Pharmacy Director- Managed Care
Job Location
Department
04 November, 2022
Full Time
Day
331752
Pharmacy Director- Managed Care
This job posting is no longer active.
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
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.
• 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.
Qualifications for the Pharmacy Director- 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
- 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.
Indiana University Health is Indiana’s most comprehensive health system, with 16 hospitals and nearly 40,000 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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