating information to determine compliance with standards, laws, and regulations.
Demonstrated ability to lead cross functional teams.
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
Intermediate proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, etc.).
Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary.

Nice To Haves

Master’s Degree
Experience as a people leader with direct reports.
Experience negotiating with outside vendors, including negotiating contracts, prices, resolving service issues and reconciling differences.
Infusion or ancillary health contracting experience.

Responsibilities

Leads the Contracting Process nationally and assigns Targeted Accounts to Contracting Team.
Collaborates cross functionally with Market Access, Legal, and Finance colleagues to implement contracts that maximize account profitability and access.
Ensures that Manager(s) and Analyst(s) supporting their assigned accounts understand the systems, operational processes and pricing expectations for each respective customer segment to facilitate the development of effective proposals and contracts.
Leads the review and approval process for specific account proposals.
Ensures account proposals, models and pricing are accurate and completed in accordance with defined service levels to meet internal and external customer timelines.
Supports Market Access business reviews, including gathering marketing materials & data to support priority objectives, and aligning how OCH objectives support the account’s objectives.
Ensures contract proposals comply with Department goals and objective as well as Corporate policies and procedures.
Provides direction on the methodology and approach to evaluate proposals.
Ensures that the analytical framework for proposal development is consistent with company standards and ensures that action-oriented data is available for decision makers.
Ensures that contract terms and conditions reflect pricing parameters of approved account proposals.
Consults with legal as needed to draft specific contract language that meets business objectives.
Acts as the subject matter expert on departmental data, business metrics and operational processes.
Serves as Secretary of the Pricing and Contracting Committee, completing all associated duties, including but not limited to scheduling, documentation, etc.
Leads Contract process, including technology/vendor selection and management, process management and improvement, and the execution of the process.
Works with internal and external auditors to ensure compliance with OCH Policies, supporting documentation requests.