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Indiana University Health

Director- Pharmacy Managed Care

System Services
Date Posted
20 June, 2022
Schedule & Shift
Full Time
Day
Requisition Number
331752
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Director- Pharmacy Managed Care

Job Description

Overview

The Director- Pharmacy Managed Care negotiates reimbursement rates and contracts with commercial managed care organizations for a large hospital system. Able to use financial modeling outcomes and financial data bases to anticipate impact of the reimbursement changes to revenue. Monitors and tracks contract compliance and can effectively report results to senior leadership team as requested. Ensures a mechanism for the credentialing and enrollment of the organization's providers, in conjunction with operational and managed care contract requirements.


QUALIFICATIONS

 Bachelors Degree Required. Masters or JD Degree Preferred.
• Requires 5-10 years of relevant experience.
• Requires minimum of 5-7 years experience successfully negotiating or litigating complex    Commercial or Medicare replacement or managed Medicaid or workers compensation, fee-for-service contracts or value based contracts.

 

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.

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.

Qualifications for the Director- Pharmacy Managed Care Role

Overview

The Director- Pharmacy Managed Care negotiates reimbursement rates and contracts with commercial managed care organizations for a large hospital system. Able to use financial modeling outcomes and financial data bases to anticipate impact of the reimbursement changes to revenue. Monitors and tracks contract compliance and can effectively report results to senior leadership team as requested. Ensures a mechanism for the credentialing and enrollment of the organization's providers, in conjunction with operational and managed care contract requirements.


QUALIFICATIONS

  • qualifications__list
     Bachelors Degree Required. Masters or JD Degree Preferred.
  • Requires 5-10 years of relevant experience.
  •  Requires minimum of 5-7 years experience successfully negotiating or litigating complex    Commercial or Medicare replacement or managed Medicaid or workers compensation, fee-for-service contracts or value based contracts.

Job Page Content image

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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