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Pbm Contracting Jobs in Florida (NOW HIRING)

... 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

$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 ...

... 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

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

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 ...

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Pbm Contracting information

What is the difference between Pbm Contracting vs Pbm Electrician?

AspectPbm ContractingPbm Electrician
CredentialsGeneral contracting license, safety certificationsElectrical license, journeyman or master electrician certification
Work EnvironmentConstruction sites, project managementElectrical installations, maintenance, troubleshooting
Employer & IndustryConstruction companies, general contracting firmsElectrical 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?

PBM contracting refers to the agreements made between Pharmacy Benefit Managers (PBMs) and other entities, such as pharmacies, drug manufacturers, or health plans. These contracts determine how prescription drug benefits are managed, including drug pricing, reimbursement rates, formulary management, and rebate arrangements. PBM contracting plays a crucial role in controlling drug costs and ensuring access to medications for patients. Understanding these contracts is important for healthcare providers, pharmacies, and insurers to optimize drug benefit management and costs.

What are some common challenges faced by professionals working in PBM Contracting, and how can they be addressed?

Professionals in PBM (Pharmacy Benefit Management) Contracting often encounter challenges such as navigating complex negotiations with pharmaceutical manufacturers and health plan clients, staying current with evolving regulations, and balancing cost containment with maintaining access to quality medications. Success in this role requires strong analytical and communication skills, as well as a collaborative approach to working with legal, clinical, and sales teams. Staying proactive in monitoring industry trends and participating in ongoing training can help address these challenges and ensure effective contract management.

What is the best PBM to work for?

As a PBM (Pharmacy Benefit Manager) employee, the best companies to work for are often those with strong industry reputations, competitive benefits, and opportunities for career growth. Major PBMs like CVS Caremark, Express Scripts, and OptumRx are known for their large scale and comprehensive employee programs. Factors such as company culture, job role, and location also influence the best fit for individual preferences.

What are the key skills and qualifications needed to thrive as a PBM Contracting Specialist, and why are they important?

To thrive as a PBM (Pharmacy Benefit Manager) Contracting Specialist, you need a strong background in contract negotiation, healthcare regulations, and pharmacy benefit management, typically supported by a degree in business, pharmacy, or healthcare administration. Familiarity with contract management software, PBM platforms, and knowledge of Medicare/Medicaid regulations is essential. Exceptional attention to detail, strong communication, and analytical thinking are crucial soft skills for success in this role. These skills ensure contracts are negotiated effectively, compliance is maintained, and mutually beneficial relationships are fostered between PBMs and clients.

What is a PBM contract?

A PBM contract is an agreement between a pharmacy benefit manager (PBM) and a client, such as an employer or insurer, outlining the terms for managing prescription drug benefits. It specifies services like formulary management, drug pricing, and claims processing, often requiring knowledge of healthcare regulations and pharmacy operations. For those in PBM contracting roles, understanding healthcare policies and contract negotiation is essential.

How much does PBM make a month?

As a Pbm Contracting employee, monthly earnings vary based on the role, experience, and location. Typically, contractors or workers in this field can earn from a few thousand to several thousand dollars per month, depending on the scope of work and hours worked. Accurate salary information should be obtained from specific job postings or company sources.

Who are the big 3 PBMs?

The three largest pharmacy benefit managers (PBMs) are CVS Caremark, Express Scripts, and OptumRx. These companies manage prescription drug benefits for many health plans and employers, often influencing drug pricing and formulary management. PBM roles typically involve negotiating with drug manufacturers and pharmacies to control costs.
What are popular job titles related to Pbm Contracting jobs in Florida? For Pbm Contracting jobs in Florida, the most frequently searched job titles are:
What cities in Florida are hiring for Pbm Contracting jobs? Cities in Florida with the most Pbm Contracting job openings:
Infographic showing various Pbm Contracting job openings in Florida as of July 2026, with employment types broken down into 100% Full Time. Highlights an 78% In-person, and 22% Remote job distribution.

Director - Strategic Sourcing Health Plan

Phsorg

On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago


Job description

Location Address:

9521 San Mateo NE Albuquerque, NM 87113-2237

Summary:

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.