1elevan biopharmaceuticalsFishers, IN
Manager of Specialty Pharmacy Billing and Payer Contracts
Manager of Specialty Pharmacy Billing and Payer Contracts
Manager of Specialty Pharmacy Billing and Payer Contracts
1elevan biopharmaceuticalsFishers, IN
yesterday
Direct Health and Medical Insurance CarriersDrugs and Druggists' Sundries Merchant WholesalersPharmaceutical Preparation Manufacturing
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About the Role:
1elevan Biopharmaceuticals Inc is looking for a driven and detail-oriented Manager of Specialty Pharmacy Billing and Payer Contracts to join our growing team in Fishers, IN. This is an exciting opportunity to play a pivotal role in shaping our specialty pharmacy revenue cycle and payer strategy at a dynamic biopharmaceutical company. If you thrive at the intersection of healthcare finance and pharmaceutical innovation, we want to hear from you!
Responsibilities:
- Oversee end-to-end specialty pharmacy billing operations, ensuring accurate and timely claims submission and reimbursement
- Negotiate, manage, and maintain payer contracts with commercial insurers, PBMs, and government payers
- Monitor and analyze payer reimbursement trends, contract performance, and revenue cycle metrics
- Lead denial management processes, including appeals and resolution of complex billing disputes
- Collaborate cross-functionally with clinical, finance, and operations teams to optimize billing workflows
- Ensure compliance with federal and state regulations, including Medicare, Medicaid, and specialty drug billing guidelines
- Develop and implement policies and procedures to improve billing efficiency and payer contract adherence
Requirements:
- 5+ years of experience in specialty pharmacy, infusion, or biopharmaceutical billing, revenue cycle management, or payer contracting
- Strong knowledge of specialty drug reimbursement, PBM structures, and payer contract negotiations
- Experience with Medicare Part B/D, Medicaid, and commercial payer billing requirements
Minimum 3 years of supervisory or management experience in billing or revenue cycle operations.
Proven leadership skills with experience managing or mentoring billing teams·Proficiency with medical billing software, EMR/EHR systems, and revenue cycle management platforms.
Deep understanding of coding standards: HCPCS, CPT, ICD‑10, NDC, and specialty pharmacy billing requirements.
Proven track record of reducing denials, improving reimbursement, and optimizing billing workflows.
Exceptional analytical skills with the ability to interpret complex contract language and reimbursement data·Bachelor’s degree in Healthcare Administration, Business, Finance, or a related field preferred; however, demonstrated success and extensive experience in healthcare operations, business administration, finance, or related fields may be considered in lieu of formal education.
About Us:
1elevan Biopharmaceuticals Inc is an innovative biopharmaceutical company headquartered in Fishers, IN, dedicated to improving patient outcomes through cutting-edge specialty therapies. Our team is passionate about bridging the gap between pharmaceutical science and patient access, making a real difference in the lives of those we serve. We foster a collaborative, mission-driven culture where talented professionals are empowered to grow and make an impact.
Also on the board Same function, level within a rung
Level
Manager
Location
Fishers, IN
Occupation
Financial Managers
Industry
Direct Health and Medical Insurance Carriers
Posted
yesterday