Senior Contract Representative

Prime Therapeutics LLC Minneapolis, MN
Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Senior Contract RepresentativeJob Description

Purpose:

The Senior Contract Representative is responsible for contract administration and ensuring process adherence in support of Prime's contracting efforts. This position is responsible for supporting the solicitation, initiation and maintenance of Prime's agreements with various business entities within their designated business area. This position is also responsible for developing, maintaining and ensuring the quality of Prime's agreements and drafts contract language, conducting negotiations, implementing executed agreements and establishing the appropriate documentation to support the business strategies of their department.

Responsibilities:

* Conduct complex contract drafting, review, redlining, administration and document management for all contracts between the business area and its relevant external entities; Review and address language changes and modified text within agreements submitted to Prime

* Manage correspondence throughout the contract and negotiation processes and communicate any necessary information to internal stakeholders or department leadership

* May be responsible for rate negotiations as assigned and within the department rate structure and target parameters

* May facilitate the contract documentation, approval and signature processes and ensure all contractual obligations are in adherence with company policies, regulatory requirements and business strategy; serve as a liaison for regulatory inquiry

* Ensure adherence to the records and information management standards

* Monitor contracts against business or industry changes to determine necessity of amendments, extensions, renewal agreements and language updates; Review, interpret and establish process enhancements or changes in response to guidance from the Centers for Medicare and Medicaid Services (CMS) and other regulatory or contractual requirements

* Develop and maintain template agreements and conduct version control for exhibits, amendments and other necessary documentation

* Represent contracting on cross-functional projects or initiatives

* Responsible for assessing applicable laws and regulations and providing detail regulatory assessments to identify and manage drive compliance

* Other duties as assigned

Required Minimum Qualifications:

* Bachelor's degree in Business, healthcare management or related area of study, or the equivalent combination of education and/or work experience; HS diploma or GED is required

* 3 years contracting experience with emphasis on analyzing, drafting, redlining and negotiating contracts on behalf of a Pharmacy Benefit Management (PBM) organization or another organization within the healthcare industry

* Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications:

* Detail oriented and ability to work with a high degree of accuracy

* Demonstrated ability to complete projects independently and within established timeframes

* Enhanced organizational skills with the ability to work on multiple projects simultaneously

* Expert verbal and written presentation skills

* Demonstrated ability to problem solve and interpret complex data

* Ability to establish rapport and effectively influence at all levels within an organization

* Ability to work with confidential data and maintain privacy

* Ability to evaluate and interpret policies and procedures

* Proficiency within Microsoft Word and Microsoft Excel

Preferred Qualifications:

* Paralegal certification

* 2 years comprehensive experience working within Medicare/Medicaid (e.g. insurance, government program operations, managed care practices, and/or provider contracting)

* Experience with analyzing state and federal regulations

* Experience using Contract Management software including maintaining and managing databases

Minimum Physical Job Requirements:

* Constantly required to sit, use hands to handle or feel, talk and hear

* Frequently required to reach with hands and arms

* Occasionally required to stand, walk and stoop, kneel, and crouch

* Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds

* Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Reporting Structure

* Reports to a Functional Business Consultant, Manager or Director within the Pharmaceutical Trade Relations, Network Management or Specialty Operations Departments

Prime Therapeutics LLC is an Equal Opportunity Employer. We encourage qualified minority, female, veteran, disabled, and other diverse candidates to apply and be considered for open positions.