Payor Contracting Specialist

Maxor National Pharmacy Services • Plano, TX

228d • Remote

About The Position

The Payor Contracting Specialist will perform a variety of administrative functions for Maxor's owned and managed pharmacies. This includes the completion and tracking of pharmacy agreements, credentialing forms, surveys, pharmacy requests and inquiries as well as ongoing maintenance of departmental documents. The Payor Contracting Specialist will be a self-motivator and provide problem solving, auditing, reporting, and process recommendations for optimal departmental outcomes.

Requirements

• High School Diploma or equivalent; Bachelor's Degree preferred.
• Experience in pharmacy contracting, insurance, or other business-related environment.
• Basic knowledge of contracts, third party insurance, and claims processing is preferred.
• 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.

Responsibilities

• Timely and accurately complete new and renewing contract documents.
• Able to work independently with minimal supervision.
• 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.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Health and Personal Care Retailers
• Education Level: High school or GED