The Pharmacy Services division of UK HealthCare, the academic medical center of the University of Kentucky, has an outstanding opportunity available for a Payer Administration Director for Third-Party Contracts.
The Payer Administration Director will work with pharmacy leadership, the Executive Vice President for Health Affairs’ Revenue Management Contract team, and the Office of Legal Counsel in order to serve as the primary point of contact for third-party payers in receiving, triaging, reviewing, negotiating, and responding to all retail, specialty, mail-order, and infusion pharmacy contracts.
This individual will also cultivate third-party relationships with pharmacy benefit managers, medical plans, and select drug manufacturers with the goal of supporting UK HealthCare Pharmacy Services while maximizing value. The Payer Administration Director formally reports to the Enterprise Director of Pharmacy Services, with a dotted line to the Chief of Commercial & Governmental Payor Administration.
The ideal candidate for this position will have exceptional negotiation, strategic thinking, attention to detail, relationship-building, and communication skills. The ability to effectively communicate with individuals at all organizational levels as well as external partners is essential, as well as the ability to seamlessly communicate, manage and preserve sensitive information while maintaining a high degree of confidentiality. Of additional importance to the success of the individual in this position is a strong background in, and familiarity with, the pharmacy industry, specifically with technical terms and processes.
JD, Kentucky pharmacist licensure, and at least six full years of paid employment experience in analytics, project management, pharmacy, Pharmacy Benefit Manager (PBM) agreements, medical contracting, and reviewing, redlining, and negotiating contracts, is highly preferred.
Telecommuting is allowed.
Additional Salary Information: Robust university benefits package. Details here: https://www.uky.edu/hr/benefits
Internal Number: RE25295
About University of Kentucky HealthCare
UK HealthCare at the University of Kentucky is among the nation's busiest, most active academic medical centers. Our 945 licensed beds are spread across the system’s flagship UK Albert B. Chandler Hospital, Kentucky Children’s Hospital and UK Good Samaritan Hospital, all located in Lexington. In addition, the clinical enterprise embraces a wide range of clinical areas and several multidisciplinary centers, including the NCI-designated Markey Cancer Center.
UK Chandler Hospital includes the only Level 1 Trauma Center for both adult and pediatric patients and the only Level IV neonatal intensive care unit in Central and Eastern Kentucky. U.S. News & World Report ranks Chandler Hospital No. 1 in Kentucky.
Our Pharmacy Services area is one of the premier programs in the United States. We have more than 700 pharmacists and staff working in a wide variety of settings, including our central hospital pharmacies, ambulatory and inpatient areas, five retail pharmacies and the UK Specialty Pharmacy.
As a team member, you’ll have the opportunity to make a difference for patients with challenging disease states, as well as to participate in research and be part of a close-knit team of pr...ofessionals focused on innovation and great patient care.
The university offers a robust package of benefits that includes health, dental and vision insurance; a 100 percent retirement match; and a wide range of optional benefits. Learn more about University of Kentucky employee benefits here: https://www.uky.edu/hr/benefits.
Lexington is a great place to live – it’s family-friendly and easy to navigate and features a low cost of living compared to many areas its size.
In addition to the horse racing, basketball and bourbon Kentucky is known for, we have a rich literary and music tradition, a thriving arts scene, and rolling hills that beckon for hiking, rock-climbing or just enjoying nature. For even more to do, the larger cities of Louisville and Cincinnati are each just over an hour away.
Learn more about UK HealthCare on our website at www.ukhealthcare.uky.edu. View this position as well as our other openings here: https://ukjobs.uky.edu/
The University of Kentucky is committed to a diverse and inclusive workforce by ensuring all our students, faculty, and staff work in an environment of openness and acceptance. We strive to foster a community where people of all backgrounds, identities, and perspectives can feel secure and welcome. We also value the well-being of each of our employees and are dedicated to creating a healthy place to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.
As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.