What are the responsibilities and job description for the Network Contracting Manager position at Navitus Health Solutions?
A company is looking for a PBM Network Contracting Manager to oversee pharmacy contracting and network strategy.Key ResponsibilitiesNegotiate and manage pharmacy network reimbursement for various lines of businessEnsure compliance with regulatory entities and contractual obligations related to pharmacy networksDevelop and implement pharmacy contracts and maintain relationships with pharmacy partnersRequired QualificationsBachelor's degree or higher in a related field is preferred1 - 3 years of experience in PBM or Managed Care is highly desiredUnderstanding of managed care and pharmacy network concepts is preferredExperience with CMS, Medicare, and state Medicaid regulations is preferredKnowledge of healthcare processes and pharmaceutical claims adjudication systems
