Director, Payer and Pharma Contracting - Hybrid

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

 Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Director of Payer and Pharma Contracting is responsible for leading the contracting process with targeted payer and pharma accounts. This role is responsible for designing, implementing, and managing OCH contracting processes, including vendors/technology, process management and improvement, and execution.  The role will coordinate with their Market Access, Pharma Relations/Business Development, Contracting Performance, Sales, and Operations colleagues to resolve barriers to access for patients. This role serves as the Secretary of the Pricing and Contracting Committee, responsible for all associated duties outlined in Committee Charter. This role collaborates with Revenue Cycle Management and Finance to ensure contracts meet functional criteria to operationalize. This role has supervisory responsibilities for all Payer and Pharma Contract Managers and Analysts.

Job Description: ​

Leads the Contracting Process nationally and assigns Targeted Accounts to Contracting Team. This includes collaborating cross functionally with Market Access, Legal, and Finance colleagues to implement contracts that maximize account profitability and access.

Ensures that Manager(s) and Analyst(s) supporting their assigned accounts understand the systems, operational processes and pricing expectations for each respective customer segment to facilitate the development of effective proposals and contracts.

Leads the review and approval process for specific account proposals. Ensures account proposals, models and pricing are accurate and completed in accordance with defined service levels to meet internal and external customer timelines.

Supports Market Access business reviews, including gathering marketing materials & data to support priority objectives, and aligning how OCH objectives support the account’s objectives.

Ensures contract proposals comply with Department goals and objective as well as Corporate policies and procedures.  Provides direction on the methodology and approach to evaluate proposals. Ensures that the analytical framework for proposal development is consistent with company standards and ensures that action-oriented data is available for decision makers.

Ensures that contract terms and conditions reflect pricing parameters of approved account proposals.  Consults with legal as needed to draft specific contract language that meets business objectives.

Acts as the subject matter expert on departmental data, business metrics and operational processes.

Serves as Secretary of the Pricing and Contracting Committee, completing all associated duties, including but not limited to scheduling, documentation, etc.

Leads Contract process, including technology/vendor selection and management, process management and improvement, and the execution of the process. Works with internal and external auditors to ensure compliance with OCH Policies, supporting documentation requests.

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No        

Yes        

Basic Education and/or Experience Requirements

Bachelor’s degree

At least five (5) years of experience in contract analysis and development

At least eight (8) years of experience in a combination of Contracting, Finance, Legal, Account Management, Pricing or Corporate Strategy with at least three (3) years’ experience in an account management role