Senior Pharmacy Managed Care Contract Administrator - Payor Contracting

 
Position: Senior Pharmacy Managed Care Contract Administrator - Payor Contracting

Job ID: 163004

Location: US-TX-Houston

Department: PAYER CONTRACTING & RELATIONS

Talent Area: Professional - Non-Clinical

Full/Part Time: Full-Time

Regular/Temporary: Regular

Shift: 8a - 5p Monday - Friday

About Texas Children's Hospital

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S.News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.   Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston. We have also created the nation’s first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.   To join our community of 14,000 dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.  At Texas Children’s Hospital, diversity, equity, and inclusion are at the core of our values and mission for the patients and their families that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Summary:

We are searching for a Senior Pharmacy Managed Care Contract Administrator -- someone who works well in a fast-paced setting. In this position, you will analyze, negotiate, and implement Pharmacy contracts, with pharmacy benefit managers (PBMs) on behalf of the Texas Children's Hospital System (TCHS). Inclusive of Hospital retail and specialty pharmacy Services. In doing so, this position is responsible for developing and maintaining positive relationships with individuals at all levels of authority within each health plan, and TCHS, including CEOs, CFOs, and Vice Presidents. Position may interact with attorneys, directors, assistant directors, managers, and peers daily. The position is responsible for managing and completing major departmental projects including recommending project plans & recommending resource allocations.

 

Think you’ve got what it takes



Responsibilities :

Job Duties & Responsibilities

  • Negotiates Retail and Specialty Pharmacy contracts
  • Prepares and analyzes financial reports in support of Retail and Specialty Pharmacy contracting initiative
  • Develops and maintains strategic relationships with IDS personnel and health plans at all levels of authority
  • Assures compliance with regulatory requirements and product requirements related to provider contracting functions
  • Assists in the development of contracting strategy for TCH Retail and Specialty Pharmacy initiatives
  • Implements new Retail and Specialty Pharmacy contracts.
  • Supports management through communication, ad hoc reporting, and quality improvement initiative


Qualifications:

Skills & Requirements

  • Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s unless approved for a medical or religious exemption
  • High School Diploma or GED
  • 5 years hospital managed-care experience, in a facility contracting, provider relations, or hospital business office role


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