CarepathRx

Compensation

Full Description

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services. Job Details: Provide managed care contracting support for all CarepathRx Specialty Pharmacy and Infusion Solution locations and external partners. Responsibilities Ensure accurate and timely completion of all assigned projects. Assist with network contracting by making calls to payors, follow-up support and documentation requirements. Manages PBM contract relationships and performs analysis on those contracts. Assist to complete enrollment applications and credentialing packages (Medicaid, Part B, commercial payors). Respond to questions surrounding contracts (reimbursement, benefit design, contracted services). Assist in the implementation process of new payor contracts. Assist with RFP submissions. Other duties as assigned. Skills & Abilities Strong knowledge of payor contracting and managed care programs. Strong organizational skills and attention to detail. Must be able to manage multiple projects simultaneously. Must be willing and able to work independently or in a collaborative setting, based on project needs. Must be able to communicate effectively with internal and external stakeholders. Discretion in handling confidential company information. Takes ownership of issues and drives resolution. Proficiency in MS Office software Requirements Bachelor’s degree or equivalent preferred. Previous relevant experience can be substituted in lieu of degree. 5+ years of experience with Medicaid enrollment, Home Infusion, Healthcare Plans or Specialty Pharmacy. CarepathRx offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country. CarepathRx is transforming pharmacy care delivery for health systems and hospitals, delivering improved patient outcomes that drive clinical, quality and financial results. Through the industry’s most comprehensive, end-to-end hospital pharmacy care delivery model, CarepathRx is turning hospital pharmacy into an active care management strategy and revenue generator while providing support across the patient’s complete healthcare journey. The company takes an enterprise approach, providing a powerful combination of technology, market-leading clinical pharmacy services, and wrap-around services that optimize pharmacy performance across the enterprise for fully integrated pharmacy operations, expanded healthcare services, improved ambulatory access, minimized clinical variation and new health system revenue streams. Today, CarepathRx serves more than 15 health systems and 600 hospitals, with more than 2,400 employees nationwide. For more information about CarepathRx, visit our website. We are always searching for the best talent to join our growing organization. Check out our available opportunities by using the search functionality and filtering options at the top! CarepathRx offers full-time employees a comprehensive benefits package that includes: Paid Company Holidays Paid Time Off and Volunteer Time Off Medical, Dental and Vision Benefits for you and your family 401(k) with Company Match Company-paid Life Insurance and Disability Benefits Supplemental Insurance packages Don't see an open opportunity that matches your skill set just yet? Please click Get Started below or click Introduce Yourself in the top right corner of the page to share your information with us. We will reach out when something becomes available! Additionally, create an account with CarepathRx Careers to set up Job Alerts if something becomes available that peaks your interest! To create an account with CarepathRx Careers, click on Sign In in the top right corner. Once you have created an account and are logged in, click on Job Alerts in top right corner and Create Job Alert! We hope you find a fulfilling career with CarepathRx!