Director of PBM Network Pricing
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Job Summary
To support a growing pharmacy benefit management team, the full-time remote Director of PBM Network Pricing will manage pharmacy network financial performance, oversee reconciliation and MAC pricing strategies, and ensure alignment with contracted reimbursement guarantees.
Key responsibilities
- Lead the Network Reconciliation function to validate pharmacy network performance against contracted effective rates and pricing guarantees
- Oversee the MAC Pricing team, ensuring competitive and compliant MAC pricing supports overall network financial targets
- Establish processes for monitoring and reporting network performance, identifying variances, and driving corrective actions
Required qualifications
- Bachelor's degree in Business, Finance, Economics, Healthcare Administration, or related field, or equivalent work experience
- 7+ years of progressive experience in PBM, healthcare plan, or pharmacy network roles
- 3+ years of leadership experience with a proven ability to develop high-performing teams
- Demonstrated experience in pricing strategy, market analysis, or network planning
- Experience supporting RFP pricing and competitive market analysis
Complete Job Description
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