Payer Administration Director/UKHC

Job description

Job Title:

Payer Administration Director/UKHC

Requisition Number:

RE25445

Working Title:

Payer Administration Director/UKHC - 3rd Party Contracts

Department Name:

H5000: CHANDLER - RETAIL PHARMACY

Work Location:

Lexington, KY

Grade Level:

16

Salary Range:

$111,634-192,379/year

Type of Position:

Staff

Position Time Status :

Full-Time

Required Education:

JD

Click here for more information about equivalencies::

http://www.uky.edu/hr/employment/working-uk/equivalencies

Required Related Experience:

6 yrs

Required License/Registration/Certification:

JD degree plus Licensed Pharmacist or eligible for licensure in KY.

Physical Requirements:

This position requires intermittently sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); occasionally standing or walking with objects weighing up to 10 pounds; and lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves occasional job-related travel (less than 10% of time); risk of injury from use of equipment on the job; and some exposure to blood-borne/airborne pathogens.

Shift:

Primarily days, Monday through Friday; as an exempt-level position, however, additional hours may be needed in order to meet job and departmental business needs.

Job Summary:

The Payer Administration Director will work with pharmacy leadership, the EVPHA Revenue Management Contract team, and the Office of Legal Counsel in order to serve as the primary point of contact for third-party payors in receiving, triaging, reviewing, negotiating, and responding to all retail, specialty, mail order, and infusion pharmacy contracts.

This individual will also cultivate third-party relationships with pharmacy benefit managers, medical plans, and select drug manufacturers with the goal of supporting UKHC Pharmacy Services while maximizing value.

The Payer Administration Director formally reports to the Enterprise Director of Pharmacy Services, with a dotted line to the Chief of Commercial & Governmental Payor Administration.

Skills / Knowledge / Abilities:

The ideal candidate for this position will have exceptional negotiation, strategic thinking, attention to detail, relationship-building, and communication skills. The ability to effectively communicate with individuals at all organizational levels as well as external partners is essential, as well as the ability to seamlessly communicate, manage and preserve sensitive information while maintaining a high degree of confidentiality. Of additional importance to the success of the individual in this position is a strong background in, and familiarity with, the pharmacy industry, specifically with technical terms and processes.

Does this position have supervisory responsibilities? :

Yes

Preferred Education/Experience:

JD, Kentucky pharmacist licensure, and at least six full years of paid employment experience in analytics, project management, pharmacy, Pharmacy Benefit Manager (PBM) agreements, medical contracting, and reviewing, redlining, and negotiating contracts, is highly preferred.

Deadline to Apply:

01/27/2021

University Community of Inclusion:

The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.

As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.

Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

 

 

 

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Job No:
Posted: 12/31/2020
Application Due: 3/1/2021
Work Type: Full Time
Salary: