Payer Contracting Executive
Virtual Vocations Inc
Leading payer negotiations end to end, the full-time remote Payer Contracting Executive will focus on expanding payer access across commercial, Medicare Part D, and Medicaid opportunities while developing and executing a payer access roadmap to maximize patient access and protect margins for the specialty pharmacy. Key responsibilities Lead negotiations for rates, terms, and network participation with payers Develop and execute a roadmap for expanding payer contracts and investigate new network opportunities Coordinate and oversee the contracting process, ensuring compliance with legal and regulatory requirements Required qualifications Bachelor's degree required; MBA or other graduate degree preferred 5 years of experience in payer contracting, managed care, or specialty pharmacy Experience negotiating payer or network agreements, preferably in specialty pharmacy or managed care Working knowledge of commercial, Medicare Part D, and Medicaid payer environments Certification as a Pharmacy Technician or relevant industry certification preferred
- ...Moffitt Cancer Center in Tampa seeks an Executive Director, Strategic Contracting to lead payer contract strategy and negotiations. You will shape oncology contract terms, drive value-based payment models, and coordinate with senior health-plan leadership to optimize access...SuggestedContract work
- ...CVS Health in the United States is seeking an Executive Director, Payer Contracting – Retail Health to lead payer contracting strategy, negotiate complex agreements, and align contracts with clinical and operational needs across Finance, Legal, and Operations. You will...Suggested
$131.5k - $303.2k
...be part of something bigger – helping to simplify health care one person, one family and one community at a time. Executive Director, Payer Contracting – Retail Health Position Summary The Executive Director, Payer Contracting leads payer contracting strategy...SuggestedHourly payFull timeContract workTemporary workWork experience placementLocal area- ...to our model. WellMed’s Florida network contracts directly with Medicare Advantage health plans and manages medical risk. Strong payer partnerships help sustain this model and... ...and Relations leads payer strategy, owns executive payer relationships and holds contract approval...SuggestedContract work
- ...position of DEPUTY, MANAGEMENT PROGRAMS, HS (UC) - CHIEF, PAYER STRATEGY AND CONTRACTING, HEALTH SERVICES ADMINISTRATION. This position is... ...reimbursement and meets all regulatory requirements. Provides executive oversight and direction for a wide range of critical administrative...SuggestedContract work
$159.3k - $273.2k
...to start Caring. Connecting. Growing together. As the VP Payer Contracting on our Optum Care team supporting the New England market,... ...will play a key leadership role in guiding the development and execution of strategic payer and preferred relationships. In this role...Minimum wageFull timeContract workWork experience placementLocal areaRemote work- ...UnitedHealth Group, via Optum Care, seeks a VP Payer Contracting to guide strategic payer contracts across New England. Lead teams, shape value-based reimbursement, and partner with key networks to support outstanding patient care and enterprise results. Location flexibility...Remote work
$290k - $320k
...and inpatient settings across multiple payer segments. Support the formulation of... ...outcomes or risked based product / portfolio contract, or rebate opportunities. Manage... ...currently anticipates the base salary for the Executive Director, Payer Strategy and Engagement...Contract workWork at officeLocal areaHome office3 days per week- ...Executive Director, Payer & Corporate Accounts Full-time Sobi Location: United States At Sobi, we believe diversity drives innovation... ...strategy across payer and corporate customers, bringing together contracting, customer engagement, account planning, and cross-...Full timeContract workWork at office
$209.7k - $389.4k
...PositionThis role is a valuable part of our Contract Strategy Implementation (CSI) team... ...ensuring patient access to our medicines by executing strategic managed care commitments. As a... ..., Contract Strategy Implementation (Payer/PBM) serves as a strategic leader responsible...Full timeContract workLocal areaRelocation package- ...not in the best interest of the patient. Executive Director/Vice-President is accountable... ...coverage and reimbursement and address payer reimbursement challenges Lead Patient Services... ...to understand implications of contracting strategies and service agreements, if applicable...Work at officeRemote workHome officeNight shift
- Teva Pharmaceuticals in Parsippany, NJ is seeking an Associate Director, Managed Care Payer Contracting to lead the development, implementation, and management of strategic Medicaid and commercial payer contracts across multiple programs. You will partner with Legal, Compliance...
- Corporate Director of Payer Contracting & StrategyNutex Health is seeking a highly strategic and dynamic Corporate Director of Payer Contracting... ...to lead our organization’s efforts in developing and executing comprehensive payer contracting initiatives. This pivotal leadership...Daily paidContract work
- ...Overview The Director, Payer Strategy & Contracting leads the development, negotiation, implementation, and ongoing management of payer agreements... ...-based care arrangements. The Director partners with executive leadership, finance, revenue cycle, clinical operations,...Contract work
$216k - $265k
...gene therapy. RESPONSIBLITIES The Director of Pricing, Payer Contracting & Analytics is an individual contributor role within Market... ...operationally complex. This role requires detailed management and execution, while thinking strategically about contracting and access...Full timeContract workWork at officeFlexible hours3 days per week- ...Nutex Health is seeking a Corporate Director of Payer Contracting & Strategy to lead hospital system payer initiatives. You will oversee negotiations, contract management, and the development of value-based arrangements to optimize revenue and align with organizational...Contract work
$128.5k - $196.38k
...Director – Payer Strategy & Contracting Analytics page is loaded## Director – Payer Strategy & Contracting Analyticsremote type: Hybridlocations: New York, NYtime type: Full timeposted on: Posted Todayjob requisition id: JR2025-103219**How you move is why we’re here....Full timeLocal areaFlexible hoursShift work- ...University of California, Riverside is seeking a Director of Contracts to lead the SOM Contracts Department. The role oversees negotiation... ...of clinical professional services, GME/UME affiliations, and payer agreements, ensuring compliant contracting workflows and timely...Contract work
- ...Biotherapeutics in Somerville, MA is seeking a Director of Pricing, Payer Contracting & Analytics to lead payer contracts, government pricing, and... .... This role blends strategic contracting with hands-on execution, requiring collaboration with Finance, Legal, and external...
- ...members to positively impact our mission of making communities healthier®. More about our team The Director, Payer Relationships and Value-Based Contracting provides strategic and operational leader‑ship for Advantage Point Health Alliance's payer relationships and...Full timeContract workTemporary workLocal area
$290k - $315k
...applications and next steps. Our partner is looking for an Executive Director, Payer & Corporate Accounts based in the United States. We are... ...systems. You will establish a unified approach to contracting, account management, and customer engagement to help improve...Full timeContract workTemporary workWork at office- ...A leading healthcare institution in New York is seeking a Director of Payer Strategy & Contracting Analytics to provide analytical support for payer contracting efforts. The role involves translating business priorities into data-driven solutions, mentoring junior analysts...
- ...Job Description - Director Payer Contract/Ops/Credentialing (302255) Job Description Director Payer Contract/Ops/Credentialing - 30... ...relate cooperatively and constructively with medical staff, executives, staff, elected officials, and managed care companies. Independent...Contract work
- ...Lifepoint Health in Brentwood, TN seeks a Director, Payer Relationships and Value-Based Contracting to lead strategic payer engagement and performance across Medicare Advantage, Medicaid, Commercial, and ACA lines. This role partners with Finance, Analytics, Legal, and...Contract work
- ...Nicklaus Children's seeks a Director Payer Contract/Ops/Credentialing to lead all payer contracting and credentialing across the Health System in Miami, FL. You will guide senior leadership on pricing, negotiations, and delegated credentialing, building a strong team...Contract work
$225k - $245k
...alternative application process. National Strategic Accounts Executive-Payer (West) Salaried - Full Time Management Remote, US 16... ...corporate National Payor access strategies and provide input on contracting, pricing, and service offerings. Develop and implement...Full timeContract workRemote workWork visaFlexible hours- The Specialty Alliance (TSA) is seeking a Director of Payer Relations to lead contracting and negotiations with payers across an assigned geography. The role drives value-based arrangements, pricing strategies, and contract management to optimize revenue and ensure compliant...Contract work
- CommUnityCare Health Centers is seeking a strategic Director, Payer Strategy & Contracting to lead development, negotiation, implementation, and... ..., MCOs, and commercial payers. You will partner with executive leadership and cross-functional teams to evaluate performance...Contract work
- GI Alliance seeks a Director of Payer Relations to lead initial negotiations and finalization of payer contracts across multiple geographies. You will shape contracting... ...payers and providers, and oversee contract execution and training to ensure compliant implementation...Contract work
$290k - $315k
...need of life saving treatments Job Description The Executive Director, Payer & Corporate Accounts is a key leadership role within U.S.... ...strategy across payer and corporate customers, bringing together contracting, customer engagement, account planning, and cross-...Contract workTemporary workWork at office
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