Payer Contracting Executive | Remote Access Growth

Lumicera; Phoenix (AZ); Remote; USD 120,000 - 170,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

20 days PTO

4 weeks parental leave

401K company match

Adoption Assistance

Flexible Spending Account

Educational Assistance

Professional Membership assistance

Referral Bonus Program

Job summary

Lumicera Health Services is seeking a Payer Contracting Executive to lead end-to-end negotiations across commercial, Medicare Part D, and Medicaid, expanding payer access for our specialty pharmacy operations.

You will develop a payer access roadmap, credential payers, manage contract applications, and collaborate with trade relations, finance, legal and compliance to protect margins and drive growth in covered lives.

Qualifications

• Bachelor's degree required; MBA preferred.
• 5 years of payer contracting or specialty pharmacy experience.
• Experience negotiating payer or network agreements.
• Knowledge of commercial, Medicare Part D, and Medicaid payer environments.
• Strong compliance program familiarity.

Responsibilities

• Lead end-to-end payer negotiations including rate terms and network participation.
• Develop payer access roadmap and expand networks.
• Outreach to payers to determine credentialing and network requirements.
• Negotiate pricing and service agreements with payers.
• Manage credentialing and contract applications for payer and government clients.
• Track contracts and provide reports to leadership.
• Ensure regulatory compliance and meeting reporting requirements.

Skills

Payer contracting

Managed care

Specialty pharmacy

Negotiation

Compliance

Education

Bachelor's degree

MBA

Job description

Lumicera Health Services is seeking a Payer Contracting Executive to lead end-to-end negotiations across commercial, Medicare Part D, and Medicaid, expanding payer access for our specialty pharmacy operations.

You will develop a payer access roadmap, credential payers, manage contract applications, and collaborate with trade relations, finance, legal and compliance to protect margins and drive growth in covered lives.