What are the responsibilities and job description for the Pharmacy Contract Specialist position at UT Southwestern?
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Pharmacy Contract Specialist is responsible for developing relationships and expanded third party payer prescriptions programs, as well as gain access to payers for all pharmacies within the UTSW Pharmacy Serviceline.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Education
Bachelor's Degree with a preferred focus in healthcare, business, or accounting.
Experience
2 years to 3 years of experience in pharmacy contracting, insurance, claims processing, or other business-related field.
JOB DUTIES
Pharmacy Contract Specialist ‿ basic responsibilities may include:
Manage all contract negotiation, payer relations and communication for UTSW's pharmacy services, ensuring that contract requirements are met.
Oversee medication access, pricing fees and the delivery of the Pharmacy Value Proposition for the pharmacy serviceline
Assist in cost consolidation, product standardization initiatives, scorecards and metrics to evaluate performance and contribute to high patient and customer satisfaction.
Administer contracting payers for specialty, home infusion and other ambulatory pharmacy services
Collaborate with the Assistant Vice President of Pharmacy and Administrative Director of Pharmacy to help set business strategies on clinical integration of pharmacy services for population health, pharmacy sales growth, gross profit analysis,
Conduct site performance and payment audits, provides training to others within pharmacy serviceline to ensure optimal contracting and revenue cycle capture.
Participate in improvement initiatives that will enhance patient satisfaction, organizational growth and net revenue.
Deliver data and reports to Directors and AVP in a detailed oriented and timely manner.
Communicate regularly and effectively with team members and supervisor.
Point out system or process problems when noticed; engages the team in problem solving.
Promote an image of a high-quality organization through expertise and responsiveness.
Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Benefits UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare – no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The Pharmacy Contract Specialist is responsible for developing relationships and expanded third party payer prescriptions programs, as well as gain access to payers for all pharmacies within the UTSW Pharmacy Serviceline.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Education
Bachelor's Degree with a preferred focus in healthcare, business, or accounting.
Experience
2 years to 3 years of experience in pharmacy contracting, insurance, claims processing, or other business-related field.
JOB DUTIES
Pharmacy Contract Specialist ‿ basic responsibilities may include:
Manage all contract negotiation, payer relations and communication for UTSW's pharmacy services, ensuring that contract requirements are met.
Oversee medication access, pricing fees and the delivery of the Pharmacy Value Proposition for the pharmacy serviceline
Assist in cost consolidation, product standardization initiatives, scorecards and metrics to evaluate performance and contribute to high patient and customer satisfaction.
Administer contracting payers for specialty, home infusion and other ambulatory pharmacy services
Collaborate with the Assistant Vice President of Pharmacy and Administrative Director of Pharmacy to help set business strategies on clinical integration of pharmacy services for population health, pharmacy sales growth, gross profit analysis,
Conduct site performance and payment audits, provides training to others within pharmacy serviceline to ensure optimal contracting and revenue cycle capture.
Participate in improvement initiatives that will enhance patient satisfaction, organizational growth and net revenue.
Deliver data and reports to Directors and AVP in a detailed oriented and timely manner.
Communicate regularly and effectively with team members and supervisor.
Point out system or process problems when noticed; engages the team in problem solving.
Promote an image of a high-quality organization through expertise and responsiveness.
Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO Statement
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Benefits UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100% coverage for preventive healthcare – no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!
