Manager, Network Operations (PBM Pricing & Pharmacy Network)

TWG Talent Solutions; United States; On-site; USD 110,000 - 140,000; Full time

Job summary

TWG Talent Solutions is seeking a Manager, Network Operations for a rapidly growing PBM. This hands-on role supports pharmacy network pricing, MAC execution, client performance, and pricing implementation.

The ideal candidate has 5+ years in PBM operations, deep pricing knowledge, and strong analytics skills. Proficiency in Excel, SQL, Power BI, and Tableau is preferred, with experience analyzing claims and reimbursement data.

Qualifications

• 5+ years in PBM operations, network pricing, or pricing implementation.
• Strong MAC pricing knowledge and PBM pricing concepts.
• Advanced Excel; SQL, Power BI, Tableau, or similar analytics tools preferred.
• Experience analyzing claims, pricing, and reimbursement data.

Skills

PBM pricing

Analytics tools

Claims data analysis

Advanced Excel

SQL

Power BI

Tableau

Tools

Power BI

Tableau

Job description

Our client, a rapidly growing PBM, is seeking a Manager, Network Operations to support pharmacy network pricing, MAC execution, client performance, and pricing implementation. This is a hands-on role for someone with strong PBM pricing knowledge, analytical skills, and experience working with pharmacy reimbursement and claims data.

Qualifications:

• 5+ years of PBM operations, network pricing, pharmacy reimbursement, or pricing implementation experience
• Strong understanding of MAC pricing and PBM pricing concepts
• Advanced Excel; SQL, Power BI, Tableau, or similar analytics tools preferred
• Experience analyzing claims, pricing, and reimbursement data