Director, Payer and Pharma Contracting - Hybrid

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Director of Payer and Pharma Contracting is responsible for leading the contracting process with targeted payer and pharma accounts. This role is responsible for designing, implementing, and managing OCH contracting processes, including vendors/technology, process management and improvement, and execution. The role will coordinate with their Market Access, Pharma Relations/Business Development, Contracting Performance, Sales, and Operations colleagues to resolve barriers to access for patients. This role serves as the Secretary of the Pricing and Contracting Committee, responsible for all associated duties outlined in Committee Charter. This role collaborates with Revenue Cycle Management and Finance to ensure contracts meet functional criteria to operationalize. This role has supervisory responsibilities for all Payer and Pharma Contract Managers and Analysts.

Job Description: ​

Leads the Contracting Process nationally and assigns Targeted Accounts to Contracting Team. This includes collaborating cross functionally with Market Access, Legal, and Finance colleagues to implement contracts that maximize account profitability and access.

Ensures that Manager(s) and Analyst(s) supporting their assigned accounts understand the systems, operational processes and pricing expectations for each respective customer segment to facilitate the development of effective proposals and contracts.

Leads the review and approval process for specific account proposals. Ensures account proposals, models and pricing are accurate and completed in accordance with defined service levels to meet internal and external customer timelines.

Supports Market Access business reviews, including gathering marketing materials & data to support priority objectives, and aligning how OCH objectives support the account’s objectives.

Ensures contract proposals comply with Department goals and objective as well as Corporate policies and procedures. Provides direction on the methodology and approach to evaluate proposals. Ensures that the analytical framework for proposal development is consistent with company standards and ensures that action-oriented data is available for decision makers.

Ensures that contract terms and conditions reflect pricing parameters of approved account proposals. Consults with legal as needed to draft specific contract language that meets business objectives.

Acts as the subject matter expert on departmental data, business metrics and operational processes.

Serves as Secretary of the Pricing and Contracting Committee, completing all associated duties, including but not limited to scheduling, documentation, etc.

Leads Contract process, including technology/vendor selection and management, process management and improvement, and the execution of the process. Works with internal and external auditors to ensure compliance with OCH Policies, supporting documentation requests.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No

Yes

Basic Education and/or Experience Requirements

Bachelor’s degree

At least five (5) years of experience in contract analysis and development

At least eight (8) years of experience in a combination of Contracting, Finance, Legal, Account Management, Pricing or Corporate Strategy with at least three (3) years’ experience in an account management role

Experience evaluating information to determine compliance with standards, laws, and regulations.

Demonstrated ability to lead cross functional teams.

Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.

Intermediate proficiency with Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, etc.).

Experience developing ways of accomplishing goals with little or no supervision, depending on oneself to complete objectives and determining when escalation of issues is necessary.

Travel Requirements: (if required)

Limited

Preferred Qualifications & Interests (PQIs)

Master’s Degree

Experience as a people leader with direct reports.

Experience negotiating with outside vendors, including negotiating contracts, prices, resolving service issues and reconciling differences.

Infusion or ancillary health contracting experience.

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $126,505.85-$210,858.08

Benefits:

-Medical, Dental, & Vision Insurance

-Paid Time off

-Bonding Time Off

-401K Retirement Savings Plan with Company Match

-HSA Company Match

-Flexible Spending Accounts

-Tuition Reimbursement

-myFlexPay

-Family Support

-Mental Health Services

-Company Paid Life Insurance

-Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

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For over 40 years, Option Care Health has provided adult and pediatric patients with an alternative to hospital infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality infusion services for nearly all patients with acute and chronic conditions across the United States, resulting in high quality outcomes at a significantly reduced cost. Option Care Health has more than 70 infusion pharmacies and 100 alternate treatment sites. We are guided by our purpose to provide extraordinary care that changes lives through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for financial assistance, education and customized treatments.