Overview:
The Payor Contracting Specialist will perform a variety of administrative functions for Maxor’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.
Position Location
This is a remote-based position within the Continental US.
Our Company
Founded in 1926, Maxor is a leading, independent pharmacy solutions platform that improves prescription drug affordability and outcomes. Over time, Maxor has built a unique and complementary suite of services and technology offerings that deliver clinical, financial and strategic value to patients, payors and providers across the pharmacy supply chain.
Why Maxor?
Pharmacies are essential to healthcare, with nearly 90% of the US population living within 5 miles of one and seeing their pharmacist an average of 12 times a year. Providing a positive patient experience is crucial to ensuring patients adhere to their therapies. At Maxor, we recognize that our employees are our most valuable assets. We actively seek and retain talented professionals who are mission-driven to improve healthcare outcomes for patients. Our employees are essential to their own well-being, finding fulfillment in meaningful work, competitive compensation, diverse and inclusive teams, and limitless career possibilities.
With a workforce of 1,300+ and almost a century of pharmacy experience, we offer the stability of a Fortune 500 company and the energy and innovation of a startup. Our expertise and technology support the entire pharmacy ecosystem, but our impact goes beyond pharmacy services. We enable pharmacy care.
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.
Qualifications:
Education:
- High School Diploma or equivalent; Bachelor’s Degree preferred.
Experience:
- Experience in pharmacy contracting, insurance, or other business-related environment. Basic knowledge of contracts, third party insurance, and claims processing is preferred.
Knowledge, Skills, and Abilities:
- 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.
WE OFFER
At Maxor, we foster a diverse and progressive culture that promotes a work-from-home model and a "dress-for-your-day" approach to work attire. Our team-oriented environment encourages collaboration and innovation.
We offer highly competitive compensation and comprehensive health benefits including:
- 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
- And more!
Apply today at https://www.maxor.com/careers/
Maxor is an EOE, including disability/vets
