Remote Health Care Contract Operations Specialist

Primary Talent Partners, LLC; Harmonville (PA); Remote; USD 76.000 - 90.000; Vollzeit

Zusammenfassung

Primary Talent Partners is seeking a Remote Utilization Contract Administrator in the United States for a 7-month contract, with extension potential. The role covers contract adjudication, analysis, and coordination for Managed Care customers, including Health Plans, PBMs, and hospitals.

The ideal candidate will ensure compliance with contract terms and regulatory requirements while delivering accurate discount calculations, rebates, and government pricing program alignment.

Qualifikationen

• Bachelor's degree or equivalent experience in business, finance, legal studies, healthcare administration, or related field.
• 3–5 years of experience in pharmaceutical contracting, specifically utilization-based contract compliance and administration.
• Experience with US pricing and reimbursement within managed care contracting.

Aufgaben

• Collaborate with internal and external teams to research membership and eligibility inquiries, driving toward compliant resolution.
• Conduct formal contract reviews to identify risk and feasibility of operationalizing contracting language.
• Interpret contracting language to ensure alignment with system capabilities.
• Oversee contract administration tasks performed by third-party vendors and monitor accuracy.
• Support rebate payment processing and data validation for diverse customer bases.
• Develop compliant data management and contract operations processes.
• Contribute to external reporting through critical control activities and analyses.
• Support team projects and training initiatives within US Market Accounts Management.

Kenntnisse

Managed care contracting

Pricing & reimbursement knowledge

Market access contracting

Contract operations systems

Clear written & verbal communication

Attention to detail

Prioritization

Relationship building

Ausbildung

Bachelor's degree in Business/Finance/Legal Studies/Healthcare Administration

Equivalent experience considered

Jobbeschreibung

Primary Talent Partners is seeking a Remote Utilization Contract Administrator in the United States for a 7-month contract, with extension potential. The role covers contract adjudication, analysis, and coordination for Managed Care customers, including Health Plans, PBMs, and hospitals.

The ideal candidate will ensure compliance with contract terms and regulatory requirements while delivering accurate discount calculations, rebates, and government pricing program alignment.