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Elevance Health

Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy

Elevance Health

Mid

$111,132 – $166,698

Listed on Elevance Health’s own careers site. You apply with them directly — we never stand between you and the employer.

What this role is

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. The full posting is on their site.

Skills this role names

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What they ask for

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

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