- Ensure accurate and timely completion of all assigned and contractual client requirements (reporting, application/contraction completion, presentation, monthly analysis).
- Serve as the primary contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction
- Work directly with internal stakeholders including finance, IT, legal, operations, account management, contract management, sales and others to define requirements and support successful implementation and sales pull through on payor contracts.
- Maintain a current request for proposal (RFP) library, coordinate with stakeholders to maintain relevant and accurate information, develop RFP responses as approved by the executive team.
- Assist the Director of Contract Management with the business development process of contracting and executing new payor relationships.
- Work with other department, sales/account managers, pharmacy, billing, PCC's and other departments to support company objectives.
- Engages targeted payors for contracts to allow pending patient dispensing
- Assist Credentialing Specialist as needed to complete enrollment applications/packages (Medicaid, Part D, MCO)
- Respond to questions surrounding contracts (reimbursement, benefit design, contracted services)
- Collate and create monthly, quarterly, and annual payor reports
- Review and analyze weekly shipped, non-admit, and discharge reports
- Assist admissions/PA with difficult patient cases
- Provide insight of changes within plans to sales, admissions, pharmacy, and billing departments
- Provide analysis of growth potential within each plan and a full region
- Assist Hemophilia team (reimbursement, plan access, LOA, patient onboarding, etc.)
- Obtain Letter of Agreement when required for services (workmen's comp/medical services)
- Announce drug formulary changes at a plan to internal customers
- Provide analysis and support for VPs of Managed Care, Sr. Director of Contract Management and the SVP Trade
- Manage, review and follow up of pending contracts and provide support for timely completion, update contract files upon contract execution
- Participate and perform other related duties as assigned by Leadership.
- Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care
- Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
- Ability to work and lead in a team-oriented, collaborative environment.
- Excellent organization skills required and the ability to work on multiple accounts simultaneously.
- Maintains compliance with all BioPlus Specialty Pharmacy policies and procedures
- Strong organizational skills with the ability to manage multiple work streams and implementation projects simultaneously.
- Ability to rapidly adapt and respond to changes in environment and priorities
- Demonstrate excellent oral and written communication skills
- Strong networking skills
- Demonstrate proficiency in the use of MS Office software; which includes Excel, Word and Outlook
- Demonstrate the BioPlus C.A.R.T. values
- Competence
- Accountability
- Respect
- Trust
- Associate or Bachelor's degree in healthcare related field preferred
- 3+ years of experience with Healthcare Plans or Specialty Pharmacy
-
Accounting Manager
4 weeks ago
Greenberg Dental & Orthodontics Altamonte Springs, United States_*Job Title*_: Accounting Manager_*Company*_: Katsur Management Group_*Location*_: Altamonte Springs_*Job Type*_: Full-time, In-Person*Company Description:*Katsur Management Group is a well-established and growing company in the dental group management sector. We are committed to ...
-
Stellar Enterprises Winter Springs, United StatesDo you see solutions everywhere? So do we. · We are RECA NORM, a successful and international direct sales company with over employees in Germany. Our specialty: tools, fastening technology, and process cost optimization in C-part management through automated warehouse management ...
-
Accounting Manager
6 days ago
Greenberg Dental & Orthodontics Altamonte Springs, United States_*Job Title*_: Accounting Manager · _*Company*_: Katsur Management Group · _*Location*_: Altamonte Springs · _*Job Type*_: Full-time, In-Person · *Company Description:* · Katsur Management Group is a well-established and growing company in the dental group management sector. ...
-
Account Manager
2 weeks ago
BlueWave Solutions Heathrow, United StatesAccount Manager (m/f/d) at Heathrow · Welcome to JobImpulse · We are an experienced international staffing agency with an exceptional success story since our founding in 2006. Today, we have over 53 offices in 13 countries and employ more than 9,300 people worldwide. · We are loo ...
-
Account Manager
6 days ago
Prestige Business Solutions, Inc Maitland, United StatesBenefits: Bonus based on performance Company parties Competitive salary Employee discounts Flexible schedule Free food & snacks Free uniforms Opportunity for advancement Training & development No Experience Needed for Account Manager position. Must be able to START ASAP. PAID TRA ...
-
Account Manager
1 week ago
Helios Commercial Service Partners Maitland, United StatesAccount Managers lead the Service Department in providing support to our Clients & Service Team to ensure effective communication, smooth workflow, and service delivery. This position requires both a keen attention to detail and a strong ability to multi-task as daily duties vary ...
-
Sales Account Manager
3 weeks ago
Resell CNC Maitland, United StatesAbout the job · At Resell CNC, we're on a mission to keep America Strong by helping manufacturers stay competitive and profitable through buying and selling manufacturing equipment. If you're passionate about sales, enjoy connecting with people, and want to be part of a dynamic ...
-
Accounting Manager
3 days ago
Strategic Employment Partners (SEP) Winter Park, United StatesDo you thrive in a fast-paced environment and have a passion for seeing projects come to life? · A well-established and industry-leading construction firm is hiring for multiple accounting roles across different levels They've grown steadily the past 30 years and now are looking ...
-
Account Manager
1 week ago
Helios Commercial Service Partners Maitland, United StatesAccount Managers lead the Service Department in providing support to our Clients & Service Team to ensure effective communication, smooth workflow, and service delivery. This position requires both a keen attention to detail and a strong ability to multi-task as daily duties vary ...
-
Commercial Lines Account Manager
1 day ago
The Jonus Group Maitland, United States Full timeJob Description · Commercial Lines Account Manager (MGA) · Maitland, FL (Hybrid Schedule) · Responsibilities: · Provide technical support to Underwriting & Business Development by analyzing client needs, coverage forms, and quotations. · Complete submissions, coordinate with ...
-
Finance Account Manager
5 days ago
K2 STAFFING LLC Maitland, United StatesJob Description · Job DescriptionAt K2 Medical Research, a privately-owned clinical research facility in the greater Orlando area, we specialize in conducting multiphasic clinical trials that promote the development of innovative and effective medical treatments while maintaining ...
-
Account Development Manager
8 hours ago
ESA Maitland, United StatesJob Description · Job DescriptionAbout ESA · ESA is a prominent clean energy development and decarbonization platform. Over the past decade, ESA has successfully transacted over 6 GW of operating solar energy projects and pre-construction development assets. Our diverse portfolio ...
-
Sales Account Manager
4 days ago
gpac Maitland, United StatesJob Description · Position: Sales Account Manager · Job Description · This position involves building customer partnerships and growing existing business by understanding customer needs and the strengths and capabilities of the Company. This position will develop and manage a s ...
-
BlueWave Solutions Wekiwa Springs, United StatesConnecting people and technologies, creating the perfect match for our clients, and always finding the right experts for each challenge - that is our goal at FERCHAU and that's why we are looking for you: as all-rounders in our Schweinfurt branch, supporting our teams optimally. ...
-
Sales Account Manager
1 week ago
Thrivas Staffing Agency Maitland, United StatesA small wholesale distribution company is hiring an Inside Sales Rep in Orlando, The position pays up to $25.00/hr and is a permanent role within the company. It offers full time hours and benefits. · BENEFITS: Medical, dental, vision, 401k, paid time off, paid holidays, etc. Of ...
-
CarelonRx Account Services Manager
1 week ago
Elevance Health Altamonte Springs, United StatesThe CarelonRx Account Services Manager is responsible providing customer service representation and strategic planning for assigned accounts. · Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. · How you will make an impac ...
-
Account Manager
3 days ago
Advisors Orlando Winter Park, FL, United StatesYou will work directly with Americas self-employed, small business owners and individuals to help them access a product suite of affordable benefits and business services. As demands for our products continue to increase, Customer Success Account Managers will advise clients on a ...
-
Accounting Manager
23 hours ago
Strategic Employment Partners Winter Park, United StatesDo you thrive in a fast-paced environment and have a passion for seeing projects come to life? · A well-established and industry-leading construction firm is hiring for multiple accounting roles across different levels Theyve grown steadily the past 30 years and now are looking ...
-
Account Manager
5 days ago
Amanda Chase Koenig - State Farm Agent Winter Park, United StatesJob Description · Job DescriptionBenefits:401(k) matching · Bonus based on performance · Competitive salary · Opportunity for advancement · Paid time off · Signing bonus · Training & development · ROLE DESCRIPTION: · As Account Manager - State Farm Agent Team Member for Amanda Ch ...
-
Account Manager
2 weeks ago
Joshua Dike - State Farm Agent Winter Springs, United StatesJob Description · Job DescriptionPosition OverviewAre you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you State Farm agents market only Sta ...
Account Manager - Altamonte Springs, United States - BioPlus Specialty Pharmacy
3 weeks ago
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Company Description
As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners.
Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and patients for critical, time - sensitive treatments. As we continue to grow, we need exceptionally talented, bright, and driven people. If you would like to help us continue to be the innovative leader in our industry, this is your chance to join our team.
Job Description
Position Summary
Responsible for providing support in managing payor relations, program implementation, data feeds as contracted, and other contractual requirements. Provide analysis of contracts, facilitate internal company communication concerning payor clients, and manage payor contract requirements in order to maintain compliance and contract obligations.
Essential Functions:
Other Duties:
Competency:
Qualifications
Qualifications
Education/Experience Requirements:
Additional Information
BioPlus offers competitive compensation packages including health care, 401(k), growth potential, and a challenging and exciting work environment.
BioPlus is an Equal Opportunity Employer