Strategic Payer Contracts Lead - Specialty Pharmacy

Cardinal Health; La Vergne (TN); On-site; USD 88,000 - 138,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

401k Savings plan

HSA

MyFlexPay access to wages

FSAs

Disability insurance

Paid time off

Parental leave

Wellness programs

Job summary

Cardinal Health is seeking a senior leader to develop and execute the payer contracting strategy for our specialty pharmacy business, building a national payer network and negotiating participation agreements with PBMs, commercial payers, Medicare/Medicaid plans.

You will own key payer relationships, drive pipeline and revenue growth, collaborate with Legal, Finance, and Advanced Therapy Solutions, and travel up to 60% to meet clients and board reviews. Anticipated salary range: $87,700-$137,830.

Qualifications

• BA, BS or equivalent experience in related field preferred.
• 8+ years of experience in specialty payer contracting, PBM payer relations, specialty pharmacy business development, and/or healthcare account management preferred.
• Proven track record negotiating and executing payer contracts and specialty pharmacy participation agreements for limited and exclusive drug agreements.
• Established relationships with payer and PBM executives to secure contracts and partnerships.
• Experience in specialty pharmacy, provider, health system, payer, PBM, or related healthcare organizations.
• Knowledge of specialty pharmacy reimbursement and limited-distribution drug models; CGT focus on LDD.
• Strong contract negotiation, business development, account management, and executive communication skills.
• Ability to travel up to 60%.

Responsibilities

• Develop and execute the payer contracting strategy for Cardinal Health's specialty pharmacy business, with focus on building a national payer network.
• Identify, cultivate, and own strategic relationships for medical and pharmacy benefit payers.
• Lead negotiations and execution of specialty pharmacy participation agreements and reimbursement contracts.
• Own a payer contracting pipeline and deliver against performance goals.
• Serve as the relationship owner for key payer accounts with regular business reviews.
• Partner with Advanced Therapy Solutions, Legal, and Finance teams to ensure contract implementation.
• Monitor market, reimbursement, and network trends and provide strategic recommendations.

Skills

Payer contracting

PBM relations

Healthcare account management

Contract negotiations

Strategic relationships

Account management leadership

Travel readiness

Education

BA/BS or equivalent

Job description

Cardinal Health is seeking a senior leader to develop and execute the payer contracting strategy for our specialty pharmacy business, building a national payer network and negotiating participation agreements with PBMs, commercial payers, Medicare/Medicaid plans.

You will own key payer relationships, drive pipeline and revenue growth, collaborate with Legal, Finance, and Advanced Therapy Solutions, and travel up to 60% to meet clients and board reviews. Anticipated salary range: $87,700-$137,830.