Payer Services Account Executive

Orsini Healthcare; United States; Remote; USD 75,000 - 91,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401(k) with employer match

Life insurance

PTO and holidays

Tuition reimbursement

Job summary

Orsini Rare Disease Pharmacy Solutions is seeking a Payer Services Account Executive to drive payer contracting and credentialing, supporting the implementation of payer agreements across teams. You will build relationships with third‑party payers and vendors and help resolve out‑of‑network issues and payment discrepancies.

Remote position with preference for candidates near Elk Grove Village, IL or Columbus, OH offices.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• 0–1 years of related experience.
• Excellent written and verbal communication skills.
• Strong time management, prioritization, and multitasking skills.
• Ability to work independently while collaborating effectively within a team.
• Strong analytical and proactive problem‑solving skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to build and maintain productive payer and vendor relationships.
• Experience with payer contracting, credentialing, managed care, pharmacy, or healthcare (preferred).

Responsibilities

• Lead payer contracting efforts through prospecting and credentialing activities.
• Coordinate the accurate and complete implementation of payer agreements across internal teams and external partners.
• Develop, manage, and maintain relationships with third-party payers and vendors.
• Partner with payers and vendors to resolve out-of-network issues and payment discrepancies in accordance with contract terms.
• Maintain current and prospective account files, records, contract status, and requirements in accordance with company practices.
• Meet established project deadlines and performance standards.
• Complete required reporting and maintain accurate account and contract information.
• Utilize organizational applications and systems to troubleshoot and communicate contract status and requirements.
• Support achievement of assigned contracting, credentialing, and project milestones.
• Escalate payer or vendor issues appropriately and support timely resolution.
• Perform other duties and responsibilities as assigned.

Skills

Communication

Time management

Independent work

Analytical

Problem solving

Teamwork

MS Office

Education

Bachelor’s degree or equivalent

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Careers with real impact.

Every role at Orsini moves a patient closer to life-changing therapy. We partner with biopharma innovators, healthcare providers, and payers to make access simple, compassionate, and reliable - so no patient is left behind. Make your next role matter.

ABOUT ORSINI

Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™.

OUR MISSION

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.

CORE VALUES

At the heart of our company culture, the OrsiniLIVE IT Core Valuesserve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

COMPENSATION & LOCATION

The compensation range for this role is $75,000 - $91,000 per year. The actual compensation will be determined based on geographic location and other job-related factors

This position is remote; however, candidates located near our Elk Grove Village, IL or Columbus, OH offices are preferred.

POSITION SUMMARY

The Payer Services Account Executive leads payer contracting and credentialing activities and supports the accurate and complete implementation of payer agreements across internal and external stakeholders. This role develops and maintains relationships with third-party payers and vendors while helping resolve out-of-network issues, payment discrepancies, and contract implementation needs.

ESSENTIAL DUTIES

• Lead payer contracting efforts through prospecting and credentialing activities.
• Coordinate the accurate and complete implementation of payer agreements across internal teams and external partners.
• Develop, manage, and maintain relationships with third-party payers and vendors.
• Partner with payers and vendors to resolve out-of-network issues and payment discrepancies in accordance with contract terms.
• Maintain current and prospective account files, records, contract status, and requirements in accordance with company practices.
• Meet established project deadlines and performance standards.
• Complete required reporting and maintain accurate account and contract information.
• Utilize organizational applications and systems to troubleshoot and communicate contract status and requirements.
• Support achievement of assigned contracting, credentialing, and project milestones.
• Escalate payer or vendor issues appropriately and support timely resolution.
• Perform other duties and responsibilities as assigned.

Disclaimer: The information written in this job description indicates the general nature and level of work to be performed. This job description is not designed to contain or be interpreted as totally comprehensive of every job duty, responsibility, or qualification required by an employee assigned to this job. While employed in this position, an employee may be required to perform other assignments not listed in this job description.

KNOWLEDGE, SKILLS, AND TRAINING

• Bachelor’s degree or an equivalent combination of education and experience.
• 0–1 years of related experience.
• Excellent written and verbal communication skills.
• Strong time management, prioritization, and multitasking skills.
• Ability to work independently while collaborating effectively within a team.
• Strong analytical and proactive problem‑solving skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to build and maintain productive payer and vendor relationships.
• Ability to effectively use organizational systems to track, troubleshoot, and communicate contract status and requirements.
• Experience with payer contracting, credentialing, managed care, pharmacy, or healthcare (preferred)

EMPLOYEE BENEFITS

We offer a comprehensive benefits package designed to support your health, financial security, and overall well-being:

• Medical Coverage, Dental, and Vision Coverage
• 401(k) with employer match
• Accident and Critical Illness coverage
• Company‑paid life insurance options
• Generous PTO, paid holidays, and floating holidays
• Tuition reimbursement program.

Equal Employment Opportunity

Orsini Rare Disease Pharmacy Solutions is committed to the principle of Equal Employment Opportunity for all employees and applicants. It is our policy to ensure that both current and prospective employees are afforded equal employment opportunity without consideration of race, religious creed, color, national origin, nationality, ancestry, age, sex, marital status, sexual orientation, or present or past disability (unless the nature and extent of the disability precludes performance of the essential functions of the job with or without a reasonable accommodation) in accordance with local, state and federal laws.

Americans with Disabilities Act

Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. The organization shall determine reasonable accommodation on a case‑by‑case basis in accordance with applicable law.

E-Verify Participation Notice

We participate in the federal E-Verify program to confirm the identity and employment eligibility of all newly hired employees.

All offers of employment are contingent upon the successful completion of Form I-9 and verification through the E-Verify system.

For more information about E-Verify, please review the official notices below:

E-Verify Participation Poster (English & Spanish):
https://www.e-verify.gov/sites/default/files/everify/posters/EVerifyParticipationPoster.pdf

Right to Work Poster (English & Spanish):
https://www.e-verify.gov/sites/default/files/everify/posters/IER_RightToWorkPoster.pdf