Welcome page Returning Candidate? Log back in! Director, Payer Contracts Job Locations US-OK-OKLAHOMA CITY ID 2024-157651 Line of Business Amerita Position Type Full-Time Our Company

Amerita

Overview

Amerita is a leading provider of Specialty Infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. As one of the most respected Specialty Infusion providers in America, we service thousands of patients nationwide through our growing network of branches and healthcare professionals. 

Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work closely with Directors of Managed Care, RCM, Sales Executive and Field Management to provide research and solutions on payer related issues.

 

• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan with Employer Match
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays 

Responsibilities Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of businessResponsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company, including opportunistically working with the field sales teams to support current and expansion marketsActs as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and productsOversees HIT managed care sales process, including negotiating terms with payers.  Negotiations include discussion on payment rate and structure, and all aspects of contract languageProvides insight and knowledge in order to facilitate net revenue budgeting, long term planning, and the strategic planning for the organizationParticipates in events that are important to the business, including trade shows and educational events to promote services, visibility and relevance with targeted payersManages highly complex market dynamics, including HIT and PBM payer issues, state and government regulations, payment issues, etc.Consistently executes on business priorities and aligns team to the organizational goalsManages payer contracting oversight responsibilities for any contracting cycle (new and amended), and credentialing Qualifications Bachelor’s degree in related field, Master’s preferredMinimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities (managed care, government, PBM); home infusion and medical clinic experience preferredExcellent time management, prioritization and organizational skillsExperience in Outlook, Word, and PowerPoint desiredStrong organizational and interpersonal skills as well as ability to build lasting client relationshipsWell-developed planning, marketing, organizational development, and business skillsGeneral business and financial acumen; understanding of managed care terminology, contracting environment, procedures and workflowsSelf-motivated and results orientedProficiency in Microsoft Office applications, including Excel, Word and PowerPointProficiency in SalesForce.com or other CRM applicationsExcellent verbal and written communication and presentation skills

**To perform this position will require sitting and typing on keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**

About our Line of Business Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn.