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Pbm Manager Jobs in Rio Rancho, NM (NOW HIRING)

Clinical Pharmacist

Albuquerque, NM · On-site

$102 - $184/hr

Managed care and/or Pharmacy Benefit Management (PBM) experience. * MTM experience, specialty pharmacy, or government programs knowledge. * PharmD or bachelor's degree in pharmacy with advanced ...

Showing results 21-26

Pbm Manager information

What is a PBM manager?

A PBM Manager, or Pharmacy Benefit Manager Manager, is a professional responsible for overseeing the relationship between healthcare providers, insurance companies, and pharmacy benefit management companies. They work to ensure that prescription drug benefits are managed efficiently, negotiate contracts, and monitor compliance with regulations. PBM Managers analyze drug utilization data, manage formularies, and help control drug costs while ensuring patients have access to necessary medications. Their role is crucial in optimizing pharmacy benefit programs for employers, health plans, and other organizations.

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

To thrive as a PBM (Pharmacy Benefit Manager) Manager, you need a strong background in pharmacy operations, healthcare management, and a bachelor's degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy benefit management systems, claims processing software, and regulatory compliance tools is crucial. Strong analytical skills, leadership, and effective communication are vital soft skills for collaborating with clients, vendors, and internal teams. These competencies are essential to optimize drug benefit programs, ensure regulatory compliance, and deliver value-driven healthcare solutions.

What are some common challenges PBM managers face when coordinating between pharmacies, insurers, and healthcare providers?

PBM Managers often encounter challenges related to balancing the interests of various stakeholders, such as negotiating contracts and ensuring formulary compliance while maintaining cost-effectiveness and patient satisfaction. They must navigate complex regulatory requirements and address discrepancies in drug pricing or reimbursement. Effective communication and problem-solving skills are essential, as the role frequently involves resolving issues that arise from claim disputes, prior authorization processes, and network management. Collaboration with cross-functional teams is key to streamlining operations and optimizing outcomes for all parties involved.

What is the difference between Pbm Manager vs Pbm Analyst?

AspectPbm ManagerPbm Analyst
CredentialsBachelor's degree, certifications like CPhT or PMP often preferredBachelor's degree, certifications like CPhT or relevant industry certifications
Work EnvironmentOversees teams, manages projects, strategic planningAnalyzes data, supports decision-making, reports generation
Employer & Industry UsagePharmacy benefit management companies, healthcare providersPharmacy benefit management companies, healthcare organizations

The Pbm Manager typically handles team leadership, strategic planning, and project management within pharmacy benefit management. In contrast, the Pbm Analyst focuses on data analysis, reporting, and supporting decision-making processes. Both roles require relevant certifications and work within similar healthcare environments, but the Manager has a broader leadership scope while the Analyst specializes in data-driven tasks.

What are the most commonly searched types of Pbm jobs in Rio Rancho, NM?

The most popular types of Pbm jobs in Rio Rancho, NM are:

What job categories do people searching Pbm Manager jobs in Rio Rancho, NM look for?

The top searched job categories for Pbm Manager jobs in Rio Rancho, NM are:

What cities near Rio Rancho, NM are hiring for Pbm Manager jobs?

Cities near Rio Rancho, NM with the most Pbm Manager job openings:

Infographic showing various Pbm Manager job openings in Rio Rancho, NM as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution.

AVP Strategic Sourcing - REMOTE

Prime Therapeutics LLC

Albuquerque, NM • On-site, Remote

$164K - $279K/yr

Full-time

Posted 7 days ago


Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 113 rated pharmacies


Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
AVP Strategic Sourcing - REMOTEJob Description
The Assistant Vice President Strategic Sourcing will lead and develop the strategic sourcing, contracting management, and procurement teams, will influence business partners in a fast-paced and matrixed environment for optimal business outcomes, assess and implement appropriate contracting tools and software, and execute a sourcing and vendor consolidation strategy to manage supplier spend for all corporate and operations contracting, including IT hardware & software, pharmaceuticals, and pharmacy supplies.
Responsibilities
  • Develop and implement a comprehensive strategy for the transformation and optimization of strategic sourcing, contracting, and procurement through process improvements that drive efficiency and reduce friction
  • Implement a long-term vendor consolidation to meet the needs of our evolving business, align to operational and strategic goals, and optimize vendor value and spend, with a focus on cost reduction
  • Through collaboration with key stakeholders, explore, assess and implement contracting enhancement tools to include contracting repository, progress tracking and dashboarding capabilities, contract abstracting, manage pricing evaluations, and predictive workloads and workload balancing
  • Partner with stakeholders in vendor management, vendor performance, finance, legal, and operations to execute automated solutions and integrations between key business areas (inputs/outputs), and partner with business areas for ongoing enterprise vendor strategies
  • Collaborate with enterprise-wide vendor risk management program and report program outcomes to various committees and vendor board while striving towards ongoing efficiencies, improvements and AI strategies
  • Partner with Legal to ensure comprehensive contract templates are in place; direct the development and ensure execution of consistent standards, controls, policies, procedures and performance metrics
  • Develop and foster a culture of continuous improvement, working with direct reports to provide guidance and direction on process and system improvements to support future growth
  • Manage department budget, staffing, performance, and development, and consistently demonstrate Prime's leadership expectations during interactions with direct reports, cross functional and external stakeholders
  • Other duties as assigned

Minimum Qualifications
  • Bachelor's degree in sourcing, accounting, finance, economics, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
  • 12 years of progressive work experience leading/managing diverse teams across sourcing, finance, systems management, etc.
  • 8 years of leadership/people management experience
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications
  • Strong understanding of contracting management practice and tools
  • Experience assessing, developing future state recommendations and implementing ERP and reporting systems
  • Ability to establish rapport, build relationships, and collaborate effectively across departments and at all levels within the organization.
  • Demonstrated leadership and influencing skills with the ability to lead and drive change
  • Proven experience inspiring cross-functional teams to meet business objectives with outstanding results
  • Excellent facilitation, presentation, and consultative skills; demonstrated ability to distill complex concepts or situations into concise and compelling communications to both technical and non-technical audiences

Preferred Qualifications
  • Master's degree in business or related area of study
  • Broad experience across contracting management tools such as Cobblestone, DocuSign, Salesforce, etc.

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $164,000.00 - $279,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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