Why Join Omnicell? At Omnicell, we are transforming the future of pharmacy care through innovation, operational excellence, and deep partnerships across the healthcare ecosystem. As a Payor Contracts Manager, you will pl…
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Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Pittsburgh, Pennsylvania, United States · Remote OK
Senior+$170M raised
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Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
About the Role We’re looking for a high-impact People Strategist Manager to partner with leaders and teams across Manufacturing, Procurement, Planning, and Optimization & Process. This role is designed for an “up-and-com…
About the Role We’re looking for a high-impact People Strategist Manager to partner with leaders and teams across Manufacturing, Procurement, Planning, and Optimization & Process. This role is designed for an “up-and-com…
Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Why Join Omnicell? At Omnicell, we’re transforming the future of healthcare through intelligent automation that improves medication management, reduces costs, and enhances patient outcomes. As a Field Service Engineer (F…
Lead the negotiation, implementation, and optimization of PBM and payer contracts to ensure strong pharmacy network participation and financial performance. Collaborate cross-functionally to manage reimbursement outcomes, ensure regulatory compliance, and drive operational efficiency.
Requirements
Requires 5+ years of experience in healthcare contracting or PBM administration with strong knowledge of reimbursement methodologies. A bachelor's degree in Business or Healthcare Administration and pharmacy-related certifications are preferred.
Full job description
Why Join Omnicell?
At Omnicell, we are transforming the future of pharmacy care through innovation, operational excellence, and deep partnerships across the healthcare ecosystem. As a Payor Contracts Manager, you will play a critical role in enabling access, improving reimbursement outcomes, and strengthening pharmacy network performance through strategic payer and PBM partnerships.
This is an opportunity to lead impactful contract negotiations, influence network growth, and collaborate cross-functionally with legal, finance, and pharmacy operations teams. If you thrive in a fast-paced, data-driven environment and want to make a measurable impact on pharmacy access and performance, this role offers both challenge and growth.
What You’ll Do (Key Responsibilities)
Primary Impact: Drive the successful negotiation, implementation, and optimization of PBM and payer contracts to ensure strong pharmacy network participation, regulatory compliance, and financial performance.
As a Payor Contracts Manager, you will:
Lead Contract Strategy & Negotiation
Lead negotiations of PBM and payer contracts, driving favorable business terms and sustainable pharmacy network participation
Partner with internal stakeholders to execute, administer, and optimize contract performance across the lifecycle
Oversee contract amendments, renewals, and terminations to ensure compliance with contractual obligations and timelines
Maintain clear and accurate contract documentation and communicate key terms to stakeholders
Enable Pharmacy Network Participation
Facilitate onboarding, participation, and offboarding of independent pharmacies within payer and PBM networks
Ensure alignment between pharmacy eligibility requirements and network participation criteria
Maintain accurate participation records and collaborate with pharmacy relations teams to resolve issues impacting pharmacy access
Operationalize PBM & Payor Contracts
Interpret contract provisions and translate them into actionable operational requirements
Ensure accurate implementation of reimbursement structures, participation rules, and network requirements
Monitor and track contractual obligations and key deliverables across PBM and payer relationships
Ensure Compliance & Mitigate Risk
Ensure adherence to regulatory requirements, contractual obligations, and payer policies
Support internal and external audits related to PBM/payer contracts and pharmacy network participation
Identify compliance risks and proactively escalate and resolve issues
Optimize Reimbursement Performance
Lead resolution of complex reimbursement and claims issues, including reprocessing and negotiated adjustments
Partner with finance and operational teams to ensure payment accuracy and reconciliation
Develop strategies to maximize reimbursement outcomes for participating pharmacies
Drive Cross-Functional Collaboration
Serve as a key liaison between contracting, pharmacy relations, legal, and finance teams
Provide operational insights to support contract negotiations and network strategies
Build strong partnerships to align contract execution with business objectives
Leverage Data & Insights
Analyze trends related to reimbursement, claim rejections, and network performance
Develop and deliver reporting on:
Pharmacy network participation
Contract lifecycle and renewals
PBM participation and performance metrics
Compliance tracking and audit readiness
Provide actionable insights and recommendations to senior leadership
Champion Process Improvement
Identify and implement scalable processes to support expanding pharmacy networks
Enhance contract tracking systems and participation monitoring tools
Drive continuous improvement initiatives to increase efficiency and accuracy in contract administration
Who You Are (Qualifications & Skills)
Minimum Qualifications
5+ years of experience in healthcare contracting, PBM contract administration, pharmacy network operations, or PSAO environments
Strong knowledge of PBM contracts, payer networks, reimbursement methodologies, and regulatory requirements
Negotiation skills with the ability to influence internal and external stakeholders
Strong analytical, problem-solving, and organizational skills with high attention to detail
Proficiency in Microsoft Office tools (especially Excel) and familiarity with pharmacy or credentialing systems
Preferred Qualifications
PSAO knowledge and experience
Experience with specialty pharmacy operations or 340B program participation
Experience interpreting and operationalizing complex contract language
Paralegal experience or legal contract training
Bachelor’s degree in Business, Healthcare Administration, Pharmacy Administration, or a related field
Relevant certifications such as RPh or Certified Pharmacy Technician (CPhT)
Proven ability to manage multiple priorities and deliver results in a fast-paced environment
Additional Expectations
High level of integrity and discretion when handling sensitive contract and business information
Strong communication and interpersonal skills with the ability to build relationships and influence stakeholders across all levels of the organization
Ability to manage multiple priorities and deadlines while maintaining professionalism and accountability
Willingness to travel up to 25% as needed
Since 1992, Omnicell has been committed to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive to be the healthcare provider’s most trusted partner by our guiding promise of “Outcomes. Defined and Delivered.”
Our comprehensive portfolio of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business and clinical outcomes as they move closer to the industry vision of the Autonomous Pharmacy.
Our guiding principles inform everything we do:
As Passionate Transformers, we find a better way to innovate relentlessly.
Being Mission Driven, we consistently deliver on our promises.
Our Entrepreneurial spirit makes the most of EVERY opportunity for innovation.
Understanding that Relationships Matter creates synergies that yield the greatest benefits for all.
Intellectually Curious, eager to think deeper to learn and improve.
In Doing the Right Thing, we lead by example in ALL we do.
We are deeply committed to Environmental, Social, and Governance (ESG) initiatives. Our ESG efforts focus on creating an inclusive culture and a healthier world. This includes our Employee Impact Groups, which foster inclusion and belonging, as well as our learning and well-being programs that support personal and professional growth. We also prioritize sustainability in our operations, aiming to reduce our environmental footprint and promote responsible business practices. Join us in transforming the pharmacy care delivery model, making patient care safer and smarter for all.
Omnicell is dedicated to fostering an inclusive workplace. We welcome applications from all individuals, valuing a wide range of perspectives and backgrounds. As an equal opportunity employer, we do not discriminate based on race, gender, religion, sexual orientation, gender identity, national origin, veteran status, or disability. We are committed to making our recruitment process accessible to everyone. We offer support and reasonable adjustments for individuals with disabilities during our hiring process. If you need assistance, please contact us at [email protected].
At Omnicell, respect for privacy and confidentiality is paramount. We adhere to strict policies to prevent discrimination or retaliation against those who engage in open conversations about compensation. However, employees privy to compensation information as part of their job role are expected to maintain confidentiality, except in specific circumstances outlined by law, such as during formal complaints, investigations, or as required by legal obligations.
Please note that Omnicell reserves the right to modify job roles and responsibilities as needed to meet our organization's evolving needs and drive our mission forward.
A leader in transforming the pharmacy care delivery model
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
1992
Headquarters
Fort Worth, Texas
LinkedIn followers
94,183
Total funding
$170M
Omnicell is transforming pharmacy and nursing care through outcomes-centric solutions designed to optimize clinical and business outcomes across all settings of care. Our comprehensive portfolio of robotics and smart devices, intelligent software workflows, and data and analytics, all optimized by expert services are helping healthcare facilities worldwide to reduce costs, improve labor efficiency, establish new revenue streams, enhance supply chain control, support compliance, and move closer to the industry vision of the Autonomous Pharmacy. To learn more, visit omnicell.com.
Offices: 4220 North Fwy, Fort Worth, Texas 76137, US · 2003 Gandy Blvd. North, St. Petersburg, Florida 33702, US · 500 Cranberry Woods Drive, Cranberry Township, Pennsylvania 16066, US · 725 Sycamore Dr, Milpitas, California 95035, US · 51 Pennwood Pl, Warrendale, Pennsylvania 15086, US
Patient Safety and Operational efficiencyHospitalHealth CareMedical
A leader in transforming the pharmacy care delivery model
Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Founded
1992
Headquarters
Fort Worth, Texas
LinkedIn followers
94,183
Total funding
$170M
Omnicell is transforming pharmacy and nursing care through outcomes-centric solutions designed to optimize clinical and business outcomes across all settings of care. Our comprehensive portfolio of robotics and smart devices, intelligent software workflows, and data and analytics, all optimized by expert services are helping healthcare facilities worldwide to reduce costs, improve labor efficiency, establish new revenue streams, enhance supply chain control, support compliance, and move closer to the industry vision of the Autonomous Pharmacy. To learn more, visit omnicell.com.
Offices: 4220 North Fwy, Fort Worth, Texas 76137, US · 2003 Gandy Blvd. North, St. Petersburg, Florida 33702, US · 500 Cranberry Woods Drive, Cranberry Township, Pennsylvania 16066, US · 725 Sycamore Dr, Milpitas, California 95035, US · 51 Pennwood Pl, Warrendale, Pennsylvania 15086, US
Patient Safety and Operational efficiencyHospitalHealth CareMedical