Manager Payer Access

1 month ago

Nashville TN United States HealthTrust Full time

Description

Introduction

Do you want to join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HealthTrust, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Manager Payer Access like you to be a part of our team.

Job Summary and Qualifications

The individual in this position will serve as the subject matter expert on the team in the areas of payer coverage and drug reimbursement. The individual will partner with both the HealthTrust pharmacy sourcing team and directly with members to create contracting strategies and tools that consider the implications of payor coverage and reimbursement on purchasing habits. The individual will also be responsible for supporting the pharmacy benefit manager (PBM) by assessing payer policies and opportunities for alignment with the group purchasing organization (GPO).

What you will do in this role includes:

  • Provides leadership in the area of managed care to contribute to the GPO’s overall strategic plan
  • Assess and provide leadership in the area of payor policies, reimbursement, and coverage to guide and support organization’s strategy
  • Assimilates information from variety of sources, able to analyze and interpret financial and clinical data, make strategic recommendations and execute a course of action for pharmaceutical savings opportunities and clinical standardization
  • Review data and evaluate trends in reimbursement published by CMS
  • Conduct reimbursement analyses to drive sourcing initiatives and create new sourcing projects
  • Evaluate and report on payer coverage of key drugs
  • Regularly assess and maintain list of drugs with statuses that impact reimbursement (e.g. pass-through status, NTAP, etc.)
  • Develop member-facing reports to assess impact of reimbursement changes
  • Serve as SME for the GPO and PBM on various payer strategies, including but not limited to white bagging.

What qualifications you will need:

  • Bachelor’s degree Preferred
  • Minimum of 5 years of relevant experience in healthcare related role with experience directly related to duties and responsibilities specified Required
  • Previous experience in supply chain, value analysis, purchased services and/or sourcing that includes pharmacy service line knowledge and experience Required

In today's challenging business environment of cost pressures, supply disruptions, and workforce shortages, it is crucial for providers to efficiently manage expenses and enhance performance. HealthTrust, in collaboration with 1,800 hospitals and health systems, offers a specialized group purchasing organization (GPO) membership model designed to deliver immediate and sustainable cost savings. Their team of experts provides tailored value acceleration engagements to address specific needs, delivering unparalleled benefits. With nationwide purchasing power and a focus on overall spending management, HealthTrust offers unmatched pricing advantages on supplies, along with industry-leading benchmarks and best practices. The dedicated team is committed to guiding and implementing performance enhancements in cost, quality, and outcomes.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years. HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals Our Talent Acquisition team is reviewing applications for our Manager Payer Access opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

HT-AFHP

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