Remote Utilization Contract Administrator

Other Jobs To Apply

No other job posts for this day.

<br>Primary Talent Partners has a new contract opening for an <strong>Remote Utilization Contract Administrator</strong> to join a global health care company in Plymouth Meeting, PA. This is a 7-month contract to start with the potential for extensions. <br><br><strong>Pay:</strong> <strong>$55.20 - $65.17/hr</strong>; W2 contract, no PTO, no Benefits. ACA-compliant supplemental package available for enrollment. Candidates must be legally authorized to work in the United States and must be able to sit on Primary Talent Partners W2 without sponsorship.<br><br><strong>Schedule: </strong>Core working hours are 8am-5pm; with ability to Flex by adding 1-2 hour M-Th to take Friday afternoons off.<br><br><br><strong>Description:<br></strong>The Contract Operations Sr. Specialist - US Market Access Contract Operations is responsible for contract adjudication, analysis, and coordination activities in support of Managed Care customers. This position will support company’s contracted customers including but not limited to Health Plans, Pharmacy Benefit Managers, Hospital and IDN customers and will require robust technical skills, business, and financial acumen. The highest level of compliance with contract terms and conditions, regulatory requirements, and laws is required, while also striving for strong business partnership and customer transaction excellence.<br><br><br>The ideal candidate will support our customers and Third-Party agents in the implementation, administration, and performance reporting for specific customer agreements entered into by Market Access and Account Management that involve discounts, rebates, and other payments based on the purchase and use of  products. This includes, but is not limited to, ensuring the accuracy of calculated discounts as well as compliance of contract terms and conditions, including mandated Government Pricing Programs.<br><br><br><strong>Primary responsibilities include and are not limited to the following:</strong><ul><li>Collaborate with internal and external teams to research membership and eligibility inquiries, driving toward compliant resolution.</li><li>Conduct formal contract reviews to identify risk and feasibility of operationalizing contracting language in an evolving healthcare system.</li><li>Understand and interpret contracting language to identifying potential misalignments with current system capabilities.</li><li>Oversee and guide contract administration tasks performed by third-party vendor, proactively monitoring for accuracy and completeness.</li><li>Support contract administration and rebate payment processing for a diverse range of customers, including validation of data and assessment of customer compliance with contract terms.</li><li>Create and maintain compliant processes for effective data management and contract operations.</li><li>Support the company's external reporting through critical control activities and analyses.</li><li>Contribute to the broader US Market Accounts Management team project portfolio, including implementation of and contributions to the team's best practices and training initiatives.</li><li>Uphold high standards of quality and accuracy in all technical work.<br><br><br></li></ul><strong>Qualifications:</strong><ul><li>Bachelor's degree in Business, Finance, Legal Studies, Healthcare Administration, or related field.</li><li>Extensive working knowledge and experience in lieu of a degree will be considered.</li><li>3-5 years of experience in pharmaceutical contracting, specifically Utilization-based contract compliance and administration<br><br></li></ul><strong>Experience and Skills:</strong><ul><li>Managed care contracting expertise</li><li>Experience with pricing and reimbursement in US</li><li>Pharmaceutical market access contracting knowledge; terms and conditions, impact of language on outcomes</li><li>Working knowledge of pharmaceutical contract operations systems and end-to-end processes</li><li>Clear, concise, and direct written & verbal communication</li><li>Consistency and high attention to detail</li><li>Ability to effectively prioritize workload</li><li>Ability to build strong customer and internal relationships at all levels<br><br></li></ul><strong>Preferred Skills:</strong><ul><li>Broad understanding of US Health Care and product contracting environment</li><li>Preferred: knowledge of Purchase-based contract compliance and administration<br><br></li></ul><strong>NOTES:</strong><ul><li>Position: 2</li><li>Remote<br><br></li></ul><em>Primary Talent Partners is an Equal Opportunity / Affirmative Action employer committed to diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status, gender identity, or any other factor protected by applicable federal, state, or local laws.<br><br>If you are a person with a disability needing assistance with the application or at any point in the hiring process, please contact us at info@primarytalentpartners.com<br><br></em>#PTPJobs<br><br><br>

Back to blog

Other Jobs To Apply

Remote Scoring Specialist, Teacher Licensure

Document Production Specialist at Eastern Research Group - ERG: 100% Remote (Morrisville, NC)

Work From Home Sales Specialist

Remote BCBA | Work From Anywhere, Grow Everywhere

Accounts Payable Specialist — Remote, Flexible Hours, Product Impact

YouTube Video Producer - Privacy Tech & Security (Remote)

Director Cardiovascular Services Parkview

Director remoto asociado, Marketing -- Crecimiento y marca

Sourcebooks is hiring: Editor, Romance Publishing (Remote/Hybrid) in Naperville

Remote Pharmacy Prior Authorization Specialist

Remote Purchasing Coordinator — Streamline Supply Chain Excellence

Maintenance, Operations and Quality Program Manager

Remote Strategic Platform Sales Executive

United Airlines Reservations Representative (Remote)

Southwest Airline Customer Care Jobs Remote – Entry Level

Remote Telehealth Veterinary Nurse - Compassionate Care, Flexible Hours

Paid UX Tester

Telemedicine Nurse Practitioner

Laboratory and Medical Director, Anatomic Pathologist – Part-Time

Remote Field Sales Director — Rare Disease Biotech

Executive Assistant, Creative Advertising (reputed company Entertainment Television)

Customer Follow‑Up Automation Coordinator – Remote, No‑Degree Required – Entry‑Level Lead‑Nurturing Automation Specialist

Remote Major Account Executive, Financial Services - US East

Remote Staff Backend Product Software Engineer, Commerce Platform

Inside Sales Rep-Hourly + Commission-Can live anywhere in U.S.

amazon flex $15+/ Hour (Sign on Bonus)!

Video Editor/Motion Graphics/AI Video Artist (Remote)

Remote GIS Architect: ArcGIS Online & Web Maps

Public Health Analyst IV (OD)

Audio Data Annotation Specialist (Basic JSON Skills) | Remote

Warehouse Forklift Operators Night shift

Remote Mortgage Loan Processor — High-Impact, Hybrid Role

Night Shift Remote Customer Support Specialist – Flexible Overnight Hours, $25‑$35/hr, Work‑From‑Home

Civil Practice Attorney - Fully Remote | Upto $170/hr

Senior Director, Business Solution Architecture at Conduent: 100% Remote (Florham Park, NJ, Atlanta, GA, Fort Lauderdale, FL, US)

Remote Medical Coder: CPT/ICD-10 Expert, 95% Accuracy

Remote Writing Jobs for Teens Entry Level

Remote Graphic Designer for Creative Freelance Projects

[Remote] Experienced Dental Recruiter

Care Management Support Assistant – Part Time

Remote Senior Systems Engineer, BizTech

CKM Product Manager (Falls Church, VA)

Remote Technical Support Specialist - Entry Level, No Degree Required

Job1- Insight-Vetted - Neogov2

Easy App Tester Remote (Beginner Level / No Experience)

Remote Human Resource Generalist

Remote Product Tester – $45/hr + Free Products – Start Now!

Unattended Ground Sensors Specialist at American Systems: 100% Remote (Niagara Falls, NY, Fort Fairfield, ME, Calais)

Insights-Driven Data Analyst (Remote US)

**Experienced Remote Customer Support Representative – Phone, Email & Live Chat – High Pay – Join brighthush**

Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...