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Pbm Contracting Jobs in Texas (NOW HIRING)

Certified Professional Contracts Manager (CPCM) preferred * 4-6 years work experience in contracting space or health insurance. * Working knowledge of problem solving and decision making skills * PBM ...

... 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 ...

... 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 ...

... 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 ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Act as a liaison between the internal contracting team and the Implementation Team * Act as a ...

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 job categories do people searching Pbm Contracting jobs in Texas look for? The top searched job categories for Pbm Contracting jobs in Texas are:
What cities in Texas are hiring for Pbm Contracting jobs? Cities in Texas with the most Pbm Contracting job openings:
Senior Manager, Corporate Compliance - Pharmacy Benefit Manager (PBM) Market Conduct Exam Support

Senior Manager, Corporate Compliance - Pharmacy Benefit Manager (PBM) Market Conduct Exam Support

CVS Health

Irving, TX

$82K - $182K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,319 frontline employees who took The Breakroom Quiz

88th of 109 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary:

The Corporate Compliance Market Conduct Exam Center of Excellence is currently looking for a dynamic individual to join our team in aSenior Managerrole. This position performs highly complex support work concerning market conduct exams directed at CVS Caremark and Pharmacy Benefit Management (PBM) operations. In this role, you will support the Corporate Compliance Market Conduct Exam function by coordinating highly sensitive, complex exam work and deliverables gathered from internal PBM business partners for submission to state regulatory agencies and their contracted auditing organizations.

As aSenior Manager, PBM Market Conduct Exam Support, you will:

  • Support the planning, administration, and execution of PBM market conduct exams and compliance activities in alignment with Corporate Compliance priorities, regulatory requirements, and industry best practices.

  • Coordinate the execution of PBM compliance processes supporting risk assessments, business process reviews, exam responses, findings remediation, and corrective action plans.

  • Manage complex PBM market conduct exam requests and deliverables by coordinating cross-functional business partners, tracking progress, maintaining defensible documentation, and ensuring timely submission of regulatory responses.

  • Lead day-to-day execution of assigned market conduct exams, including prioritizing work, identifying risks, resolving issues, and escalating sensitive matters to the Lead Director, as appropriate.

  • Support consistent exam governance by following established market conduct exam workflows, communication standards, and documentation requirements while identifying opportunities for process improvement.

  • Provide coaching, guidance, and work direction to team members while supporting employee development and fostering collaboration across the Market Conduct Exam Center of Excellence.

  • Contribute to the continuous improvement of PBM market conduct exam capabilities through process enhancements, reporting, tools, and automation initiatives designed to improve efficiency, transparency, and regulatory outcomes.

Required Qualifications:

  • 7+ years of combined experience in Compliance, Regulatory, Legal, or Market Conduct Exam roles, including experience with PBM operations.

  • Excellent analytical, verbal, and written communication skills.

  • Demonstrated ability to manage complex, multi-state regulatory exams and competing priorities while meeting strict deadlines.

  • Proven experience coordinating cross-functional teams and working effectively across multiple business areas.

  • Ability to communicate effectively with all levels of management and escalate high-risk or sensitive issues appropriately.

  • Proven ability to build collaborative relationships, influence outcomes, and drive execution across multiple stakeholders.

  • Ability to travel up to 10% (including by plane)

Preferred Qualifications:

  • Prior experience in relevant auditing or market conduct exam roles within PBM environments.

  • Prior experience as a state or third-party market conduct examiner.

  • Experience coordinating regulatory response development, exam support activities, and corrective action plans.

  • Experience developing and interpreting management reporting and analytics, including an understanding of data structures, relational data concepts, and the use of reporting and visualization solutions to support regulatory oversight, exam management, and compliance decision-making.

  • Project management experience supporting large, complex regulatory initiatives.

  • Experience building and maintaining productive relationships with internal business partners, state regulators, and third-party auditors.

Education:

  • Bachelor's Degree; equivalent years of related professional work experience may substitute

  • Juris Doctor (JD) preferred

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.00


This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/14/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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