Pharmacy Contract Negotiator Senior

Job description

General Summary Leads complex negotiations with pharmacy benefit managers (PBMs), commercial payers, Medicare/Medicaid plans, and other third party pharmacy networks to secure fair reimbursement rates, transparent contract terms, and operationally feasible requirements for retail pharmacy, specialty pharmacy, infusion/ambulatory services, and pharmacy-based clinical programs. This role ensures contractual terms are accurately memorialized, compliant, and aligned with organizational strategy. Works independently and exercises substantial judgment while collaborating closely with pharmacy leadership, revenue cycle, finance, and population health teams. Duties and Responsibilities: Remote Work Capable: Essential Functions: - Cultivates and maintains collaborative relationships with PBMs, health plans, and pharmacy network representatives, as well as internal pharmacy and revenue cycle teams. - Leads all stages of pharmacy contract negotiations to ensure payment methodologies, dispensing fees, specialty reimbursement structures, DIR/GER terms, performance programs, and operational requirements are favorable and manageable. - Manages an assigned portfolio of pharmacy contracts, includin...