Senior Director PBM Agreements and Operations

Fairview Health Services•Shoreview, MN

About The Position

The Senior Director, PBM Agreements & Operations serves as the execution arm of PBM sales and the principal deal architect for ClearScript. Reporting to the President, ClearScript, this role is accountable for structuring, negotiating, and executing complex, multi party PBM agreements and for translating senior level business relationships and strategic intent into executable, operational outcomes. Operating with a high degree of autonomy in ambiguous and fast-moving environments, this leader owns the lifecycle of PBM business development transactions—from early deal architecture through contract execution and operational handoff—while ensuring vendor accountability, internal enterprise readiness, and fulfillment of commercial commitments. This role bridges strategy, sales, legal, finance, and operations to ensure PBM deals are structured correctly, negotiated effectively, and implemented successfully. The Senior Director operates as both deal strategist and execution leader, converting executive level discussions into detailed, defensible agreements and ensuring ClearScript and its PBM partners deliver against negotiated terms. The position holds oversight accountability for vendor performance post signature, including ClearScript and subcontracted PBM vendors, and plays a critical role in escalation, governance, and continuous performance management.

Requirements

B.S./B.A. Bachelor's degree in in Finance, Accounting, Economics, Business Administration, Healthcare Administration or a related field
7 years Hands-on experience in PBM contracting, operations, or strategy
Proven experience structuring and negotiating complex PBM and multi-party commercial agreements
Strong fluency in PBM and pharmacy economics, including pricing, rebates, guarantees, and risk mechanisms
Demonstrated ability to operate effectively in ambiguous, fast-moving, senior-level environments
Demonstrated ability to navigate growth in an entrepreneurial business (ClearScript) within a larger, established enterprise (Fairview)
Exceptional judgement and decision-making capability with material financial and operational impact
Executive-level communication skills with the ability to influence without authority
Market-facing experience with clients, vendors, and senior external stakeholders

Nice To Haves

Masters in Business Admin MBA strongly preferred
Juris Doctorate JD strongly preferred
Prior experience working across Sales, Legal, Finance, and Operations in PBM or healthcare organizations
Experience leading complex contract governance and vendor management skills
Experience executing business relationships in complex business arrangements, in large organization

Responsibilities

Serve as execution owner for PBM deals from initial architecture through contract execution and operational handoff. Translate high level commercial intent and relationship driven discussions into structured, executable deal terms, conditions, and contract execution.
Design and negotiate complex commercial, pricing, and guarantee structures across PBM and multi party arrangements.
Ensure all contractual commitments are operationally feasible, measurable, and enforceable.
Provide PBM RFP strategy and response positioning, building getting to yes for client-specific customization requests.
Partner closely with Sales leadership to convert opportunities into executable agreements.
Act as subject matter expert in client and prospect discussions, when needed, involving PBM contracting, economics, and risk structures.
Coordinate cross functional deal execution with Sales, Finance, Legal, Compliance, Operations, and Product teams.
Partner with Finance on pricing models, rebate structures, guarantees, and financial risk assessment.
Collaborate with Legal on contract language, governance frameworks, compliance, and risk mitigation.
Own PBM vendor performance management post contract, including escalation management and issue resolution.
Establish and monitor governance mechanisms to ensure vendors deliver against contractual commitments.
Act as ClearScript’s senior point of accountability for PBM contract execution integrity.
Ensure client, internal teams, and vendors are prepared for implementation prior to contract close.
Drive a clean, disciplined handoff from contracting to operations, minimizing friction and execution risk.
Identify and proactively resolve execution risks before they impact clients or financial outcomes.