# Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy

Hiring organization: [Elevance Health](https://career.thegoodapps.co/organizations/elevance-health)

Canonical page: https://career.thegoodapps.co/jobs/5c28ac67-5b81-4764-ac7e-68bc63553296

Listed on Elevance Health's own careers site. Applications go to them directly.

- Seniority: Mid
- Salary: 111132 – 166698 USD per year

## Summary

This role manages the full lifecycle of insurance payor contracts for a specialty pharmacy, analyzing reimbursement terms, coordinating with operations and finance teams to ensure compliance and optimize revenue. It suits someone with a healthcare contracting background who enjoys translating complex regulatory and financial requirements into operational systems.

_Our summary, not Elevance Health's wording._

## Skills named

Medicaid

## Required

- Bachelor's degree in Business, Healthcare Administration, Finance, or related field
- 5 years of experience in payor contracting, managed care, or contract administration in specialty pharmacy, infusion pharmacy, PBM, or health plan environments
- Understanding of reimbursement methodologies (AWP, WAC, ASP, MAC, per diem, case rates)
- Knowledge of federal and state healthcare regulations including CMS, Medicare, Medicaid, and anti-kickback requirements

Apply on Elevance Health's site: https://elevancehealth.wd1.myworkdayjobs.com/en-US/ANT/job/TX-GRAND-PRAIRIE-2505-N-HWY-360-STE-200--300/Payor-Contract-Manager--Infusion----BioPlus-Specialty-Pharmacy_JR201089