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Pbm Contracting Jobs in Texas (NOW HIRING)

CVS Health

Lead Director, Pharma Contracting

Irving, TX · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... for rebate contracting with the manufacturer. Your position will be highly visible to senior ... PBM and managed care expertise, with a focus on the management of pharmacy budgets related to ...

Bcbsa

$155K - $175K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Pharmacy degree and Pharm D. preferred * 5-7 years of related work experience in healthcare, pharmacy benefit management (PBM), utilization management, pharmaceutical contracting, client relations ...

Reliant Medical Group

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

divvyDOSE

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

UnitedHealth Group

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

UnitedHealthcare

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

UMR

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

UnitedHealth Group

Health Plan Clinical Pharmacist

Pearland, TX · On-site

$105K - $126K/yr

  • Medical

  • Retirement

During these encounters with members the following will be conducted: review of all current medications, review pharmacy claims in contracted PBM systems, drug-drug interactions screened, therapeutic ...

Soleo Health Inc

Vice President, Payor Relations

Frisco, TX

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... contracting sales pipelines and assess financial performance. * Serve as the primary executive contact for major external partners, including Managed Care Organizations, PBM's, Health Systems and ...

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Pbm Contracting information

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 the key skills and qualifications needed to thrive as a PBM contracting specialist?

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 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 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 are popular job titles related to Pbm Contracting jobs in Texas?

For Pbm Contracting jobs in Texas, the most frequently searched job titles are:

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:

Pbm Contracting jobs near you

PBM Contracting Specialist - AI Trainer

Mercor

Dallas, TX • Remote

$100/hr

Full-time

Medical

Posted 4 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Health Plan PBM Contracting Survey – Pharmacy Benefit Decision-Maker Insights
Type: Contract
Compensation: $100/hour
Location: Remote (United States)
Duration: Approximately 25 minutes

Role Responsibilities

  • Complete a structured ~25-minute online survey.
  • Share perspectives on PBM selection, contracting, formulary decisions, and specialty pharmacy arrangements.
  • Submit all responses within the given timeline.
  • Contribute to research shaping the next generation of healthcare AI tools.
  • Share your real-world expertise managing pharmacy benefits and PBM relationships.

Qualifications

Must-Have

  • Work for a health plan or health insurer, provider-sponsored health plan, or third-party administrator (TPA).
  • Hold a role in your organisation's pharmacy benefit and PBM decisions.
  • Current title such as Chief Medical Officer, Chief Pharmacy Officer, VP or Director of Pharmacy, etc.
  • Based in the United States.
  • Able to independently complete a ~25-minute online survey.

Compensation & Legal

  • One-time payment upon successful verification of the submission

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.


#hiringmercor