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Versiti: Payer Relations Liaison - Insurance

Company: Versiti
Location: Milwaukee
Posted on: November 24, 2020

Job Description:

The Liaison Payer Relations reports to the Director of Pharmacy and Drug Distribution. The position is responsible for the pharmacy payer relations activities of the Comprehensive Center for Bleeding Disorders (CCBD) as well as participating in meetings with patient advocacy organizations.DUTIES AND RESPONSIBILITIES Meets with Hemophilia Treatment Center (HTC) leadership and staff to identify potential new pharmacy patients to enhance the contracting efforts for the HTC. Participates in the development and implementation of a payer relations strategic plan. Participates in managed care and commercial clinical and pharmacy contracting. Participates in Federal and State public payer initiatives. Participates in collaborative payer initiatives with patient advocacy organizations. Meets with key decision makers of payers, brokers/consultants, employers and governmental agencies to promote the HTC as a Centers of Excellence. Participates in the Hemophilia Alliance payer toolbox initiative and ongoing payer education efforts to strengthen the HTCs knowledge and effectiveness with payers. Attends payer conferences and payer trade organization meetings to stay current with market trends and promote the HTC as a Centers of Excellence. Work with Hemophilia Alliance Network Services (HANS) organization, Advocacy, and Communication teams/consultants to provide support and assistance as necessary. Approximately 20% of time traveling to payers, conferences, HTC meetings and advocacy events is expected. Must possess a valid driver's license.Education Bachelor's Degree in Business Administration or related field.Experience Knowledge of provider network contracting processes, benefit plan design and claims administration that has been gained by working in the payer/broker/consultant field. Knowledge of healthcare finance, managed care and insurer contracting. Two years of healthcare and/or insurance experience.Skills and Knowledge Must be able to set and organize own work priorities and adapt to frequent change. Must possess proven contract negotiation knowledge and skills. Must possess strong analytical and financial skills. Must possess strong written and verbal communication skills. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, vision, mission, goals, and values of The Hemophilia Alliance.Tools and Technology Personal Computer (desk top, lap top, tablet) General office equipment (computer, printer, fax, copy machine) Microsoft Suite (Word, Excel, PowerPoint)PHYSICAL REQUIREMENTS & WORKING CONDITIONS Physical demands: Daily tasks include a mixture of standing, sitting, and walking. Hand-eye coordination with significant manual dexterity and frequent repetitive hand motions. Reaching above the head and lifting up to 50-pound items occurs occasionally. Visual and hearing acuity to perform essential responsibilities. Looking at computer screens or small items is common. Mental demands: Requires ability to maintain a routine of intense concentration for long periods, as well as excellent cognitive, analytical, and memory ability. Environmental hazards: Work with biohazardous material is completed in a laboratory environment wearing appropriate Personal Protective Equipment (PPE) and following internal policies, training, and OSHA standards. Moderate level of noise is present in the laboratory.This job description reflects the current assignment of essential functions and is not meant to be all-inclusive or in any way construed as an employment contract. Duties and responsibilities may be assigned or reassigned to this position at any time and may be modified to reasonably accommodate an individual with a disability or for other reasons solely at management's discretion.Equal Opportunity Employer. This company will provide equalOpportunity to all individuals without regard to race, color, religion, sex,Sexual orientation, gender identity, national origin, disability or veteranStatus.

Keywords: Versiti, Milwaukee , Versiti: Payer Relations Liaison - Insurance, Other , Milwaukee, Wisconsin

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