Payor Contract Manager, Infusion

Elevance Health

Multiple Locations
Hybrid
Payor contract lifecycle management
Reimbursement methodology analysis
Contract compliance monitoring
The Payor Contract Manager, Infusion manages the lifecycle of payor contracts including review, interpretation, implementation, amendments, and renewals to optimize reimbursement and ensure compliance

Job Summary

  • The Payor Contract Manager, Infusion manages the lifecycle of payor contracts including review, interpretation, implementation, amendments, and renewals to optimize reimbursement and ensure compliance.
  • Elevance Health offers a hybrid work model requiring associates to be in-office 1-2 days per week, promoting collaboration while supporting productivity and work-life balance.
  • The company is a Fortune 25 health organization dedicated to improving lives and communities with a culture focused on personal and professional growth.

Matching Summary

The Payor Contract Manager, Infusion manages the lifecycle of payor contracts including review, interpretation, implementation, amendments, and renewals to optimize reimbursement and ensure compliance.

Skills & Requirements

Must-have

  • payor contract lifecycle management
  • reimbursement methodology analysis
  • contract compliance monitoring
  • collaboration with finance and IT
  • hybrid work environment
  • specialty and infusion pharmacy knowledge

Nice-to-have

  • contract education and training
  • audit readiness and support
  • forecasting and margin analysis
  • support payor escalations
  • work-life balance focus
  • dynamic and adaptable workplace

Key Requirements

  • Bachelor’s degree in Business or related field
  • Minimum 5 years payor contracting experience
  • Experience in specialty or infusion pharmacy environments

Work Rights

Not specified

Tailored Resume

Cover Letter