What are the responsibilities and job description for the Pharmacy Licensing Contracts Manager position at Polaris Pharmacy Services?
Job Details
Description
Pharmacy Licensing Contract Management
WHO WE ARE
Polaris Pharmacy Services is an industry leader in both the Long-Term Care and Post-Acute Care settings. Founded in 2015, we are locally and independently owned with pharmacies nationwide. We are proud to offer competitive benefits and industry pay as well as the opportunity for career advancement to all our team members.
OVERVIEW
The role collaborates closely with the Director of Regulatory to contract new third-party payers, including Medicare and Medicaid, across multiple states. It supports pharmacy-payer relations by ensuring contract compliance, maintaining up-to-date contracts in both physical and electronic formats, and understanding payer eligibility and authorization requirements. This includes knowledge of how different insurance plans, Medicare, and Medicaid reimburse pharmacies. The position also focuses on building strong relationships with provider relations and claims processing managers within payer organizations to facilitate smoother interactions and enhance contract outcomes.
RESPONSIBILITIES
- Manage and submit state and federal licensing applications, renewals, and re-credentialing processes for all pharmacy and on-site technology locations.
- Maintain filing calendars and proactively manage upcoming filing deadlines to ensure timely submissions.
- Communicate with state and federal agencies to address inquiries, obtain status updates, and resolve any issues.
- Coordinate and report filing statuses to management on a regular basis, ensuring transparency and accountability.
- Participate in various educational sessions, training programs, policy discussions, and team meetings to stay informed and engaged.
- Perform additional duties as assigned by the direct supervisor to support the business's operational needs.
Qualifications
QUALIFICATIONS
- Strong English communication skills, both written and verbal.
- Familiarity with pharmacy operations and reimbursement processes for Medicare and Medicaid.
- Strong attention to detail and ability to manage deadlines.
- Ability to build relationships with internal teams and external insurers.
- Strong analytical skills for issue resolution and regulatory understanding.
- Dependable work ethic with a focus on results.
PHYSICAL DEMANDS
-
The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job:
- May sit or stand seven (7) to ten (10) hours per day
- The employee is occasionally required to sit; climb or balance; and stoop, kneel, bend, crouch, walk, crawl intermittently
- May be necessary to work extended hours as needed
- May lift and/or move up to 50 pounds
- The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this role
HOLIDAY & PTO POLICY
- Paid holidays are provided annually, with 6 days offered each year, along with 5 sick days.
- Employees earn up to 10 PTO days each year, with rollover options and milestone bonuses.
- Employees have the option to cash out up to 10 PTO hours each quarter for added financial flexibility.
Please note we are a long-term care pharmacy open 24-hours a day, 7 days a week. And schedules may change as determined by the needs of the business.
BENEFITS – for full-time employees
- Medical, Dental, Vision, and Life insurance
- 401 (k) (available for Part Time & Full Time EEs)
- Short-term and Long-term disability insurance
- Tuition reimbursement
- Personal Time Off (PTO)
- Competitive pay with annual performance reviews and merit-based raises
- Career growth potential
- Annual on-site voluntary Flu Vaccines
- Employee referral bonus program
