Payor Contracting Specialist

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Maxor National Pharmacy Services, LLC

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1926

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Debt Financing on 2014-01

Consulting • Logistics • Healthcare

Maxor National Pharmacy Services, LLC is a healthcare company committed to transforming pharmacy care by connecting pharmacies, providers, and patients to enhance value and improve health outcomes. Established in 1926, it employs approximately 600 pharmacists and technicians across 42 states, offering various services including specialty pharmacy and pharmacy benefit management.

📋 Description

• Complete and track new and renewing pharmacy agreements, credentialing forms, surveys, pharmacy requests, and inquiries • Coordinate with management and stakeholders on new payor contracts, negotiations, and rate validation • Maintain departmental databases and demographic information for pharmacies and contracts • Follow up on pending tasks and provide status updates • Submit and record contractual agreements and documents according to departmental policies • Communicate with external and internal departments • Assist with developing, maintaining, and enforcing departmental policies and procedures • Perform problem solving, auditing, reporting, and process recommendations for departmental outcomes • Establish and maintain work relationships with external and interdepartmental staff

🎯 Requirements

• High School Diploma or equivalent required • Bachelor’s Degree preferred • Experience in PBM pharmacy contracting required • Basic knowledge of contracts, third party insurance, and claims processing preferred • Proficiency in Microsoft Word, Excel, Outlook, PDF Software, and other management tools • 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 • Firm understanding of pharmacy contracting processes • Ability to work independently with minimal supervision • Ability to follow direction with minimal ongoing support and apply knowledge to new situations • Willingness to work outside the box and remain open to change

🏖️ Benefits

• VytlOne is an EOE, including disability/vets