WellDyne

        
                            Position: 
                            
	                            	Manager, Pricing and Network Administrator
	                           	
                                            Location: 
                                        
                                                Remote

                            Job Id: 
                            
                                    468
                            
                            # of Openings: 
                            
                                1
                            
                    At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable. 
Our Vision:  
Unlocking the full potential of pharmacy care management to empower people to live healthier, happier lives.  
Our Mission:  
To drive pharmacy care that builds trust, improves outcomes and puts people first.  
 
Summary 
Responsible for leading the strategy, operations, and team management related to pharmacy network pricing and reimbursement. Oversees the development and execution of policies, procedures, and systems that support accurate pricing setup, reimbursement methodologies, financial performance, and compliance across the retail pharmacy network.  
 
Essential Duties & Responsibilities 
Direct oversight of the NetCard Systems and Pricing Operations team members, ensuring timely and accurate delivery of pricing and reimbursement activities
Manage pharmacy network composition and reimbursement structures
Facilitate RxClaim pricing configuration for both clients and pharmacies, ensuring alignment with contractual and operational requirements
Monitor and optimize pharmacy reimbursement formulas to support margin improvement and financial risk mitigation
Ensure compliance with credentialing standards and URAC requirements through coordinated operational processes
Maintain and enforce standard operating procedures related to pricing and reimbursement operations
Hire, train, and develop team members to support operational excellence and continuous improvement
Perform other duties as assigned
Education and Experience 
Bachelor’s Degree from an accredited college preferred or 5+ years PBM industry experience
Knowledge, Skills, and Abilities 
Ability to communicate with all levels of management in an effective manner 
Excellent organization and time management skills 
Ability to work with confidential information 
Ability to manage multiple projects simultaneously 
Demonstrated ability to lead in an environment where priorities may change and deadlines must be met without sacrificing accuracy 
Advanced proficiency in Excel (Experience with all Lookup and Logic formulas required) 
Proficiency in SQL or Tableau is preferred 
Must be able to contribute independently as well as support and contribute to the achievement of team goals 
Work Environment / Physical Demands 
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required. 
 
EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law. 

                                Apply for this Position
Go back to the job list