Remote Director, Payer Relations & PBM Strategy

OneOncology, LLC

Nashville (TN)

Remote

USD 120,000 - 190,000

Full time

12 days ago

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Job summary

OneOncology, LLC is seeking a Director, Payer Relations to lead PBM contracting strategy and negotiations across its network of practices in the United States. You will optimize reimbursement, manage regulatory compliance, and partner with practice leadership to align with financial goals.

Ideal candidates bring 8+ years in PBM contracting, strong leadership and negotiation skills, and a track record of cross-functional influence in value-based care.

Qualifications

  • Bachelor’s degree in business, finance, healthcare administration or related field.
  • 8+ years in PBM contracting and healthcare payer contracting preferred.
  • 5+ years of people management experience; travel as needed.

Responsibilities

  • Lead PBM contract strategy, negotiation, and management for OneOncology network.
  • Monitor industry trends, regulatory changes, and identify contracting opportunities.
  • Coach and develop team members; align objectives with VP and department budget.
  • Collaborate with cross-functional leaders to optimize reimbursement and care value.

Skills

Leadership
Negotiation
Communication
Strategic thinking
Project management
Team coaching
Analytical skills
Relationship building

Education

Bachelor's degree in business/finance/healthcare administration or related
Master's degree preferred

Tools

Excel
Financial modeling

Job description

OneOncology, LLC is seeking a Director, Payer Relations to lead PBM contracting strategy and negotiations across its network of practices in the United States. You will optimize reimbursement, manage regulatory compliance, and partner with practice leadership to align with financial goals.

Ideal candidates bring 8+ years in PBM contracting, strong leadership and negotiation skills, and a track record of cross-functional influence in value-based care.

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