Payer Contract Coordinator

2 weeks ago


Monroeville, Pennsylvania, United States CVS Health Full time
Job Summary

As a Payer Contract Coordinator at CVS Health, you will play a critical role in ensuring the smooth flow of payment to payers, allowing us to quickly dispense and bill for thousands of medications vital to our patients' health. This hybrid role requires strong communication and organizational skills, as you will interface with multiple internal groups, including medical billers and coders, pharmacy technicians, and contract sales associates.

Key Responsibilities
  • Process and coordinate contract requirements and re-certifications with payers and other authorized agents.
  • Monitor payer reimbursement data in multiple systems and reports to ensure compliance with expected pricing and reimbursement rates.
  • Serve as a critical point of contact for healthcare billing and reimbursement operations.
  • Routinely interface with internal groups to ensure seamless communication and coordination.
Requirements
  • 18+ months of experience in healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations.
  • 12+ months of experience working with Microsoft Office, specifically Excel, Outlook, and Word.
  • Must live within a 1-hour commute to the Monroeville, PA office.
Preferred Qualifications
  • Experience with SharePoint.
  • Experience dealing with contracts with payers.
Benefits

We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) retirement savings plan and employee stock purchase plan. Eligible employees may also participate in our Employee Stock Purchase Plan and receive a fully-paid term life insurance plan. We provide a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

Why Join CVS Health?

We are committed to promoting and sustaining a culture of diversity, inclusion, and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.



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