Strategic Payer Contracting Executive - Remote

Lumicera; Columbus (OH); Remote; USD 120,000 - 180,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

20 days paid time off

4 weeks parental leave

401K company match up to 5%

Adoption Assistance Program

Flexible Spending Account

Educational Assistance & Membership

Referral Bonus Program – up to $750

Job summary

Lumicera Health Services is seeking a Payer Contracting Executive to lead payer negotiations end to end across commercial, Medicare Part D, and Medicaid, with a focus on expanding access and protecting margins for our specialty pharmacy partners.

The role partners with finance, legal, and compliance to develop payer access roadmaps, credentialing, and network strategies, delivering data-driven analyses and timely reports to leadership.

Qualifications

• Bachelor's degree required.
• 5+ years in payer contracting, managed care, or specialty pharmacy.
• Experience negotiating payer or network agreements in specialty/managed care.

Responsibilities

• Lead end-to-end payer negotiations including rate, terms, and renewal strategy.
• Develop and execute a payer access roadmap for expanded contracts.
• Outreach to payers to pursue new access opportunities and credentialing.
• Negotiate pricing and service agreements with payers and ensure compliance.
• Coordinate credentialing and contract applications for payer/government clients.
• Provide data analytics and reporting for payer clients and leadership.
• Ensure contracts comply with state and federal regulations.

Skills

Payer contracting

Managed care

Specialty pharmacy

Negotiation

Contract management

Compliance

Stakeholder management

Education

Bachelor's degree

MBA

Certified Pharmacy Technician

Job description

Lumicera Health Services is seeking a Payer Contracting Executive to lead payer negotiations end to end across commercial, Medicare Part D, and Medicaid, with a focus on expanding access and protecting margins for our specialty pharmacy partners.

The role partners with finance, legal, and compliance to develop payer access roadmaps, credentialing, and network strategies, delivering data-driven analyses and timely reports to leadership.