Payor Contracting Specialist - Contract position
VytlOne•Plano, TX
•$25 - $31•Remote
About The Position
The Payor Contracting Specialist will perform a variety of administrative functions for VytlOne's owned and managed pharmacies. This include 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. Pharmacy Contracting/enrollment experience required.
Requirements
- High School Diploma or equivalent
- Pharmacy Contracting/enrollment experience required.
- 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.
Nice To Haves
- Bachelor’s Degree preferred.
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
- hourly rate ranging from $25-$31/hour, based on experience and qualifications.
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What This Job Offers
Career Level
Mid Level
Education Level
High school or GED
