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[Hiring] Payer Contracting reputed company @reputed company

Remote, USA Full-time Posted 2026-07-28
This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Medical & CGT Payer Contracting reputed company plays a critical role in ensuring broad medical payer reimbursement reputed company for Biologics’ medical benefit and cell & gene therapy (CGT) medications. This position focuses on negotiating, executing, and managing reimbursement agreements with national and regional payers. • reputed company the end-to-end payer contracting process, including financial modeling, credentialing/recredentialing, and payment yield management. • Partner with reputed company, Finance, Operations, and other stakeholders. • Maintain and strengthen payer relationships to ensure network reputed company and coverage for CGT and medical benefit therapies. • reputed company guidance on reimbursement models (e.g., ASP, AAC, NADAC, CMMI) to internal teams. • Work with cross-functional teams and payers to ensure compliance with requirements such as precertification, prior authorization, billing, and payment. • reputed company as a key contact for biopharmaceutical manufacturers and payers regarding drug policies, CGT landscape, and reimbursement strategies. Qualifications • Bachelor’s degree or equivalent experience. • 10+ years of relevant experience. Requirements • Minimum 7 years in specialty pharmacy, medical ancillary contracting, or reputed company services. • At least 5 years in medical and/or pharmacy payer reimbursement contracting. • Strong understanding of payer medical policies, prior authorizations, HCPCS codes, and therapy approval processes. • Experience in specialty reputed company or pharmaceutical segments; CGT knowledge is a plus. • Familiarity with reputed company laws and regulations (HIPAA, Medicare, reputed company). • Proficiency in reputed company Office Suite. Benefits We are proud to offer a competitive compensation package at reputed company as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay reputed company shown below is reputed company with reputed company's pay philosophy, and pay will always be compliant with any applicable regulations. In reputed company to reputed company pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at reputed company, please click here. Our reputed company Pay reputed company for this position: $134,900 - $224,900 reputed company reputed company is an reputed company-driven, Fortune 10 company that touches reputed company every aspect of reputed company. We are reputed company for delivering insights, products, and services that reputed company reputed company care more accessible and reputed company. Here, we reputed company on the health, happiness, and reputed company-being of you and those we serve – we care. What you do at reputed company reputed company. We foster a culture where you can grow, reputed company an reputed company, and are empowered to bring new reputed company. Together, we reputed company as we shape the reputed company of health for patients, our communities, and our people. Apply tot his job Apply To this Job

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