Strategic Payer Contracting Lead, Specialty Pharmacy
Pure Infusion Suites
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Job summary
Pure Infusion Suites is seeking a Payer Contracting Manager – Specialty Pharmacy & Home Infusion to lead development, negotiation, and management of payer contracts across a 14-state footprint. You will partner with Revenue Cycle, Pharmacy Operations, Clinical Leadership, Credentialing, Compliance, and Finance to maximize reimbursement and ensure contracts are financially and operationally executable.
The role focuses on Specialty Pharmacy and Home Infusion reimbursement models, distribution
Qualifications
- 6–8 years in payer contracting, managed care, or healthcare reimbursement.
- Experience negotiating commercial and government payer contracts.
- Experience evaluating reimbursement methodologies and contract performance.
- Experience collaborating with pharmacy, clinical, operational, and finance teams.
Responsibilities
- Develop and execute contracting strategies for Specialty Pharmacy and Home Infusion services across assigned payer portfolios.
- Lead negotiations for new contracts, renewals, amendments, and network participation with payers.
- Analyze reimbursement methodologies, contract performance, and financial impact to optimize reimbursement.
- Monitor payer reimbursement trends and recommend strategic actions.
Skills
Education
Job description
Pure Infusion Suites is seeking a Payer Contracting Manager – Specialty Pharmacy & Home Infusion to lead development, negotiation, and management of payer contracts across a 14-state footprint. You will partner with Revenue Cycle, Pharmacy Operations, Clinical Leadership, Credentialing, Compliance, and Finance to maximize reimbursement and ensure contracts are financially and operationally executable.
The role focuses on Specialty Pharmacy and Home Infusion reimbursement models, distribution
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