3 days old
2018-04-192018-05-19

Director, Managed Care

Rite Aid
Camp Hill, PA
  • Job Code
    85227
Careers Center | Director, Managed Care
  • Director, Managed Care

    Position ID#
    85227
    # Positions
    1
    State
    PA
    City
    Camp Hill
    Category
    Corporate - Pharmacy Services
  • Job Description

    SUMMARY

    The primary purpose of this position is to facilitate the recommendation and implementation of corporate strategy with respect to contracting with Pharmacy Benefit Managers, health plans and the managed care marketplace. In addition, monitor contract terms and reimbursement to optimize managed care revenue and gross margin. Frequent independent judgments are essential. The incumbent is also required to perform all tasks in observance of Rite Aid’s brand and strategy and adhere to our core values and service attributes.

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    The associate is responsible for the functions below, in addition to other duties as assigned

    • Review, analyze, and assist with negotiations of Pharmacy Benefit Manager and Health Plan pharmacy reimbursement contracts
    • Interact directly with Pharmacy Benefit Manager and Health Plans to resolve issues and clarify contract language and payment terms.
    • Maintain relationships with major managed care organizations and  Pharmacy Benefit Managers (PBMs) for the purposes of continued and new contracting, increasing revenue, and building business opportunities
    • Increase pharmacy sales through strategic relationships and marketing of Rite Aid value-added services to  Pharmacy Benefit Manager and Health Plans
    • Provide enhanced reporting and data for the purposes of focusing corporate pharmacy initiatives and directing pharmacy performance improvement (e.g., quality and performance programs, generic dispensing and formulary compliance, etc.).

     

    Supervisory Responsibilities

    This position directly supervises Managed Care Contract Administrator , and carries out supervisory responsibilities in accordance with Rite Aid policies and applicable laws. Responsibilities include interviewing, hiring, training, directing, rewarding, and disciplining associates; appraising associate performance; and resolving complaints.

    Experience / Requirements

    • Ten (10) years' of experience in pharmacy, managed care, health insurance, and/or pharmacy benefits management pred
    • Or equivalent combination of education and experience.

    Education

    • Bachelor’s Degree in Arts/Sciences (BA/BS) Pharmacy and/or business administration required.

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    Director, Managed Care

    Rite Aid
    Camp Hill, PA

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    Rite Aid
    Camp Hill, PA

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