Contracts Manager

PANTHERx Rare Pharmacy; United States; Remote; USD 75,000 - 120,000; Full time

Benefits offered by this job

Hybrid, remote and flexible on-site

Medical, dental, vision coverage

401K with employer matching

Paid holidays and generous PTO

Job summary

PANTHERx Rare Pharmacy is seeking a Contracts Manager to oversee payer contracting, credentialing with PBMs and health plans, and reimbursement negotiations. You will collaborate with cross-functional partners to ensure contract terms are favorable and compliant.

This role reports to the Senior Manager, Payer Relations and supports strategic contracting across a remote work environment with flexible schedules and strong employee benefits.

Qualifications

• Minimum of 2 years of contract management experience in healthcare.
• Strong negotiation and analytical skills with attention to detail.
• Excellent interpersonal and communication abilities for internal/external engagement.
• Ability to manage multiple priorities and drive projects to completion.

Responsibilities

• Reviews rate proposals for new therapies and supports pricing strategy development.
• Negotiates and finalizes contracts with payers to avoid business disruption.
• Manages payer relationships and resolves reimbursement issues per contract terms.
• Collaborates with Finance and Reimbursement teams on underpayments and spikes.
• Tracks activities in CRM and helps improve contracting processes.

Skills

Negotiation

Analytical skills

Communication

Multitasking

MS Office

Problem solving

Education

Bachelor’s Degree

Tools

PBM systems

Payor systems

CRM software

Excel

PowerPoint

Job description

7,000 Diseases - 500 Treatments - 1 Rare Pharmacy

PANTHERx is the nation’s largest rare disease pharmacy, and we put the patient experience at the top of everything that we do.

If you are looking for a career in the healthcare field that embraces authentic dedication to patient care, you don’t need to look beyond PANTHERx. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.

We Are Seeking Team Members Who:

• Are inspired and compassionate problem solvers;
• Produce high quality work;
• Thrive in the excitement of the ever-challenging environment of modern medicine; and
• Are committed to achieving superior health outcomes for people living with rare and devastating diseases.

At PANTHERx, we know our employees are the driving force in what we do. We cultivate talent and encourage growth within PANTHERx so that our associates can continue to explore their interests and expand their careers. Guided by our mission to provide uncompromising quality every day, we continue our strategic growth to further reach those affected by rare diseases.

Join the PANTHERx team, and define your own RxARE future in healthcare!

Location

Remote

Classification

Exempt

Status

Full-Time

Reports to

Senior Manager, Payer Relations

Purpose

The Contracts Manger is responsible for payer contracting functions including, but not limited to the accurate completion and maintenance of pharmacy credentialing with PBMs and health plans; negotiating reimbursement rates for new therapies; contract review and administration; managing payer relationships; and resolving reimbursement issues as they relate to the contract terms. This role frequently collaborates with internal and external stakeholders and business partners, often working directly with payer representatives on the administration of agreements.

Responsibilities

• Reviews rate proposals for new therapies, assists with the development of pricing strategy, and supports contract compliance efforts.
• Achieves operational objectives in accordance with overall organizational needs and budgeted targets.
• Evaluates and interprets PBM and payor contract terms while identifying areas of risk and negotiating revisions.
• Leads negotiations and the finalization of contracts to ensure no business disruption.
• Participates in the overall approach to building strategic and long-lasting business partnerships.
• Maintains regular contact and business relationships with the Trade team, Implementation Managers and clients to optimize new product launches.
• Addresses client inquiries and resolves issues promptly while ensuring exceptional service delivery.
• Collaborates regularly with Finance and Reimbursement teams to resolve underpayments and other reimbursement issues.
• Tracks engagement activities in CRM.
• Maintains and updates tracking tools.
• Collaborates with the team to analyze current contracting processes and implements strategies to enhance efficiency and reduce turnaround times.
• Collaborates with the team to develop best practices and procedures for contract management.
• Remains informed on industry trends, regulatory changes, and market dynamics to proactively adjust contract strategies.
• Other duties as assigned

Required Qualifications

• Minimum of 2 years of experience in contract management, preferably within specialty pharmacy or healthcare settings.
• Demonstrated negotiation and analytical skills with a keen eye for detail.
• Excellent interpersonal and communication skills with the ability to effectively engage with internal teams and external partners.
• Demonstrated analytical skills with proven ability to manage multiple priorities and bring projects to completion.
• Intermediate to advanced Microsoft Office skills.
• Ability to thrive in a dynamic environment with strong problem-solving and process improvement capabilities.

Preferred Qualifications

• Bachelor’s Degree and/or minimum of 4 years of experience in specialty pharmacy contracting experience.
• Health care industry or progressive experience in a health care organization.
• Managed Care contracting experience.
• Familiarity with PBM and payor systems and reimbursement models.

Work Environment

PANTHERx Rare Pharmacy offers flexibility only to eligible employees to work hybrid or remotely without compromising work performance, productivity, or team collaboration. This role routinely uses standard office equipment such as computers and phones.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk, hear, and see. The employee frequently is required to sit, stand, and walk; use hands and fingers, handle or feel; reach with hands and arms and see a computer screen. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Benefits

Hybrid, remote and flexible on-site work schedules are available, based on the position. PANTHERx Rare Pharmacy also affords an excellent benefit package, including but not limited to medical, dental, vision, health savings and flexible spending accounts, 401K with employer matching, employer-paid life insurance and short/long term disability coverage, and an Employee Assistance Program! Generous paid time off is also available to all full-time employees, as well as limited paid time off for part-time employees. Of course we offer paid holidays too!

Equal Opportunity

PANTHERx Rare Pharmacy is an equal opportunity employer, and does not discriminate in recruiting, hiring, promotions or any term or condition of employment based on race, age, religion, gender, ethnicity, sexual orientation, gender identity, disability, protected veteran's status, or any other characteristic protected by federal, state or local laws.