Managed Health Care Associates, Inc.
VP, Reimbursement Network Solutions/ Long Term Care Pharmacy - REMOTE (Biotech)
Who We Are:
Managed Health Care Associates, Inc. (MHA) provides care communities access, solutions, and insights to help them run their businesses more effectively. Our members include post-acute providers across the care continuum, including long-term care, home infusion, specialty pharmacies, senior living, and other group living facilities. Our team of associates is passionate about our common mission of helping people age with grace and championing our core values of being Curious Learners, Selfless Advocates, and Relentless Finishers.
At our company, you will join a diverse and talented team of innovators who are passionate about transforming the health care industry. As a valued member of our company, you will enjoy a competitive compensation package, a supportive work environment, and opportunities for professional development.
Who we're looking for:
We are looking for an amazing executive with leadership experience and expertise of Prescription Benefit Manager (PBM) services in relation to Medicare Part D within Long-Term Care Pharmacies (LTCP).
What You'll Be Doing:
The VP, Reimbursement Network Solutions is responsible for developing annual strategic business plans to achieve and exceed network revenue goals through these primary objectives:
1) Managing, engaging, and developing the network operations and network specialist teams
2) Integrating Net-Rx™ (MHA's suite of reconciliation and reimbursement technology solutions) into member and PBM/Plan value propositions
3) Providing overall network strategic guidance on prospective PBM contracting opportunities in collaboration with LTCP and cross-functional leaders
4) Building synergistic member and partner communication strategy
5) Co-developing a network internal and external dashboard to help manage objectives and goals
The VP will develop and maintain trusted relationships with key business partners, members and internal MHA cross functional teams. The VP will be a primary resource for the MHA member engagement team for training and analysis of MHA negotiated Part D contracts and areas of optimization including:
What You'll Bring to the Table:
What's Good to Know:
Physical Demands:
The physical demands and work environment characteristics described here are representative of those that an employee must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Managed Health Care Associates, Inc. is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Operations