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Contracting Specialist - Remote

Remote:

Full Remote

Contract:

Fixed term

Salary:

58 - 62K yearly

Work from:

California (USA), Illinois (USA), United States

Offer summary

Qualifications:

Four-year college degree or equivalent experience, Excellent written and oral communication skills, Proficiency with MS Office Suites, Knowledge of managed care concepts.

Key responsabilities:

Lead contracting efforts and credentialing
Maintain relationships with Health Plan contacts

Orsini Specialty Pharmacy Pharmaceuticals SME https://www.orsinispecialtypharmacy.com/

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Job description

Description

About Orsini Rare Disease Pharmacy Solutions

Providing compassionate care since 1987, Orsini is a leader in rare disease and gene therapy pharmacy solutions, built to simplify how patients connect to advanced medicines. Through our comprehensive commercialization solutions including a nationwide specialty pharmacy, patient services hub, home infusion and nursing network, and third-party logistics provider, we work with biopharma, providers, and payors to ensure No Patient is Left Behind™

Our Mission

Orsini is on a mission to be the essential partner for biopharma innovators, healthcare providers, and payers to support patients and their families in accessing revolutionary treatments for rare diseases. Through our integrated portfolio of services, we seek to pioneer comprehensive solutions that simplify how patients connect to advanced therapies while providing holistic, compassionate care so that No Patient is Left Behind™.

LIVE IT Values

At the heart of our company culture, the Orsini LIVE IT core values serve as guiding principles that shape how we interact with each other and those we serve. These values are the driving force behind our commitment to excellence, collaboration, and genuine care in every aspect of our work.

Leading Quality, Integrity, Valued Partner, Empathy, Innovation, Team-First

Salary Range: $58K-$62K

POSITION SUMMARY
This position will focus on contracting efforts, Medicaid licensure, and credentialing needs. Implementation of agreement/amendments with internal and external partners. Develop and maintain relationships with Health Plan contacts.

REQUIRED KNOWLEDGE, SKILLS & TRAINING

Education or experience equivalent to a four-year college degree required.
Excellent written and oral communication skills.
Ability to work both independently and within a team setting.
Must be able to mange time, prioritize, and multitask effectively.
Must be pro-active and have good problem solving/analytical skills.
Proficiency with MS Office Suites (Word, Excel, PowerPoint, Outlook).
Experience with data manipulation and analytic skills.
Knowledge of managed care concepts with pharmacy and/or medical claims experience.

ESSENTIAL JOB DUTIES

Leads contracting efforts through payor warm prospecting, and credentialing.
Ensures accurate and complete contract implementation.
Maintains current account files and other records with respect to current and prospective customers in accordance with Company instructions and requirements.
Attends and participates in branch, company, and industry meetings as directed.
Completes and submits all required reports in a timely manner.
Ensures project deadlines and performance standards are established and met.
Interact with third-party payers and vendors on a regular basis for resolution of out of network issues and/or payment discrepancies as outlined in contract.
Develop, manage, and maintain ongoing contract relationships and develop innovative approaches to manage the implementation of different types of plans.
Utilize organizational applications to troubleshoot and/or communicate contract status/requirements.

EMPLOYEE BENEFITS