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Health and Wellness Third Party Contracting Manager - Cincinnati - FT

Company Name: Kroger General Office
Position Type: Employee
FLSA Status: Exempt

 

 

Position Summary:

Contract third-party payors in a retail, specialty, mail pharmacy, and clinic setting. Cultivate third-party relationships that drive pharmacy/clinic sales while maximizing profit. Support divisions, clinics and pharmacies and drive payor initiatives. Demonstrate the company’s core values of respect, honesty, integrity, diversity, inclusion and safety.

Essential Job Functions:

  • Support contracting for Kroger health services (e.g., retail, specialty, mail order and clinic)
  • Negotiate with prescription benefits managers (PBM), health plan providers, managed care organizations and other third parties to maximize pharmacy sales and gross profit
  • Provide third-party support and information to divisions
  • Manage the request for proposal (RFP) and contract completion processes
  • Support division efforts to drive third party payor business initiatives
  • Act as the subject matter expert (SME) in the resolution of third-party complaints and billing issues
  • Ensure complete flow of information, activities and results to division pharmacy merchandisers
  • Assist with special projects as directed by the senior director of payor relations and senior contracting manager
  • Travel to foster successful relationships with both internal and external stakeholders
  • Must be able to perform the essential functions of this position with or without reasonable accommodation

Minimum Position Qualifications/Education:

  • Bachelor’s degree
  • 2 years of analytical experience
  • Strong negotiation and influencing skills
  • Ability to balance strategic thinking and attention to detail
  • Project management experience
  • Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
  • Ability to handle and preserve sensitive information while maintaining a high degree of confidentiality
  • Strong familiarity with Pharmacy industry/technical terms and processes
  • Ability to successfully manage others

Desired Previous Job Experience:

  • Pharmacy/PBM contracting experience
  • 2 years of experience billing third-party claims in a pharmacy
  • 2 years of lead pharmacy technician experience
  • Strong familiarity with PBM

 

Education Level: Bachelor's Required
Required Travel: Up to 25%
Required Certifications/Licenses: None
Position Type: Full-Time
 Regions: Any


 

Jobs at Kroger: At Kroger, we hire people who have a passion for helping others and who want to build a relationship with our Customers. No matter what stage of your career, you can build your future at Kroger. We look for people who want more, aspire to be more and work hard to achieve their goals. Our focus on keeping the Customer first is what makes us successful. As the largest traditional grocery chain in the U.S. and one of the world's largest retailers, we employee more nearly half a million Associates across 35 states. We offer many opportunities not only in our stores, but in Manufacturing, Logistics, Marketing, Finance, Human Resources, and many other fields.

 

Company Overview
Kroger Family of Companies employs nearly half a million associates who serve customers in 2,782 retail food stores under a variety of local banner names in 35 states. Our Family of Companies also operates 2,268 pharmacies, 274 fine jewelry stores, 1,489 supermarket fuel centers and 38 food production plants in the United States.  Kroger is dedicated to our Purpose: to Feed the Human Spirit™ by serving America through food inspiration and uplift and creating #ZeroHungerZeroWaste communities by 2025.  Careers with The Kroger Co. and our family of companies offer competitive wages, flexible schedules, benefits and room for advancement.

 Posting Notes:  OH || Cincinnati || 555 Race St || 45202 || Kroger General Office || None || Pharmacy || Employee || Exempt || Full-Time || None 


Nearest Major Market: Cincinnati

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