Payor Contracts Manager

Omnicell•Grapevine, TX

2d•$100,000 - $175,000•Remote

About The Position

At Omnicell, we are transforming the future of pharmacy care through innovation, operational excellence, and deep partnerships across the healthcare ecosystem. As a Payor Contracts Manager, you will play a critical role in enabling access, improving reimbursement outcomes, and strengthening pharmacy network performance through strategic payer and PBM partnerships. This is an opportunity to lead impactful contract negotiations, influence network growth, and collaborate cross-functionally with legal, finance, and pharmacy operations teams. If you thrive in a fast-paced, data-driven environment and want to make a measurable impact on pharmacy access and performance, this role offers both challenge and growth.

Requirements

5+ years of experience in healthcare contracting, PBM contract administration, pharmacy network operations, or PSAO environments
Strong knowledge of PBM contracts, payer networks, reimbursement methodologies, and regulatory requirements
Negotiation skills with the ability to influence internal and external stakeholders
Strong analytical, problem-solving, and organizational skills with high attention to detail
Proficiency in Microsoft Office tools (especially Excel) and familiarity with pharmacy or credentialing systems
High level of integrity and discretion when handling sensitive contract and business information
Strong communication and interpersonal skills with the ability to build relationships and influence stakeholders across all levels of the organization
Ability to manage multiple priorities and deadlines while maintaining professionalism and accountability

Nice To Haves

PSAO knowledge and experience
Experience with specialty pharmacy operations or 340B program participation
Experience interpreting and operationalizing complex contract language
Paralegal experience or legal contract training
Bachelor’s degree in Business, Healthcare Administration, Pharmacy Administration, or a related field
Relevant certifications such as RPh or Certified Pharmacy Technician (CPhT)

Responsibilities

Lead negotiations of PBM and payer contracts, driving favorable business terms and sustainable pharmacy network participation
Partner with internal stakeholders to execute, administer, and optimize contract performance across the lifecycle
Oversee contract amendments, renewals, and terminations to ensure compliance with contractual obligations and timelines
Maintain clear and accurate contract documentation and communicate key terms to stakeholders
Facilitate onboarding, participation, and offboarding of independent pharmacies within payer and PBM networks
Ensure alignment between pharmacy eligibility requirements and network participation criteria
Maintain accurate participation records and collaborate with pharmacy relations teams to resolve issues impacting pharmacy access
Interpret contract provisions and translate them into actionable operational requirements
Ensure accurate implementation of reimbursement structures, participation rules, and network requirements
Monitor and track contractual obligations and key deliverables across PBM and payer relationships
Ensure adherence to regulatory requirements, contractual obligations, and payer policies
Support internal and external audits related to PBM/payer contracts and pharmacy network participation
Identify compliance risks and proactively escalate and resolve issues
Lead resolution of complex reimbursement and claims issues, including reprocessing and negotiated adjustments
Partner with finance and operational teams to ensure payment accuracy and reconciliation
Develop strategies to maximize reimbursement outcomes for participating pharmacies
Serve as a key liaison between contracting, pharmacy relations, legal, and finance teams
Provide operational insights to support contract negotiations and network strategies
Build strong partnerships to align contract execution with business objectives
Analyze trends related to reimbursement, claim rejections, and network performance
Develop and deliver reporting on pharmacy network participation, contract lifecycle and renewals, PBM participation and performance metrics, and compliance tracking and audit readiness
Provide actionable insights and recommendations to senior leadership
Identify and implement scalable processes to support expanding pharmacy networks
Enhance contract tracking systems and participation monitoring tools
Drive continuous improvement initiatives to increase efficiency and accuracy in contract administration