Negotiate and manage contracts and network rates with third-party payors, monitor contract performance and compliance, prepare business reviews and financial analyses, serve as account SME, coordinate redlines with Legal, resolve account issues, and support senior contract managers and special projects. Travel to maintain stakeholder relationships.
Contract with accounts by negotiating network rate, guarantees, contract language, services, and individual networks. Execute negotiation strategy, understanding key results hoped to gain from negotiation, data needed to support negotiation position, and reporting showing contract compliance and overall performance. Maintain key account relationships troubleshooting issues, performing regular business reviews ensuring business is performing as expected and terms of the agreement are followed. Serve as SME with regard to contracts they have been assigned providing information to internal departments as needed. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion and safety.
Responsibilities- Support senior contract manager with negotiating network rates, guarantees, contract language, services, and individual networks
- Execute negotiation strategy, key results hoped to gain from negotiation, levers to pull and data needed to support negotiation position
- Communicate negotiation updates with key leaders receiving direction for next steps and execute accordingly
- Conduct initial business, redline of agreements and work with Legal & Compliance during the redline process, including ability to distinguish business decisions from legal decisions and bring the appropriate parties together to make such decisions
- Review performance against contract, BER/GER tracking, and performance to clawback DIR fees
- Compare results with available benchmark data, summarizes key findings sharing with key leaders; proactively communicate BER/GER performance to accounts assigned
- Prepare presentations for quarterly business reviews, provides internal facilitates meetings, tracks action items and sends follow up notes as needed to memorialize conversations
- Work with reporting and analytical team to understand financial implications of contracts and financial value of changes
- Prepare counteroffers, obtains necessary approval prior to sharing externally
- Communicate financial impacts to peers and other functional areas for modeling/tracking purpose
- Review financial reports, quarterly earnings calls, press releases, and other reports to keep informed of information that may impact the relationship or profitability of the relationship; summarize/share findings for key leaders
- Serve as Subject Matter Expert (SME) of the account, providing information as requested by internal departments
- Resolve account complaints, in support of division efforts to drive growth with business initiatives
- Assist with special projects as assigned
- Travel to foster successful relationships with internal/external stakeholders
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Qualifications Minimum
- Associate Degree
- 2+ years of contracting experience
- Strong negotiation skills and ability to influence others
- Ability to successfully manage others
- Strong familiarity with Third Party Payor industry/technical terms and processes
- Demonstrated ability to maintain confidentiality and protect sensitive information
- Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
- Ability to balance strategic thinking and attention to detail
Desired
- Bachelor's Degree
- Any project management experience
- 2+ years of experience redlining documents
- 2+ years of analytical experience
- 2+ years of lead pharmacy technician experience
- 2+ years of experience billing third-party claims in a pharmacy
- Execute negotiation strategy, key results hoped to gain from negotiation, levers to pull and data needed to support negotiation position
- Communicate negotiation updates with key leaders receiving direction for next steps and execute accordingly
- Conduct initial business, redline of agreements and work with Legal & Compliance during the redline process, including ability to distinguish business decisions from legal decisions and bring the appropriate parties together to make such decisions
- Review performance against contract, BER/GER tracking, and performance to clawback DIR fees
- Compare results with available benchmark data, summarizes key findings sharing with key leaders; proactively communicate BER/GER performance to accounts assigned
- Prepare presentations for quarterly business reviews, provides internal facilitates meetings, tracks action items and sends follow up notes as needed to memorialize conversations
- Work with reporting and analytical team to understand financial implications of contracts and financial value of changes
- Prepare counteroffers, obtains necessary approval prior to sharing externally
- Communicate financial impacts to peers and other functional areas for modeling/tracking purpose
- Review financial reports, quarterly earnings calls, press releases, and other reports to keep informed of information that may impact the relationship or profitability of the relationship; summarize/share findings for key leaders
- Serve as Subject Matter Expert (SME) of the account, providing information as requested by internal departments
- Resolve account complaints, in support of division efforts to drive growth with business initiatives
- Assist with special projects as assigned
- Travel to foster successful relationships with internal/external stakeholders
- Must be able to perform the essential job functions of this position with or without reasonable accommodation
Qualifications Minimum
- Associate Degree
- 2+ years of contracting experience
- Strong negotiation skills and ability to influence others
- Ability to successfully manage others
- Strong familiarity with Third Party Payor industry/technical terms and processes
- Demonstrated ability to maintain confidentiality and protect sensitive information
- Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
- Ability to balance strategic thinking and attention to detail
Desired
- Bachelor's Degree
- Any project management experience
- 2+ years of experience redlining documents
- 2+ years of analytical experience
- 2+ years of lead pharmacy technician experience
- 2+ years of experience billing third-party claims in a pharmacy
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What you need to know about the Austin Tech Scene
Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.
Key Facts About Austin Tech
- Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
- Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
- Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
- Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
- Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center
