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Indiana University Health

Account Executive - Managed Care

System Services
Date Posted
28 September, 2021
Schedule & Shift
Full Time
Day
Requisition Number
311704-OTHLOC-300000007211415
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Account Executive - Managed Care

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Job Description

Overview

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The new Account Executive for Managed Care position will be responsible for all Pharmacy Benefit Manager (PBM) contracts across IU Health mainly in the retail/specialty pharmacy space. This role will work in collaboration with Pharmacy Services, Payer Contracting, Finance, Legal, and others. Will support the development and execution of contracting (including renewal) strategy, adhering to departmental pricing policy and preferred contract terms.

Possesses a strong and increasing working knowledge of the contracting process between IU Health payers, pharmacy benefit managers, suppliers, and pharmaceutical companies, and acts as a subject matter expert and resource to others. Acts as a lead in contract negotiations and on all pharmacy accounts and effectively and skillfully represents IU Health pharmacy services to finalize favorable contracts for the organization and department. Effectively balances demands of multiple accounts to ensure timeliness, contract compliance and performance results. Demonstrates a solid and strong working knowledge of pharmacy payment methodologies for commercial and government payers and ensures that department processes are aligned with such programs. Maintains a current understanding of contracting issues and takes efforts to keep current in industry intelligence. Monitors and identifies potential issues with managed care payers. Supports the organization in understanding potential impacts to ensure appropriate issue resolution.

Demonstrates a skilled understanding of commercial insurance, particularly for the specific benefit plan designs, payment structures, and insurance offerings represented by assigned payers and incorporates that knowledge into those contracts in order to ensure effectiveness.

  • Bachelor's degree in business administration, accounting, health administration or a related field required.
  • Requires 3-5 years relevant experience in healthcare or managed care.
  • Requires knowledge of health care insurance industry and managed care industry practices.

#LI-ML1

 

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. As a condition of employment, IU Health requires all new hires to receive various vaccinations, including the influenza and COVID-19 vaccines, barring an approved exemption. New hires will also be provided the option to submit proof of previous vaccination. The COVID-19 vaccine is not required to begin employment; however, all team members need to be fully vaccinated by September 1, 2021.

We are an equal opportunity employer and value diversity and inclusion at IU Health. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

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Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and more than 34,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.

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