Payor Contracting Specialist - Contract position

VytlOne; United States; À distance; USD 34 000 - 43 000; Temps partiel

Avantages offerts par ce poste

Remote work

Contract position

Résumé du poste

VytlOne is seeking a Payor Contracting Specialist for a remote-based contract position within the Continental US. You will handle contract documents, enrollment and credentialing tasks, and maintain departmental records with minimal supervision.

Experience in pharmacy contracting is required and problem-solving is encouraged. Responsibilities include rate validation, negotiations, and cross-department coordination, all while upholding policies and timely communications.

Qualifications

• Education must be high school diploma or higher; bachelor's preferred.
• Pharmacy contracting/enrollment experience required.
• Basic knowledge of contracts, third party insurance, and claims processing.
• Proficient in Microsoft Word, Excel, Outlook, and PDF tools.

Responsabilités

• Timely and accurately complete new and renewing contract documents.
• Coordinate with management on payor contracts for negotiations and rate validation.
• Maintain departmental database and demographic information for pharmacies and contracts.
• Follow up with pending tasks and provide status updates.
• Communicate effectively with internal and external departments.
• Ensure contractual documents are recorded and saved per policies.
• Develop and enforce departmental policies and procedures.

Connaissances

Microsoft Word

Excel

Outlook

PDF Software

Project management

Multitasking

Interpersonal communication

Written communication

Attention to detail

Pharmacy contracting processes

Formation

High School Diploma or equivalent

Bachelor's Degree preferred

Outils

Microsoft Word

Excel

Outlook

PDF Software

Description du poste

Overview

The Payor 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. Pharmacy Contracting/enrollment experience required.

Position Location

This is a remote-based contract 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:

• Pharmacy Contracting/enrollment experience required. 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.

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

The innovative spirit at VytlOne will transform the way you think about pharmacy & healthcare services. As we pave the way in a relentless commitment to positive health outcomes, It's never been a better time to be part of the our team!

VytlOne is an EOE, including disability/vets