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Pbm Legal Jobs (NOW HIRING)

WellDyne

PBM Senior Counsel

$142.80K - $194K/yr

The Senior Counsel will provide input on a variety of legal matters, including whether to send ... PBM) business lines. * Development of responses to requests for proposals/requests for information ...

WELLDYNE

PBM Senior Counsel

$142.80K - $194K/yr

The Senior Counsel will provide input on a variety of legal matters, including whether to send ... PBM) business lines. * Development of responses to requests for proposals/requests for information ...

ATD Technology LLC

Seeking a PBM Regulatory Compliance Analyst! This role ensures that all external and member-facing ... Coordinate with legal, regulatory, and compliance teams to validate communication strategies and ...

Intermountain Health

... with legal counsel, human resources, and other departments as appropriate. * Identifies and ... PBM compliance, health plan compliance, or employer-sponsored benefit compliance experience * Prior ...

SS&C

Legal Counsel - Healthcare/PBM

Dallas, TX · Hybrid

$100K - $175K/yr

Legal Counsel Location : Kansas City, MO; New York City, NY; Boston, MA; San Antonio, TX; Dallas, TX; Windsor, CT; Chicago, IL (hybrid) or Alabama, Minnesota, North Carolina, Wisconsin (remote) About ...

SS&C

Legal Counsel - Healthcare/PBM

Windsor, CT · Hybrid

$100K - $175K/yr

Legal Counsel Location : Kansas City, MO; New York City, NY; Boston, MA; San Antonio, TX; Dallas, TX; Windsor, CT; Chicago, IL (hybrid) or Alabama, Minnesota, North Carolina, Wisconsin (remote) About ...

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How much do pbm legal jobs pay per year?

As of May 29, 2026, the average yearly pay for pbm legal in the United States is $55,419.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $62,500.00 per year, depending on experience, location, and employer.

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

To thrive as a PBM Legal professional, you need a strong background in healthcare law, regulatory compliance, and pharmacy benefit management, typically supported by a Juris Doctor (JD) and relevant legal licensure. Familiarity with PBM contracts, HIPAA regulations, Medicare/Medicaid requirements, and legal research tools is crucial. Strong analytical thinking, negotiation, and attention to detail help you navigate complex legal and regulatory environments. These skills are essential for ensuring compliance, minimizing legal risks, and supporting effective healthcare delivery.

What are some common challenges faced by professionals in PBM Legal roles, and how can they be managed effectively?

Professionals in PBM (Pharmacy Benefit Manager) Legal roles often navigate complex regulatory frameworks and rapidly evolving healthcare laws. A common challenge is staying current with federal and state regulations affecting drug pricing, reimbursement, and patient privacy. Additionally, PBM Legal professionals frequently advise cross-functional teams, requiring strong communication skills and the ability to translate legal requirements into practical business solutions. Building strong relationships with compliance, clinical, and operational teams can help manage risk and streamline legal review processes. Proactively participating in ongoing training and industry forums also helps legal professionals stay ahead of regulatory changes.

What are PBM Legal professionals?

PBM Legal professionals are legal experts who specialize in issues related to Pharmacy Benefit Managers (PBMs). They provide guidance on compliance, contracts, regulatory matters, and litigation involving PBMs and their relationships with pharmacies, drug manufacturers, health plans, and government agencies. Their work helps ensure that PBMs operate within the legal frameworks that govern drug pricing, reimbursement, and benefit management. PBM Legal professionals often stay updated with evolving healthcare laws and regulations to advise clients effectively.

What is the difference between Pbm Legal vs Pbm Analyst?

AspectPbm LegalPbm Analyst
Required CredentialsLegal degree, Juris Doctor (JD), bar admission often preferredUndergraduate degree in finance, economics, or related field; certifications like CFA may be advantageous
Work EnvironmentLegal firms, corporate legal departments, healthcare organizationsFinancial institutions, investment firms, healthcare payers
Employer & Industry UsageLegal and healthcare sectorsFinance, insurance, healthcare industries
Common Search & ComparisonLegal responsibilities, compliance, healthcare lawFinancial analysis, data interpretation, healthcare cost management

While Pbm Legal focuses on legal compliance, healthcare law, and regulatory issues, Pbm Analyst centers on financial data analysis, cost management, and payer strategies. Both roles are essential in healthcare organizations but serve different functions related to legal versus financial expertise.

Senior Director PBM Agreements and Operations

Senior Director PBM Agreements and Operations

Fairview Health Services

Shoreview, MN • On-site

$187.08K - $264.12K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 hours ago

Fairview Health Services rating

7.7

Company rating: 7.7 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

158th of 864 rated healthcare providers

Job description

Job Overview
The Senior Director, PBM Agreements & Operations serves as the execution arm of PBM sales and the principal deal architect for ClearScript. Reporting to the President, ClearScript, this role is accountable for structuring, negotiating, and executing complex, multi party PBM agreements and for translating senior level business relationships and strategic intent into executable, operational outcomes.
Operating with a high degree of autonomy in ambiguous and fast-moving environments, this leader owns the lifecycle of PBM business development transactions-from early deal architecture through contract execution and operational handoff-while ensuring vendor accountability, internal enterprise readiness, and fulfillment of commercial commitments.
This role bridges strategy, sales, legal, finance, and operations to ensure PBM deals are structured correctly, negotiated effectively, and implemented successfully. The Senior Director operates as both deal strategist and execution leader, converting executive level discussions into detailed, defensible agreements and ensuring ClearScript and its PBM partners deliver against negotiated terms.
The position holds oversight accountability for vendor performance post signature, including ClearScript and subcontracted PBM vendors, and plays a critical role in escalation, governance, and continuous performance management.
Responsibilities
Deal Architecture & Execution
  • Serve as execution owner for PBM deals from initial architecture through contract execution and operational handoff. Translate high level commercial intent and relationship driven discussions into structured, executable deal terms, conditions, and contract execution. Design and negotiate complex commercial, pricing, and guarantee structures across PBM and multi party arrangements. Ensure all contractual commitments are operationally feasible, measurable, and enforceable.

Sales & RFP Leadership
  • Provide PBM RFP strategy and response positioning, building getting to yes for client-specific customization requests. Partner closely with Sales leadership to convert opportunities into executable agreements. Act as subject matter expert in client and prospect discussions, when needed, involving PBM contracting, economics, and risk structures.

Cross Functional Coordination
  • Coordinate cross functional deal execution with Sales, Finance, Legal, Compliance, Operations, and Product teams. Partner with Finance on pricing models, rebate structures, guarantees, and financial risk assessment. Collaborate with Legal on contract language, governance frameworks, compliance, and risk mitigation.

Vendor & Partner Management
  • Own PBM vendor performance management post contract, including escalation management and issue resolution. Establish and monitor governance mechanisms to ensure vendors deliver against contractual commitments. Act as ClearScript's senior point of accountability for PBM contract execution integrity.

Operational Readiness & Handoff
  • Ensure client, internal teams, and vendors are prepared for implementation prior to contract close. Drive a clean, disciplined handoff from contracting to operations, minimizing friction and execution risk. Identify and proactively resolve execution risks before they impact clients or financial outcomes.

Success Measures
  • PBM deals are structured accurately, defensibly, and executed without downstream operational rework. ClearScript consistently meets or exceeds negotiated pricing, guarantees, and service commitments. Strong alignment and accountability across Sales, Finance, Legal, Operations, and PBM vendors. PBM vendor performance issues are identified early and resolved decisively. Executive stakeholders view this role as a trusted advisor and execution leader. Implementation success feedback from clients is overwhelmingly positive, building referenceable clients connected to implementation.

Required Qualifications
  • B.S./B.A. Bachelor's degree in in Finance, Accounting, Economics, Business Administration, Healthcare Administration or a related field
  • 7 years Hands-on experience in PBM contracting, operations, or strategy
  • Proven experience structuring and negotiating complex PBM and multi-party commercial agreements
  • Strong fluency in PBM and pharmacy economics, including pricing, rebates, guarantees, and risk mechanisms
  • Demonstrated ability to operate effectively in ambiguous, fast-moving, senior-level environments
  • Demonstrated ability to navigate growth in an entrepreneurial business (ClearScript) within a larger, established enterprise (Fairview)
  • Exceptional judgement and decision-making capability with material financial and operational impact
  • Executive-level communication skills with the ability to influence without authority
  • Market-facing experience with clients, vendors, and senior external stakeholders

Preferred Qualifications
  • Masters in Business Admin MBA strongly preferred
  • Juris Doctorate JD strongly preferred
  • Prior experience working across Sales, Legal, Finance, and Operations in PBM or healthcare organizations
  • Experience leading complex contract governance and vendor management skills
  • Experience executing business relationships in complex business arrangements, in large organization

Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract
Compensation Disclaimer
The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

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About Fairview Health Services

Sourced by ZipRecruiter

Fairview Health Services is an industry-leading, award-winning nonprofit that offers an entire network of healthcare services. Fairview is one part of M Health Fairview, a partnership between the University of Minnesota, M Physicians and Fairview Health Services. Together, we combine the University's deep history of clinical innovation and training with Fairview's extensive roots in community medicine. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Minneapolis, MN, US

Year founded

1906

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