Overview
Skills
Job Details
Our direct client , a major healthcare company, is seeking a Pharmacy Benefits Manager-PBM Network Process Manager for a long term contract, contract to hire engagement.
This position fully remote however candidates MUST reside in the following states ONLY..Maryland, Virginia, West Virginia, North Carolina, Pennsylvania, Delaware, New York, New Jersey,T exas, Florida and Washington DC..
This is an operations oversite and management role where the business would like someone with a knowledge of pharmacy networks (retail, mail, specialty, etc..) who can take a pharmacy contract and manage the following entities; performance matrix, credentialing, re-contracting, and regulatory compliance. The candidate must possess the following skills:
1. Network performance analysis Monitoring access, disruptions, trends, and service quality.
2. Provider relationship management Engaging with pharmacy networks and resolving escalations.
3. Data-driven decision making Using performance data to guide contracting, retention, and outreach.
4. Operational optimization Driving improvements in network access, satisfaction, and cost efficiency.
5. Cross-functional collaboration Coordinating with stakeholders across business, operations, and regulatory teams.
Apply today for immediate consideration. I look forward to hearing from you !!!