PBM Contract Manager

Independent Health

10d•$70,000 - $85,000•Hybrid

About The Position

The PBM Contract Manager will be responsible for the oversight and management of client, vendor and all other business contracts and agreements. The manager will capture, define, and understand the business needs of Pharmacy Benefit Dimensions (PBD) and will work to ensure those needs and interests are appropriately represented in contracts and other agreements. The manager will draft, review, negotiate and facilitate the execution of new and existing contacts and agreements and will have limited decision-making authority. The manager will be the liaison between PBD business units, Independent Health legal department and any outside legal counsel or vendors. Furthermore, the manager will be responsible for conducting state and federal regulatory research and monitoring and will prepare, file, and manage any business registration and licensures. The manager will be responsible for the creation and maintenance of tracking and monitoring processes, necessary policies and procedures, performance and reporting requirements and communicating overall metrics to key stakeholders.

Requirements

Bachelor’s degree required. Paralegal Studies degree preferred. An additional four (4) years of experience will be considered in lieu of degree.
Five (5) years of experience in corporate/vendor contract management and negotiations, regulatory and/or compliance research and monitoring required.
Strong analytical, problem solving, time management and organizational skills.
Detail oriented, while maintaining an awareness of overall goals.
Ability to work independently and manage multiple projects in a fast-paced fluid environment.
Advanced computer and Windows skills required. Experience with Microsoft Office applications, and ability to learn new software applications.

Nice To Haves

Experience with self-funded group health plans preferred.

Responsibilities

Research, define, capture, and understand the business needs to support the review, negotiation and execution of all registrations, licenses, agreements and contracts for PBD.
Research state and federal PBM regulations and business requirements and monitor and track for any changes or updates.
Research application and regulatory requirements for PBMs to obtain and maintain licensure or business registration in various states in which PBD wishes to conduct business.
Complete and facilitate all necessary application and documentation requirements for the timely submission of all initial and renewal license and/or registration applications.
Develop and maintain tracking and monitoring processes to ensure compliance with business operations, application, and renewal requirements.
Facilitate and oversee the contracting process for all documents such as: requests for proposals (RFPs), Administrative Service Agreements (ASAs), Amendments, vendor agreements, rebate contracts, pharmacy and network contacts and software licenses.
Create draft documents, as well as review, edit, negotiate and facilitate execution of all agreements and contracts.
Work with PBD business units to research, capture and understand the business needs to support the review and negotiation of all agreements and contracts for PBD to conduct business.
Develop, implement and maintain tracking and monitoring processes to ensure compliance with contract terms and conditions.
Facilitate the timely review and renewal of all contacts as necessary.
Create and maintain tracking and reporting processes to detail performance metrics of the processes and duties.
Create and maintain policies, procedures, and other documentation specific to PBD to appropriately support the processes and duties.
Appropriately communicate needs, status, and overall performance metrics to all key stakeholders.