Kroger Health Payor Contracting Manager (Finance)
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.From one tiny Cincinnati grocery store more than a century ago, we've grown into what today is the nation's largest grocer with nearly 2,800 stores in 35 states operating under 28 different names. As America's grocer, we take pride in bringing diverse teams with a passion for food and people together with one common purpose: To Feed the Human Spirit. With a history of innovation, we work tirelessly to create amazing experiences for our customers, communities AND each other, with food at the heart of it all.
Here, people matter. That's why we strive to provide the ingredients you need to create your own recipe for success at work and in life. We help feed your future by providing the value and care you need to grow. If you're caring, purpose-driven and hungry to learn, your potential is unlimited.
Whether you're seeking a part-time position or a new career path, we've got a fresh opportunity for you. Apply today to become part of our Kroger family!
What you'll receive from us:
The Kroger Family of Companies offers comprehensive benefits to support your Associate Well-Being, including Physical, Emotional, Financial and more. We'll help you thrive, with access to:
- A wide range of healthcare coverage, including affordable, comprehensive medical, dental, vision and prescription coverage, through company plans or collective bargaining agreement plans.
- Flexible scheduling in full- and part-time roles with paid time off, including holiday and sick pay based on eligibility and length of service.
- Emotional and financial support with free counseling through our Employee Assistance Program and free, confidential financial tools and coaching with Goldman Sachs Ayco.
- Valuable associate discounts on purchases, including food, travel, technology and so much more.
- Up to $21,000 in tuition reimbursement over your career, through our industry-leading Continuing Education program.
- Vast potential for growth, through an abundance of industry-leading training programs and diverse career pathways.
- Bachelor's Degree
- 2+ years of analytical experience
- Strong negotiation and influencing skills
- Ability to successfully manage others
- Strong familiarity with Pharmacy industry/technical terms and processes
- Ability to handle and preserve sensitive information while maintaining a high degree of confidentiality
- Ability to develop strong relationships and effectively communicate with all levels of the organization and external partners
- Project management experience
- Ability to balance strategic thinking and attention to detail
Desired
- 2+ years of lead pharmacy technician experience
- 2+ years of experience billing third-party claims in a pharmacy
- Pharmacy/PBM contracting experience
- Strong familiarity with PBM- 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 job functions of this position with or without reasonable accommodation
