Manager Payer Access

at  HealthTrust

INTRODUCTION

Do you want to join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

NOTE: ELIGIBILITY FOR BENEFITS MAY VARY BY LOCATION.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Manager Payer Access like you to be a part of our team.

JOB SUMMARY AND QUALIFICATIONS

The individual in this position will serve as the subject matter expert on the team in the areas of payer coverage and drug reimbursement. The individual will partner with both the HealthTrust pharmacy sourcing team and directly with members to create contracting strategies and tools that consider the implications of payor coverage and reimbursement on purchasing habits. The individual will also be responsible for supporting the pharmacy benefit manager (PBM) by assessing payer policies and opportunities for alignment with the group purchasing organization (GPO).

WHAT QUALIFICATIONS YOU WILL NEED:

• Bachelor’s degree Preferred
• Minimum of 5 years of relevant experience in healthcare related role with experience directly related to duties and responsibilities specified Required
• Previous experience in supply chain, value analysis, purchased services and/or sourcing that includes pharmacy service line knowledge and experience Required
  In today’s challenging business environment of cost pressures, supply disruptions, and workforce shortages, it is crucial for providers to efficiently manage expenses and enhance performance. HealthTrust, in collaboration with 1,800 hospitals and health systems, offers a specialized group purchasing organization (GPO) membership model designed to deliver immediate and sustainable cost savings. Their team of experts provides tailored value acceleration engagements to address specific needs, delivering unparalleled benefits. With nationwide purchasing power and a focus on overall spending management, HealthTrust offers unmatched pricing advantages on supplies, along with industry-leading benchmarks and best practices. The dedicated team is committed to guiding and implementing performance enhancements in cost, quality, and outcomes.
  HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years. HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
  “Good people beget good people."- Dr. Thomas Frist, Sr.
  HCA Healthcare Co-Founder
  We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Manager Payer Access opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
  We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status

• Provides leadership in the area of managed care to contribute to the GPO’s overall strategic plan
• Assess and provide leadership in the area of payor policies, reimbursement, and coverage to guide and support organization’s strategy
• Assimilates information from variety of sources, able to analyze and interpret financial and clinical data, make strategic recommendations and execute a course of action for pharmaceutical savings opportunities and clinical standardization
• Review data and evaluate trends in reimbursement published by CMS
• Conduct reimbursement analyses to drive sourcing initiatives and create new sourcing projects
• Evaluate and report on payer coverage of key drugs
• Regularly assess and maintain list of drugs with statuses that impact reimbursement (e.g. pass-through status, NTAP, etc.)
• Develop member-facing reports to assess impact of reimbursement changes
• Serve as SME for the GPO and PBM on various payer strategies, including but not limited to white bagging.