Skip to main content
Tallo logoTallo logo
Apply for this opportunity

This job application is on an outside website. Be sure to review the job posting there to verify it's the same.

Program Manager-Pharmacy Contracting

Job

AHS Allina Health System

Minneapolis, MN (In Person)

$129,500 Salary, Full-Time

Posted 1 week ago (Updated 6 days ago) • Actively hiring

Expires 7/7/2026

Review key factors to help you decide if the role fits your goals.
Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
100
out of 100
Average of individual scores

Were these scores useful?

Skill Insights

Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.

Job Description

Location Address:
2925 Chicago Ave Loading Dock Minneapolis, MN 55407-1321
Date Posted:
March 09, 2026
Department:
16007900
Allina Pharmacy Services Shift:
Day (United States of America)
Shift Length:
8 hour shift
Hours Per Week:
40
Union Contract:
Non-Union-NCT Weekend Rotation:
None Job Summary:
Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.
Key Position Details:
1.0 FTE (80 hours per two-week pay period) 8-hour day shift No weekends
Job Description:
Oversees proper payer contracting, payer relations, and revenue management for health system pharmacy. Ensures contracting requirements are met and provides analysis, problem resolution, auditing, reporting, process recommendations, and training for optimal business outcomes. Acts as the pharmacy and payer point of contact for related problems/questions. Responsible for in-house financial audits and preliminary analysis including payer performance, contract compliance, and business analysis. Disseminates contract reimbursement information to providers and relevant stakeholders and serves as a key strategic partner with the payer relations and contracting department. Principle Responsibilities Strategy and Execution Develops, implements, and manages a comprehensive, market-based payer strategy to ensure pharmacy network participation and optimization. Ensures the alignment of payer programs with the health system's strategic business initiatives with close alignment to associated stakeholders, i.e., network integrity team. Monitors and assesses network requirements, ensuring compliance with payer standards, credentialing and performance metrics. Supports contract negotiations with commercial insurers, Medicare/Medicaid, and PBMs to optimize network access and reimbursement. Account Management and Payer Relations Establishes relationships with key payer stakeholders, ensuring strong partnerships that drive retention and access with a focus on pharmacy. Conducts regular business reviews with payers to assess performance, contract adherence, and strategic opportunities. Provides subject matter expertise within the credentialing and re-credentialing process for payer contracts and payer network participation. Evaluates and responds to Requests for Proposals (RFPs) and Requests for Information (RFIs) to secure new payer partnerships. Advocates for fair access to pharmacy networks by engaging in payer discussions, policy reviews, and appeals processes. Tracks payer policies and formulary changes, assessing their impact on pharmacy services and patient access. Serves as a point of contact for payer-related escalations, resolving access barriers and reimbursement disputes. Analytics Utilizes data to support strategic decision-making, network expansion, and network maintenance. Provides data-driven insights to payers and internal stakeholders. Communicates pharmacy's value proposition and identify areas for data alignment. Collaborates with revenue cycle and billing teams to analyze and optimize reimbursement and address payer-related issues. Other duties as assigned. Required Qualifications Bachelor's degree in Business, finance or related area 5+ years in pharmacy contracting, payer relations, pharmacy network management, or healthcare reimbursement Preferred Qualifications Master's degree in Business, finance or related area 2+ years leadership experience in pharmacy-related contracting, or infusion, specialty, or retail pharmacy Licenses/Certifications Registered Pharmacy Technician - MN Board of Pharmacy required upon hire preferred
Physical Demands Light Work:
Lifting weight up to 20 lbs. occasionally, up to 10 lbs. frequently
Pay Range Pay Range:
$52.24 to $72.28 per hour The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience and education. Additional incentives may be available, including discretionary monetary bonuses, goal-based bonuses, and other financial incentives. Benefit Summary Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive — not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members. Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey. In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events.
Benefits include:
Medical/Dental PTO/Time Away Retirement Savings Plans Life Insurance Short-term/Long-term Disability Voluntary Benefits (vision, legal, critical illness) Tuition Reimbursement or Continuing Medical Education as applicable Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program Allina Health is a 501(c)(3) eligible employer •Benefit eligibility/offerings are determined by FTE and if you are represented by a union. People at Allina Health have a career of making a difference in the lives of the millions of patients we see each year at our 90+ clinics, 12 hospitals and through a wide variety of specialty care services in Minnesota and western Wisconsin. We're a not-for-profit organization committed to enriching your career by providing ongoing training, competitive compensation, support for work-life balance and ways to give back to the communities we serve. Join our team of 27,000+ employees - your career opportunities are limitless! Diversity creates a healthier atmosphere for our employees, patients, and community. Allina Health is proud to be an Equal Employment Opportunity employer, and will make employment decisions without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Allina Health is an E-Verify Employer Allina Health complies with federal requirements to verify the employment eligibility of all persons hired to work in the United States. Allina Health is an E-Verify employer. E-Verify is an Internet-based system that compares information from each new employee's Form I-9 to records available from the Social Security Administration (SSA) and the Department of Homeland Security (DHS) to confirm work authorization. An E-Verify case must be created no later than the third business day after the employee starts work for pay. All Forms I-9 must be completed and received by the Office of Human Resources accordingly. For more information, link to: Right to Work Poster (e-verify.gov)
E-Verify Participation Poster English and Spanish Application Instructions:
External Candidates:
Click "Apply" to start your application. You will need to either create an account or sign into your account to submit an application.
Employees:
If you are a current Allina Health employee, you must sign into Workday and apply through Find Jobs to ensure that you are identified as an internal candidate.