Talent.com
Director, Payer Contracts / National
Director, Payer Contracts / NationalBrightSpring Health Services • Louisville, KY, United States
Director, Payer Contracts / National

Director, Payer Contracts / National

BrightSpring Health Services • Louisville, KY, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Director, Payer Contracts / National

Job Locations

US-KY-LOUISVILLE

ID

2025-176231

Line of Business

Amerita

Position Type

Full-Time

Our Company

Amerita

Overview

We are Seeking a Director of Payer Contracts - National . Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work closely with Directors of Managed Care, RCM, Sales Executive and Field Management to provide research and solutions on payer related issues.

This is a remote position and applicants may live anywhere within the Continental USA

Schedule : Monday-Friday, 8.30am-5 pm

We offer :

  • Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
  • Supplemental Coverage - Accident, Critical Illness and Hospital Indemnity Insurance
  • 401(k) Retirement Plan with Employer Match
  • Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
  • Employee Discounts
  • Tuition Reimbursement
  • Paid Time Off & Holidays

Responsibilities

Responsible for acquisition due diligence and integration related to government and commercial payers for all lines of business

  • Responsible for the pursuit of business growth related to payer contracting delivering substantial and profitable growth for the company, including opportunistically working with the field sales teams to support current and expansion markets
  • Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with appropriate resources and prioritization of value-added services and products
  • Oversees HIT managed care sales process, including negotiating terms with payers. Negotiations include discussion on payment rate and structure, and all aspects of contract language
  • Provides insight and knowledge in order to facilitate net revenue budgeting, long term planning, and the strategic planning for the organization
  • Participates in events that are important to the business, including trade shows and educational events to promote services, visibility and relevance with targeted payers
  • Manages highly complex market dynamics, including HIT and PBM payer issues, state and government regulations, payment issues, etc.
  • Consistently executes on business priorities and aligns team to the organizational goals
  • Manages payer contracting oversight responsibilities for any contracting cycle (new and amended), and credentialing

    • Qualifications

  • Bachelor's degree in related field, Master's preferred
  • Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities (managed care, government, PBM); home infusion and medical clinic experience preferred
  • Excellent time management, prioritization and organizational skills
  • Experience in Outlook, Word, and PowerPoint desired
  • Strong organizational and interpersonal skills as well as ability to build lasting client relationships
  • Well-developed planning, marketing, organizational development, and business skills
  • General business and financial acumen; understanding of managed care terminology, contracting environment, procedures and workflows
  • Self-motivated and results oriented
  • Proficiency in Microsoft Office applications, including Excel, Word and PowerPoint
  • Proficiency in SalesForce.com or other CRM applications
  • Excellent verbal and written communication and presentation skills
  • To perform this position will require sitting and typing on keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push / pull and lift / carry 1-10 lbs

    • About our Line of Business

    Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

    serp_jobs.job_alerts.create_a_job

    National Director • Louisville, KY, United States

    Job_description.internal_linking.related_jobs
    Director of Finance - Paducah, KY

    Director of Finance - Paducah, KY

    Vaco by Highspring • Louisville, KY, US
    serp_jobs.job_card.permanent
    Let Vaco serve as your advocate in presenting you to our top clients who are looking for experienced professionals.Our clients have immediate opportunities for Accounting Leaders, so don’t let your...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Administrative Associate, Augmented

    Administrative Associate, Augmented

    Ohio Valley Electric Corporation / Indiana - Kentucky Electric Corporation • Madison, IN, US
    serp_jobs.job_card.full_time
    Contract Position through Third Party.Responsible for performing administrative support duties within the assigned area.Responsibilities are specific to the job location (i.Expected to align person...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Accounts Payable Manager

    Accounts Payable Manager

    Jobot • Louisville, KY, US
    serp_jobs.job_card.full_time
    Accounts Payable Manager / $$$ / Continuous learning and development opportunities.This Jobot Job is hosted by : Natasha van der Griendt. Are you a fit? Easy Apply now by clicking the "Apply Now" button ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    CONTRACT : Accounts Payable Analyst

    CONTRACT : Accounts Payable Analyst

    Jobot • Louisville, KY, US
    serp_jobs.job_card.full_time
    CONTRACT : Accounts Payable Analyst / $$$ / TOP Compensation & Benefits!!.This Jobot Consulting Job is hosted by : Evan Flynn. Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    U.S. Border Patrol Agent

    U.S. Border Patrol Agent

    U.S. Customs and Border Protection • Muldraugh, Kentucky, US
    serp_jobs.job_card.permanent
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    DIRECTOR, PAYOR RELATIONS AND CONTRACTING

    DIRECTOR, PAYOR RELATIONS AND CONTRACTING

    BrightSpring Health Services • Louisville, KY, US
    serp_jobs.job_card.full_time
    Responsible for strategic development and execution of PBM and 3rd Party Payor contracting for PharMerica LTC Pharmacy business units. Oversees all Pharmacy PBM and 3rd Party Payor contracting proce...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Tax Director / Partner

    Tax Director / Partner

    Gpac • Brooks, Kentucky, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Growing CPA Firm (Louisville, KY Metro Area).A highly respected and growing CPA firm in the.Louisville, Kentucky metro area. This stable and client-focused firm delivers deep expertise in tax compli...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    Make money your way. Deliver with Uber!

    Make money your way. Deliver with Uber!

    Uber eats • Crothersville, IN, US
    serp_jobs.job_card.full_time +1
    Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Treasury Mgmt Prod Cnlst, Sr

    Treasury Mgmt Prod Cnlst, Sr

    Old National Bank • Louisville, KY, United States
    serp_jobs.job_card.full_time
    US-IL-Chicago | US-MN-Minneapolis | US-WI-Milwaukee | US-IN-Indianapolis | US-IN-Evansville | US-KY-Louisville | US-TN-Nashville. Old National Bank has been serving clients and communities since 183...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Local Contract CT Technologist - $64 per hour

    Local Contract CT Technologist - $64 per hour

    PeopleMed a division of All About People • Madison, IN, United States
    serp_jobs.job_card.full_time
    PeopleMed a division of All About People is seeking a local contract CT Technologist for a local contract job in Madison, Indiana. Job Description & Requirements.Shift : 7a-730p, every 3rd weekend re...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    Border Patrol Agent - Earn up to $30,000 in Recruitment Incentives

    U.S. Customs and Border Protection • Underwood, Indiana, US
    serp_jobs.job_card.permanent
    Customs and Border Protection (CBP) offers those interested in a career in law enforcement an exceptional opportunity to work with an elite team of highly trained professionals whose camaraderie, p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Senior Director, HSC Finance (Finance & Payor Operations)

    Senior Director, HSC Finance (Finance & Payor Operations)

    University of Louisville • Louisville, KY, US
    serp_jobs.job_card.temporary
    Senior Director, Finance & Operations.The Senior Director, Finance & Operations reports to the Associate Vice President, Finance & Payor Operations in UofL's Health Sciences Center.This position he...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Director of Nursing (DON, RN)

    Director of Nursing (DON, RN)

    Sanders Ridge Health Campus • Mount Washington, KY, US
    serp_jobs.job_card.full_time
    At Trilogy, you’ll experience a caring, supportive community that values each team member.We prioritize meaningful relationships, genuine teamwork, and continuous growth.With the stability of...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Experienced Tax Preparer

    Experienced Tax Preparer

    Jackson Hewitt - DPV • Madison, IN, US
    serp_jobs.job_card.full_time +1
    Leverage your tax expertise, business background, and knowledge of tax laws to propel you to the next level.You will provide exceptional client service while. Don't miss out on this opportunity ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Associate Dentist- Private Practice

    Associate Dentist- Private Practice

    Dentist Partner Pros • Madison, IN, US
    serp_jobs.job_card.full_time
    Associate Dentist – Private Practice - Relocation Bonus- FFS.Compensation & Benefits : $200-$350K+ .Why You’ll Love Working Here. We’re a thriving fee-for-service private p...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Food Delivery Driver

    Food Delivery Driver

    Uber eats • Coxs Creek, KY, US
    serp_jobs.job_card.full_time +1
    Delivering with Uber is an alternative to a part-time or full-time job and can get you earning cash quickly.Delivering with Uber allows you to earn quick cash while maintaining the flexibility your...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Sewer Plumber

    Sewer Plumber

    Tom Drexler Plumbing • Taylorsville, KY, US
    serp_jobs.job_card.full_time
    Lead Installation Plumber – Sewer & Excavation Team.NOW HIRING! Join our Team! We are BUSY!.Louisville, KY (Branch Location TOM DREXLER). Monday–Friday with rotating Saturdays.Hourly...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Food Service Director

    Food Service Director

    Healthcare Services Group, Inc. • Hanover, IN, US
    serp_jobs.job_card.full_time
    Role : Food Service Director / Dining Services Director / Dining Services Manager / Dining Account Manager / Dining Services Department Manager. Join Healthcare Services Group (HCSG) as a Food Servic...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted