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Pbm Implementation Manager Jobs (NOW HIRING)

Conduent, Inc.

Project Coordinator

GA · Remote

We are seeking an experienced Project Manager with PBM implementation experience to oversee the successful delivery of IT projects from inception through implementation. This role is responsible for ...

Rightway Healthcare

Senior CSM, PBM

$125K - $145K/yr

... implementation to client management post-launch. * Responsible for gathering all client ... PBM solution. Travel to client sites for Open Enrollment or Benefit Fairs may be required.

Vativo RX, LLC.

PBM Sales Executives

FL · Remote

... implementation dates, close/won success using Salesforce and at regularly scheduled sales ... Pharmacy Benefit Management That Fits You don't have to be a Fortune 500 company to enjoy the ...

Capital Rx

Account Manager, PBM

Denver, CO · On-site

$100K - $125K/yr

The Account Manager, PBM is responsible for timely and accurate management and execution of all ... Support implementation of new plans, pricing, and networks, consistent with strategic or ...

Capital Rx

Account Manager, PBM

Charlotte, NC · On-site

$100K - $125K/yr

The Account Manager, PBM is responsible for timely and accurate management and execution of all ... Support implementation of new plans, pricing, and networks, consistent with strategic or ...

Judi Health

Account Manager, PBM

Charlotte, NC · On-site

$100K - $125K/yr

The Account Manager, PBM is responsible for timely and accurate management and execution of all ... Support implementation of new plans, pricing, and networks, consistent with strategic or ...

Capital Rx

Account Manager, PBM

Manhattan, NY · On-site

$100K - $125K/yr

The Account Manager, PBM is responsible for timely and accurate management and execution of all ... Support implementation of new plans, pricing, and networks, consistent with strategic or ...

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Pbm Implementation Manager information

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$39K

$103.5K

$168K

How much do pbm implementation manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for pbm implementation manager in the United States is $103,518.00, according to ZipRecruiter salary data. Most workers in this role earn between $75,500.00 and $121,000.00 per year, depending on experience, location, and employer.

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Pbm Implementation Manager jobs near you
Infographic showing various Pbm Implementation Manager job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 11% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $103,518 per year, or $49.8 per hour.

PBM Partnerships & Payer Relations Manager

Insight

Flint, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Insight Health System is a physician-led organization focused on advancing excellence in healthcare and community well-being. Our expertise is in transforming distressed hospitals into stable, patient-centric care that is second to none. With a track record for innovation in healthcare, research and development, Insight Health System provides the communities we serve with world-class healthcare services at the forefront of medical technology. Our network currently includes a portfolio of entities encompassing six acute care hospitals (three of which are nonprofit), six surgery centers, 28 clinics, 580 physicians, 10 unions, and 4,200 employees. Collectively, Insight Health System hospitals provide nearly 100,000 patient days annually.
Position Overview
We are seeking a proactive, relationship-driven PBM Partnerships amp; Payer Relations Manager to serve as the primary point of contact for Pharmacy Benefit Managers (PBMs), third-party administrators (TPAs), brokers, and self-funded employer groups. This role is responsible for building new partnerships, strengthening existing relationships, supporting contract execution, ensuring operational accuracy, and driving network growth across all payer and PBM channels. The ideal candidate excels at communication, problem-solving, and business development within the pharmacy or healthcare benefits ecosystem.
Benefits:
  • Comprehensive health, dental, and vision insurance
  • Paid time off: vacation, holidays, and sick leave
  • 401(k) with employer match (immediate vesting; eligibility begins after 3 months)
  • Employer - paid short - and long - term disability, basic life insurance
  • Voluntary coverages: accident, critical illness, hospital indemnity, AD amp;D, etc.

Key Responsibilities:

PBM Partnership Management
  • Serve as the main liaison for all PBM partners, contractors, TPAs, and associated vendors.
  • Manage onboarding, implementations, and ongoing communication to ensure alignment and strong operational performance.
  • Oversee contract execution, version control, and escalation resolution with external partners.
  • Proactively step in to assist with prior authorizations or operational duties as needed to ensure exceptional service continuity.
  • Maintain a clear understanding of PBM reimbursement strategies, plan designs, MAC pricing, and specialty pharmacy dynamics.
  • Step in to assist with PAs or operations during high-volume periods or staffing gaps.

Self-Funded Employer Network Development
  • Build new relationships with self-funded employers, brokers, benefits consultants, and employer coalitions.
  • Identify opportunities for employers to utilize the pharmacy as a preferred or direct-to-employer solution (specialty savings, infusion savings, carve-outs).
  • Present pharmacy value propositions, cost-savings models, and service offerings to employer groups.
  • Support the execution of direct-to-employer agreements and develop customized employer workflows.
Payer amp; Network Growth
  • Drive expansion into new PBM networks, payer groups, and employer health plans.
  • Research and pursue opportunities to improve reimbursement rates or negotiate favorable contract terms.
  • Track market trends, competitive pricing, and plan changes influencing pharmacy performance.
  • Strengthen ties with existing PBM and payer partners to secure long-term relationships.

Operational amp; Contract Coordination
  • Troubleshoot operational issues, adjudication errors, reimbursement discrepancies, and network constraints.
  • Collaborate with internal teams (legal, finance, operations, pharmacy) to ensure contractual accuracy and workflow alignment.
  • Maintain oversight of contract renewals, amendments, compliance obligations, and key dates.
  • Support renegotiation efforts by preparing comparisons, contract reviews, and partner summaries.

Performance Monitoring amp; Reporting
  • Track reimbursement patterns, adjudication behaviors, specialty margins, and PBM performance metrics.
  • Generate internal reporting to evaluate partnership effectiveness and financial outcomes.
  • Identify opportunities to optimize pricing strategies, improve patient access, and enhance profitability.

Relationship Building amp; Strategic Development
  • Cultivate strong, trust-based relationships with PBM executives, employer decision-makers, consultants, and industry partners.
  • Represent the organization at meetings, conferences, and strategic discussions.
  • Identify emerging opportunities for collaboration, market expansion, or product/service enhancement.

Required Qualifications
  • Bachelor’s degree in Business, Healthcare Administration, Pharmacy, or a related field.
  • Experience working with PBMs, payers, networks, benefits administrators, or pharmacy operations.
  • Strong communication, negotiation, and relationship-management skills.
  • Ability to manage contracts, escalations, timelines, and multi-stakeholder relationships.
  • Strong analytical thinking, problem-solving skills, and organizational abilities.

Preferred Qualifications
  • Prior experience working directly with PBMs, TPAs, or self-funded employer groups.
  • Experience in specialty pharmacy, infusion services, or pharmacy network contracting.
  • Working knowledge of claim adjudication, reimbursement structures, MAC lists, spread pricing, and DIR fee models.
  • Experience building direct-to-employer pharmacy programs or benefit carve-out models.
  • Familiarity with value-based pharmacy programs, outcomes reporting, and data-driven performance metrics.
  • Strong understanding of healthcare contracting, payer policies, and benefits administration.
  • Ability to interpret contract terms, fee schedules, and reimbursement methodologies.
  • Experience presenting pharmacy solutions or savings programs to employers, payers, or consultants.
  • Existing relationships with PBMs, benefit brokers, employer groups, or industry partners is a major plus.

Insight is an equal opportunity employer and values workplace diversity!

Apply