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Payor Contract Manager, Infusion at Elevance Health - ApplyBlast

Payor Contract Manager, Infusion

Elevance Health

4 months ago

3.4 on Glassdoor

Plano, TX

Hybrid

Full Time

Senior

0 applicants

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About this role

The Payor Contract Manager, Infusion oversees the operational management, analysis, and administration of payor contracts for specialty pharmacy and home infusion services. This role ensures compliance with federal and state regulations while optimizing reimbursement and supporting sustainable growth across commercial and public payer lines. The professional acts as a subject matter expert on contract terms and collaborates with finance, IT, and pharmacy operations to resolve disputes and implement billing logic.

Responsibilities

Manage the full lifecycle of payor contract implementation and renewals
Analyze reimbursement methodologies to identify revenue leakage
Ensure compliance with CMS, Medicare, and Medicaid regulations
Translate contract terms into operational requirements for billing platforms
Partner with finance teams to resolve payment disputes and forecast profitability