PBM Contract Process Manager

Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location.

The PBM Contract Process Manager is responsible for managing the life cycle of a PBM contract from beginning to completion (RFP through PBM Client Agreement execution), including the contract approval process.

How You Will Make an Impact

Primary duties may include, but are not limited to:

Develops and oversees the PBM contract management approval process.

Evaluates and ensures contract compliance with insurance, HMO, and self-funded benefit contracts, related processes, departmental policies, and procedures.

Coordinates and monitors workflow, allocates resources, establishes priorities, and implements standardization where possible.

Provides quality control. Interprets contract requests, researches and resolves account inquiries.

Provides consultative services to sales and client groups in response to questions and offers appropriate alternatives in response to complex/non-compliant customized contract requests.

Manage the contracting process, including drafting of contracts, ensuring version control managing deadlines, obtaining internal approvals and overseeing the execution process.

Draft and assist with negotiation of new contracts, contract renewals, amendments and other contract forms (e.g., LOI, LOA, MOU) as needed with clients.

Communicate contract deliverables to the respective operational areas and obtain proper approvals from internal business areas and stakeholders.

Work with internal stakeholders, external clients and consultants in support of PBM contracting initiatives.

Review of RFP responses to ensure compliance with companys position and market competitiveness.

Establish priorities, coordinate and monitor workflow, and implement standardization where possible.

Maintain contract templates while developing and overseeing contract approval process and non-standard and exception contract language approvals.

Provide quality control, interpret contract language, research and resolve contract process template inquiries and issues

General research, contract administrative management and other related work as may be assigned.

Maintenance of records of contracts and other related documents.

Minimum Requirements:

Requires a BA/BS in a related field and a minimum of 6 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

Ability to prioritize, attention to detail, and the ability to work on multiple tasks simultaneously while meeting deadlines is imperative is preferred

Training in the legal field and/or contracting experience preferred

Excellent verbal and written communication skills is preferred

Ability to research and summarize information is preferred

Strong documentation skills are preferred

Strong interpersonal skills, with demonstrated ability to lead and contribute to a team effort while also being able to work independently is preferred

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success – for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.