Director, Pharmacy Payer Access Strategy and Contracting

1 week ago


Kentucky, United States Baptist Health System KY & IN Full time

Job Title: Director, Pharmacy Payer Access Strategy & Contracting at Baptist Health

Baptist Health is in search of a talented individual to take on the role of Director, Pharmacy Payer Access Strategy & Contracting within our Pharmacy Team. This key position, which may offer the flexibility of remote work, involves spearheading growth and profitability for Baptist Health Pharmacy through meticulous contract management. We need a well-connected leader who can efficiently onboard new pharmacy payers, ensure compliance with contract requirements, and drive revenue by establishing strategic partnerships.

Key Responsibilities:

  • Develop and implement a business development strategy for the pharmacy payer sector
  • Maximize revenue growth by collaborating with pharmacy payers and leveraging Baptist Health's geographical coverage
  • Enhance ambulatory and specialty pharmacy network access to better serve Baptist Health patients
  • Lead pharmacy payer credentialing, contract modeling, and relationship management
  • Ensure compliance with contract terms and payment rates, while upholding patient information confidentiality

Requirements:

  • Master's degree in business or a health-related field (PharmD preferred)
  • Minimum of 5 years of experience in pharmacy payer performance and contract administration
  • Knowledge of reimbursement dynamics in pharmacy and medical benefits
  • Proven track record in managing performance targets

Skills: Pharmacy Contracting, Pharmacy Payer Strategy, Pharmacy Leadership


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