Develop business relationships with payers, advocate for mutual interests and ensure the organization’s best interests are advanced.
Lead the drafting, negotiation, and execution of payer contracts to ensure favorable and equitable terms for AmeriPharma.
Monitor financial performance across payer contracts, ensuring compliance, maintaining fairness and consistency across all payer agreements, and identifying areas for improvement or adjustment.
Create business plan for the Payer Contracting team, to present to the Executive team, to ensure strategic alignment.
Guide practices through contract negotiations, providing support and expertise to achieve beneficial outcomes.
Ensure that contracts meet all regulatory requirements and incorporate effective strategies for dealing with payer-specific policies.

Bachelor’s Degree from an accredited institution or equivalent experience
8+ years of experience in pharmacy contracting, pharmacy quality improvement, and/or pharmacy regulatory and payer compliance
9+ years of professional experience in contract management or payer relations role, particularly within the healthcare space (specialty pharmacy and/or infusion therapy preferred)
8+ years of experience in writing, negotiating, and managing healthcare payer contracts
Proven experience in managing relationships and negotiating with health plans, PBMs, and other payer organizations

Full benefits package including medical, dental, vision, and life
Great pay and general compensation structures
Employee assistance program to assist with mental health, legal questions, financial counseling etc.
Comprehensive PTO and sick leave options
401k and matching programs
Company sponsored outings and team-building events

Director, Payor Contracting – Network Development

Key skills