... PBM), behavioral health, IT and digital, care coordination, population health programs, marketing ... Contracting & Compliance * Partner with Legal to support contract development, redlining, and ...
... PBM), behavioral health, IT and digital, care coordination, population health programs, marketing ... Contracting & Compliance * Partner with Legal to support contract development, redlining, and ...
Office Coordinator Medicare Part D
Hialeah, FL · On-site
$16.25 - $21.75/hr
Including identifying new providers, contracting, screening, credentialing and vetting of all ... Assists with all Part D activities including: annual bid, Fraud Waste and Abuse Plan, PBM claims ...
Office Coordinator Medicare Part D
Hialeah, FL · On-site
$16.25 - $21.75/hr
Including identifying new providers, contracting, screening, credentialing and vetting of all ... Assists with all Part D activities including: annual bid, Fraud Waste and Abuse Plan, PBM claims ...
Office Coordinator Medicare Part D
$16.25 - $21.75/hr
Including identifying new providers, contracting, screening, credentialing and vetting of all ... Assists with all Part D activities including: annual bid, Fraud Waste and Abuse Plan, PBM claims ...
Office Coordinator Medicare Part D
$16.25 - $21.75/hr
Including identifying new providers, contracting, screening, credentialing and vetting of all ... Assists with all Part D activities including: annual bid, Fraud Waste and Abuse Plan, PBM claims ...
Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care * Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care * Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care * Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
Strong knowledge of specialty pharmacy contracting, payor, PBM's and managed care * Must be able to meet time-sensitive deadlines and handle confidential and sensitive information appropriately
... contracting and fee schedules, and ensure business requirements are properly translated into ... PBM, company specific product offerings, pricing components, and company capabilities and ...
... contracting and fee schedules, and ensure business requirements are properly translated into ... PBM, company specific product offerings, pricing components, and company capabilities and ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Miami, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Miami, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Orlando, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Orlando, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Tampa, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Orlando, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Orlando, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Miami, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy
Miami, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Payor Contract Manager, Infusion
Lake Mary, FL · Hybrid
$111K - $166K/yr
... contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would ...
Clinical Review Pharmacist (US-based Remote Contractor)
Miami, FL · On-site
$118K - $168K/yr
Experience in a managed care setting (HMO, MSO, PBM) is a plus * Medicare Part D or Medicaid experience, along with managed care experience PAY RANGE: $118,062 - $168,658 Salary The posted pay range ...
Clinical Review Pharmacist (US-based Remote Contractor)
Miami, FL · On-site
$118K - $168K/yr
Experience in a managed care setting (HMO, MSO, PBM) is a plus * Medicare Part D or Medicaid experience, along with managed care experience PAY RANGE: $118,062 - $168,658 Salary The posted pay range ...
Pbm Contracting information
What is the difference between Pbm Contracting vs Pbm Electrician?
| Aspect | Pbm Contracting | Pbm Electrician |
|---|---|---|
| Credentials | General contracting license, safety certifications | Electrical license, journeyman or master electrician certification |
| Work Environment | Construction sites, project management | Electrical installations, maintenance, troubleshooting |
| Employer & Industry | Construction companies, general contracting firms | Electrical contractors, industrial and commercial facilities |
While Pbm Contracting oversees entire construction projects, Pbm Electrician specializes in electrical systems installation and repair. Both roles require safety certifications, but Pbm Electrician focuses specifically on electrical work, often within the broader scope of Pbm Contracting projects.
What is PBM contracting?
What are some common challenges faced by professionals working in PBM Contracting, and how can they be addressed?
What is the best PBM to work for?
What are the key skills and qualifications needed to thrive as a PBM Contracting Specialist, and why are they important?
What is a PBM contract?
How much does PBM make a month?
Who are the big 3 PBMs?

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 17 days ago
Job description
Location Address:
9521 San Mateo NE Albuquerque, NM 87113-2237Summary:
The Director of Strategic Sourcing for the Health Plan will lead sourcing strategy, supplier management, contracting, and cost optimization initiatives for all categories of spend supporting Presbyterian Health Plan. This includes categories such as third-party administrative services, pharmacy benefit management (PBM), behavioral health, IT and digital, care coordination, population health programs, marketing, consulting, and other non-clinical categories.This individual will work closely with internal business owners, finance, legal, compliance, and vendor partners to ensure value-driven, performance-oriented sourcing decisions that align with the strategic and operational priorities of the health plan.
Remote: Open to applicants in the United States, excluding California, Illinois, North Dakota, New York, Ohio, Washington, and Wyoming.
Hybrid: For individuals within 60 miles of Albuquerque, in-office presence is expected every Tuesday, Wednesday, and Thursday.
Job Description:
The Director of Strategic Sourcing for the Health Plan will lead sourcing strategy, supplier management, contracting, and cost optimization initiatives for all categories of spend supporting Presbyterian Health Plan. This includes categories such as third-party administrative services, pharmacy benefit management (PBM), behavioral health, IT and digital, care coordination, population health programs, marketing, consulting, and other non-clinical categories.
This individual will work closely with internal business owners, finance, legal, compliance, and vendor partners to ensure value-driven, performance-oriented sourcing decisions that align with the strategic and operational priorities of the health plan.
Responsibilities:
Sourcing Strategy & Execution
- Lead the development and execution of sourcing strategies across all addressable health plan spend.
- Develop category plans and wave strategies based on business needs, market dynamics, and value opportunities.
- Manage RFI/RFP/RFQ processes and direct negotiations with key suppliers.
- Deliver measurable cost savings, total cost of ownership (TCO) improvements, and supplier innovation.
Supplier Relationship Management
- Develop and lead supplier relationship management (SRM) processes and scorecards for strategic suppliers.
- Facilitate business reviews with internal stakeholders and suppliers.
- Partner with business owners to drive supplier performance, risk mitigation, and continuous improvement.
Contracting & Compliance
- Partner with Legal to support contract development, redlining, and negotiation.
- Ensure sourcing activity is compliant with relevant regulations (e.g., CMS, HIPAA, Medicare Advantage, Medicaid).
- Manage contract lifecycle and track critical terms and milestones.
Cross-Functional Collaboration & Leadership
- Act as the strategic interface between procurement and health plan business leaders.
- Support transformation initiatives through sourcing and supplier enablement.
- Lead a team of sourcing professionals and ensure alignment with enterprise procurement goals.
- Drive adoption of procurement standards, processes, and tools across the health plan organization.
Additional Job Description:
- Bachelors degree in Supply Chain, Business, Finance, Healthcare Administration, or related field.
- Masters degree (MBA, MHA, MPH) or certifications such as CPSM, CPPO preferred.
- 10+ years of experience in strategic sourcing, with at least 5 years in a leadership capacity.
- Experience sourcing services or solutions for health insurance or managed care organizations is a must
- Strong negotiation, contract management, and supplier engagement skills.
- Understanding of healthcare payor regulatory requirements.
- Experience with pharmacy benefit management (PBM), behavioral health, care management vendors.
- Strong analytical and decision-making skills
- Familiarity with procurement and contract lifecycle management tools (e.g., Ariba, Coupa, Icertis).
Benefits
Benefits are effective day-one (for .45 FTE and above) and include:
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system ofnine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history-and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.