Payor Contracting Specialist

VytlOne; United States; Remote; USD 34,000 - 43,000; Full time

Benefits offered by this job

Mental health resources

Blue Cross Blue Shield PPO plan

Life/AD&D insurance

Disability insurance

FSA

Employer-matched 401k

Industry-leading PTO

And more!

Job summary

VytlOne is seeking a Payor Contracting Specialist to perform a variety of administrative functions for our owned and managed pharmacies. You will complete and track contracts, credentialing forms, surveys, and maintain departmental documents while collaborating with stakeholders.

The role is remote-based within the Continental US, offering competitive compensation and a broad benefits package to support health and wellbeing.

Qualifications

• Experience in pharmacy contracting, insurance, or related environment.
• Basic knowledge of contracts, third party insurance, and claims processing.
• Proficiency with Microsoft Word, Excel, Outlook and PDF tools.

Responsibilities

• Timely and accurately complete new and renewing contract documents.
• Coordinate with management on new payor contracts for negotiations and rate validation.
• Maintain departmental database and demographic information for pharmacies and contracts.
• Track pending tasks and provide status updates.
• Communicate effectively with external and internal departments.
• Ensure contractual agreements are submitted and recorded according to policy.
• Develop and maintain departmental policies and procedures.
• Follow directions with minimal supervision and adapt knowledge to new situations.

Skills

Problem solving

Project management

Interpersonal communication

Organizational skills

Attention to detail

Education

High School Diploma or equivalent

Bachelor’s Degree preferred

Tools

Microsoft Word

Excel

Outlook

PDF Software

Job description

Overview

ThePayor Contracting Specialist will perform a variety of administrative functions for VytlOne's owned and managed pharmacies. This include the completion and tracking of pharmacy agreements, credentialing forms, surveys, pharmacy requests and inquiries as well as ongoing maintenance of departmental documents. The Payor Contracting Specialist will be a self-motivator and provide problem solving, auditing, reporting, and process recommendations for optimal departmental outcomes.

Position Location

This is a remote-based position within the Continental US.

Who We Are

VytlOneis the nation’s only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions—deliveringexcellencethrough tailored strategies and collaborative partnerships. At VytlOne, we’re not just transforming pharmacy—we’re making apurposeful impacton the communities we serve.

Why Choose a Career at VytlOne?

AtVytlOne, ourpurposeis at the heart of everything we do. People join us not just for a job, but to be part of something bigger—where their work truly matters. We foster a culture ofauthenticity, where you’re encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate asOne Team, united by a bold mission and a spirit of innovation. Here, you’ll find a place where your ideas are heard, your contributions are valued, and your career can thrive.

Responsibilities

• Timely and accurately complete new and renewing contract documents.
• Able to work independently with minimal supervision.
• Coordinate with management and other stakeholders on all new payor contracts for possible negotiations and rate validation.
• Ensure ongoing maintenance of departmental database and demographic information for all pharmacies and their contracts.
• Conduct ongoing follow-up and status updates of pending tasks.
• Communicate effectively with external and internal departments.
• Timely complete and submit required contractual agreements and documents as needed.
• Ensure that all contractual documents are recorded and saved according to departmental policies.
• Establish and maintain strong work relationships with both external and interdepartmental staff.
• Maintain regular attendance in accordance with policies.
• Willingness to work outside the box and open to change for the betterment of the department.
• Assist with the development, maintenance, and enforcement of departmental policies and procedures.
• Able to follow direction with minimal ongoing support and apply knowledge to new situations.

Qualifications

Education:

• High School Diploma or equivalent; Bachelor’s Degree preferred.

Experience:

• Experience in pharmacy contracting, insurance, or other business-related environment. Basic knowledge of contracts, third party insurance, and claims processing is preferred.

Knowledge, Skills, and Abilities:

• Proficiency in Microsoft Word, Excel, Outlook, PDF Software and other management tools.
• Motivated to quickly learn and demonstrate strong problem-solving skills.
• Strong project management and multitasking skills.
• Excellent interpersonal and communication skills.
• Strong writing skills and attention to detail.
• Strong organizational skills and ability to be attentive to details.
• Firm understanding of pharmacy contacting processes.

WE OFFER

AtVytlOnewe offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment. You’ll work with a mission-driven organization focused on improving health-careoutcomes.

Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:

• Comprehensive mental health and wellbeing resources
• Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
• Company-paid basic life/AD&D, short-term and long-term disability insurance
• Rx, dental, vision, other voluntary benefits, and FSA
• Employer-matched 401k Plan
• Industry-leading PTO plan
• And more!

This position offers an hourly rate ranging from $25-$31/hour, based on experience and qualifications.

Join us and help build the future of pharmacy care – better outcomes, stronger margins, and healthier communities.

FOR MORE INFORMATION:

VytlOne WebsiteVytlOne LinkedIn

VytlOne (formerly Maxor) is an EOE, including disability/vets