Payor Contract Manager, Specialty Pharmacy

Elevance Health

Multiple Locations, ,
Hybrid
Payor contract lifecycle management
Reimbursement methodology analysis
Contract compliance and audit readiness
The Payor Contract Manager, Specialty Pharmacy manages the operational management, analysis, and administration of payor contracts supporting specialty pharmacy and infusion services to optimize reimbursement and ensure compliance

Job Summary

  • The Payor Contract Manager, Specialty Pharmacy manages the operational management, analysis, and administration of payor contracts supporting specialty pharmacy and infusion services to optimize reimbursement and ensure compliance.
  • Elevance Health offers a hybrid work model requiring 1-2 days in-office per week to foster collaboration while supporting productivity and work-life balance.
  • The company provides a comprehensive total rewards package including merit increases, paid holidays, PTO, incentive bonuses, medical and financial benefits, and promotes a culture of personal and professional growth.

Matching Summary

The Payor Contract Manager, Specialty Pharmacy manages the operational management, analysis, and administration of payor contracts supporting specialty pharmacy and infusion services to optimize reimbursement and ensure compliance.

Skills & Requirements

Must-have

  • payor contract lifecycle management
  • reimbursement methodology analysis
  • contract compliance and audit readiness
  • collaboration with finance and IT teams
  • hybrid work environment with office presence

Nice-to-have

  • contract education and training
  • supporting payor escalations and network inquiries
  • work-life balance focus
  • dynamic and adaptable workplace culture

Key Requirements

  • Bachelor’s degree in Business or related field
  • Minimum 5 years experience in payor contracting or managed care
  • Experience in specialty or infusion pharmacy environments
  • Knowledge of Medicare, Medicaid, and commercial payor regulations

Work Rights

Not specified

Tailored Resume

Cover Letter