Advisor, Managed Care Market Managment

Cardinal Health • Providence, RI • 3h ago

What Network and Payor Relations contributes to Cardinal Health

Marketing is responsible for assessing customer needs, market conditions and competition to inform business strategy. Marketing implements the strategy through developing, commercializing and monitoring the appropriate products and services.

Network and Payor Relations is responsible for the development and management of business relationships with Pharmacy Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal Health and its Pharmacy Services Administrative Organizations (PSAOs). This involves identifying and evaluating strategic opportunities for all lines of business including Medicare, Medicaid, and various commercial markets.

The Managed Care Market Manager is responsible for maintaining the relationship between Cardinal Health PSAOs and the Cardinal Health network of retail independent pharmacies as well as the various sales teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.

Responsibilities

Supports account management of strategic customers within territory.

Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related to reimbursement.

Support sales including prospecting, QBR' s and RFP's when there are questions specific to managed care.

Creates and executes training for sales related to managed care.

Maintains advanced knowledge on managed care industry trends expert.

Demonstrates advanced understanding and experience in payor contracting, pharmacy revenue cycles, and pharmacy revenue opportunities.

Identifies market opportunities, develops, implements and manages solutions, and provides subject matter expertise in complex situations.

Assesses financial implications, including profitability and viability, for complex product/market portfolios or segments that have a significant organizational impact.

Ability to travel to sales meetings and industry conferences.

Qualifications

Understands and manages life-cycle implications and make recommendations to achieve sustainable economic success for complex product/market portfolios or segments that have significant organizational impact.

5-8 years' experience in managed care, preferred

Supervisory and management skills are preferred

Strong presentation skills preferred

Bachelor's degree in related field, or equivalent work experience, preferred

Proficient with Microsoft Office products including: Word, Excel, and PowerPoint.

Knowledge of PBM and payor contracting.

What is expected of you and others at this level

Applies comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects

May contribute to the development of policies and procedures

Works on complex projects of large scope

Develops technical solutions to a wide range of difficult problems

Solutions are innovative and consistent with organization objectives

Completes work; independently receives general guidance on new projects

Work reviewed for purpose of meeting objectives

May act as a mentor to less experienced colleagues

Anticipated salary range: $67,500 - $86,670

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with myFlexPay

Flexible spending accounts (FSAs)

Short- and long-term disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Application window anticipated to close: 1/3/2026 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

To read and review this privacy notice click here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)

Similar Jobs

Clinical Addiction & Recovery Team Leader - Human Services Coordinator III

State of Massachusetts • Taunton, MA • 9h ago

Hospital & Medical

The Recovery from Addictions Program (RAP) operated by the Department of Mental Health (DMH) is seeking an experienced human services professional to function as Clinical Addiction & Recovery Team Leader, to assist w...

9h ago

Go to Apply

Psychiatrist - Recovery from Addictions Program

State of Massachusetts • Taunton, MA • 9h ago

Hospital & Medical

The Recovery from Addictions Program (RAP) operated by the Department of Mental Health (DMH) is seeking an experienced Psychiatrist to assist in the care and treatment of individuals in the RAP program. The Psychiatrist...

9h ago

Go to Apply

Licensed Vocational Nurse

US Tech Solutions • Rhode Island, Rhode Island • 15h ago

Hospital & Medical

Duration: 06 months contract Position Summary The Licensed Practical Nurse (LPN/LVN) will support the Healthcare Specialty Medical Prior Authorization department by processing and communicating specialty medication prior...

15h ago

Go to Apply

Pharmacy Operations Manager

Walgreens • Johnston, RI • 23h ago

Hospital & Medical

Job Description: Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patie...

23h ago

Go to Apply

Physical Therapist (PT)

Genesis Healthcare • Somerset, MA • 1d ago

Hospital & Medical

Overview FULL-TIME PHYSICAL THERAPIST (PT) FULL-TIME PHYSICAL THERAPISTS EARN UP TO $60.00/HR - ASK ABOUT OUR MOD COMP PROGRAM! At Powerback, we're on a mission to improve lives. As the leader in physical, occupational,...

1d ago

Go to Apply

Registered Nurse

Prime Healthcare • Woonsocket, RI • 1d ago

Hospital & Medical

Overview Department: Medical Surgical UnitShift: Full-time, Nights Bonus: $20,000.00 Sign-On The Registered Nurse (RN) is responsible for providing safe, high-quality patient care within the Medical/Surgical Unit. Utiliz...

1d ago

Go to Apply

Advisor, Finance Operations (Medical Customer Rebates)

Cardinal Health • Providence, RI • 1d ago

Hospital & Medical

What Finance Operations contributes to Cardinal Health Finance oversees the accounting, tax, financial plans and policies of the organization, establishes and maintains fiscal controls, prepares and interprets financial...

1d ago

Go to Apply

INTERDISCIPLINARY (NON-MEDICAL CLINICAL COUNSELOR)

Commander, Navy Installations • Rhode Island, Rhode Island • 1d ago

Hospital & Medical

Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply"...

1d ago

Go to Apply

Nurse Informatics Executive

Oracle • Providence, RI • 2d ago

Hospital & Medical

Job Description The Nurse Informatics Executive supports VA's Federal EHR deployment and advances clinical informatics initiatives to enhance care delivery and patient outcomes. This role requires deep expertise in clini...

2d ago

Go to Apply

Pharmacy Customer Service Associate

Walgreens • Pawtucket, RI • 3d ago

Hospital & Medical

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In acco...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.