Remote Payer Contracting Executive – Growth & Access

Lumicera; Jefferson City (MO); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health benefits (medical, dental,視)

Paid time off

Parental leave

401(k) with company match

Adoption Assistance

Flexible Spending Account

Professional development support

Referral Bonus Program

Job summary

Lumicera Health Services seeks a Payer Contracting Executive to lead end-to-end payer negotiations across commercial, Medicare Part D, and Medicaid opportunities, expanding access and protecting margins for our specialty pharmacy network.

You will develop and execute payer access roadmaps, credentialing, and contract applications, coordinating with internal teams to ensure compliance and optimal payer relationships.

Qualifications

• Bachelor's degree required; MBA or graduate degree preferred.
• Experience: 5 years in payer contracting, managed care, or specialty pharmacy.
• Experience negotiating payer or network agreements; knowledge of commercial, Medicare Part D, and Medicaid environments.

Responsibilities

• Lead payer negotiations end to end, including rate and term negotiation and network participation.
• Develop and execute a payer access roadmap to expand payer contracts.
• Credentialing and contract applications for payer and government clients; prepare supporting documents.

Skills

Payer contracting

Managed care

Specialty pharmacy

Education

Bachelor's degree

MBA

Certified Pharmacy Technician (CPhT)

Job description

Lumicera Health Services seeks a Payer Contracting Executive to lead end-to-end payer negotiations across commercial, Medicare Part D, and Medicaid opportunities, expanding access and protecting margins for our specialty pharmacy network.

You will develop and execute payer access roadmaps, credentialing, and contract applications, coordinating with internal teams to ensure compliance and optimal payer relationships.