ZipRecruiter

Log In

2

Contract Remote Pbm Jobs (NOW HIRING)

Truveris

Customer Success Director

Wilmington, DE · Remote

Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company dedicated to ...

Truveris

Customer Success Director

Wilmington, DE · On-site +1

$120K - $150K/yr

Description Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company ...

Lucyrx

Financial Analyst

Bethesda, MD · On-site +1

... FP&A, PBM analytics, or contract/claims analytics. * Strong Excel skills (advanced formulas ... We're a nimble, remote-first team with a bold mission to redefine pharmacy benefits-and we're just ...

next page

Showing results 1-20

All JobsContract Remote Pbm Jobs

Contract Remote Pbm information

What are some common challenges faced by professionals working as Contract Remote PBMs, and how can they be addressed?

One common challenge for Contract Remote PBM (Pharmacy Benefit Manager) professionals is maintaining clear communication with clients and team members, as remote work can sometimes lead to misunderstandings or delays. Additionally, staying updated on ever-changing pharmacy regulations and plan requirements can be demanding. To address these challenges, it's important to utilize reliable communication tools, establish regular check-in meetings, and actively participate in ongoing training. Building strong relationships with stakeholders and being proactive in addressing client concerns also contribute to successful remote contract management.

What is a Contract Remote PBM?

A Contract Remote PBM refers to a pharmacy benefit manager (PBM) who works on a contractual basis and operates remotely, rather than being employed full-time on-site. PBMs are companies or professionals that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. Their primary responsibilities include negotiating with drug manufacturers and pharmacies to control drug spending, processing prescription drug claims, and creating formularies to determine which drugs are covered. A contract remote PBM performs these duties from a remote location, often utilizing digital tools to collaborate with clients and stakeholders.

What is the difference between Contract Remote Pbm vs Contract Remote Pharmacist?

AspectContract Remote PbmContract Remote Pharmacist
CredentialsLicensing, certification in pharmacy benefit managementState pharmacy license, certification (e.g., PTCB)
Work EnvironmentRemote, healthcare/insurance industryRemote, healthcare/pharmacy industry
Employer & Industry UsageHealth plans, PBMs, insurance companiesPharmacy chains, hospitals, insurance companies
Common Search & ComparisonYesYes

Contract Remote Pbm roles focus on managing pharmacy benefits, requiring knowledge of benefit design and healthcare policies, while Contract Remote Pharmacist roles involve direct pharmacy practice, medication review, and dispensing. Both are remote healthcare positions but differ in responsibilities and industry focus.

What are the key skills and qualifications needed to thrive as a Contract Remote Pharmacy Benefit Manager (PBM), and why are they important?

To thrive as a Contract Remote PBM, you need a strong understanding of pharmacy benefit management, contract negotiation, and healthcare regulations, often supported by experience in pharmacy or healthcare administration. Familiarity with PBM software platforms, claims adjudication systems, and knowledge of regulatory compliance tools is essential. Excellent analytical skills, attention to detail, and effective remote communication are standout soft skills for this role. These abilities ensure optimal contract outcomes, regulatory adherence, and seamless collaboration with clients and stakeholders in a remote environment.
More about Contract Remote Pbm jobs
What cities are hiring for Contract Remote Pbm jobs? Cities with the most Contract Remote Pbm job openings:
What are the most commonly searched types of Remote Pbm jobs? The most popular types of Remote Pbm jobs are:
What states have the most Contract Remote Pbm jobs? States with the most job openings for Contract Remote Pbm jobs include:
What job categories do people searching Contract Remote Pbm jobs look for? The top searched job categories for Contract Remote Pbm jobs are:
Contract Remote Pbm jobs near you
Infographic showing various Contract Remote Pbm job openings in the United States as of June 2026, with employment types broken down into 100% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution.
Director, PBM Pharmacy Network Contracting

Director, PBM Pharmacy Network Contracting

Navitus Health Solutions, LLC

Remote

$142K - $177K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $142,128.00 - USD $177,660.00 /Yr.
STAR Bonus % (At Risk Maximum)
15.00 - Director, GM of GP, PIC
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F: 8:00 am - 5:00 pm
Remote Work Notification
ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview
The Director, Pharmacy Network Contracting is responsible for leading the negotiation, execution, and ongoing management of pharmacy network contracts across all provider segments. This role holds direct accountability for contract strategy, provider agreements, and the financial outcomes of negotiated reimbursement structures.
The Director serves as the contracting authority for pharmacy provider agreements, leading negotiations with national chains, grocers, PSAOs, and independent pharmacies. This role ensures that contract terms are competitive, sustainable, and aligned with enterprise pricing strategy, regulatory requirements, and long-term network objectives.
This role partners closely with the Senior Director, Network Contracting to drive contracting strategy, establish negotiation priorities, and ensure alignment with enterprise network and financial objectives.
Is this you? Find out more below!
Responsibilities
Network Contracting & Negotiation Leadership
  • Lead negotiation of pharmacy participation agreements across all provider segments, including national chains, grocers, PSAOs, and independent pharmacy networks.
  • Own reimbursement structures, contract terms, and financial outcomes of pharmacy provider agreements.
  • Establish negotiation strategies that balance market competitiveness with enterprise financial and network performance goals.
  • Serve as the decision-maker for contract structure, rate positioning, and escalated negotiation decisions.
  • Approve contract exceptions and ensure alignment to broader network strategy and pricing objectives.

Contract Strategy & Framework Development
  • Provide strategic leadership over pharmacy participation agreements, network addenda, and contract standards, ensuring consistency with enterprise pricing, access, and compliance objectives.
  • Develop and maintain contracting playbooks, standards, and governance frameworks to support scalable and consistent negotiation practices.
  • Guide contract structure decisions to support evolving pricing strategies, regulatory changes, and market dynamics.
  • Recommend enhancements to contract language and structure to improve clarity, enforceability, and long-term sustainability.

Provider Engagement & Negotiation Strategy
  • Lead provider engagement strategy to support successful contract negotiations, alignment to contract intent, and long-term network stability.
  • Serve as a senior point of contact for complex and strategic provider discussions, including reimbursement changes, contract interpretation, and structural alignment.
  • Maintain strong relationships with key pharmacy partners to support transparency, issue prevention, and alignment on contract expectations.
  • Drive resolution of high-impact or systemic provider issues, ensuring alignment to contract terms and enterprise objectives.

Contract Execution & Cross-Functional Alignment
  • Ensure negotiated contract terms are clearly defined, documented, and positioned for accurate downstream implementation.
  • Partner with Network Operations and Performance teams to support effective handoff, implementation, and validation of contract terms.
  • Provide strategic guidance on contract interpretation to support claims configuration, pricing application, and network governance.
  • Support enterprise initiatives related to network strategy, growth, and regulatory readiness.

Financial Accountability & Performance Alignment
  • Accountable for financial performance of pharmacy network contracts, ensuring negotiated reimbursement terms align with enterprise pricing strategy and expected outcomes.
  • Partner with Network Performance and Reconciliation leadership to ensure contracted terms are operationalized and achieved through effective execution and monitoring.
  • Incorporate performance insights and market feedback into future negotiation strategies and contract design decisions.

Issue Resolution & Continuous Improvement
  • Act as escalation point for complex, high-risk, or systemic contract issues requiring higher-level leadership intervention.
  • Analyze trends in provider inquiries, disputes, and operational friction to identify opportunities for structural contract improvement.
  • Drive continuous improvement initiatives to enhance contract clarity, reduce administrative burden, and improve provider experience.

Leadership & Team Development
  • Provide leadership and direction to contract managers and/or senior contracting staff.
  • Set expectations for negotiation discipline, contract quality, documentation, and escalation standards.
  • Foster a high-performing team environment focused on accountability, consistency, and execution excellence.

Qualifications
What our team expects from you?
  • Bachelor's degree in Business, Finance, Economics, or Healthcare Administration, or related field, or equivalent work experience, required.
  • 7+ years of progressive PBM, healthcare plan, pharmacy network, or equivalent experience required.
  • Demonstrated experience in provider contracting, contract strategy, or network governance required.
  • Strong understanding of pharmacy reimbursement and claims adjudication concepts required.
  • 3+ years of leadership experience with a proven ability to develop high-performing teams and deliver tangible results in a professional services environment required.
  • Participate in, adhere to, and support compliance program objectives.
  • The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?
  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program - up to $750!

#LI-Remote
Location : Address
Remote
Location : Country
US

Apply