Strategic PBM Partnerships & Payer Relations Lead

Insight Hospital and Medical Center; Chicago (IL); On-site; USD 80,000 - 110,000; Full time

Job summary

A major healthcare provider in Chicago is seeking a proactive PBM Partnerships & Payer Relations Manager to manage relationships with Pharmacy Benefit Managers and employer groups. This role involves building partnerships, ensuring operational accuracy, and driving growth across various payer channels. The ideal candidate should possess strong communication and negotiation skills, a bachelor’s degree in a relevant field, and experience within pharmacy or healthcare operations. The position offers an opportunity to make a significant impact in the healthcare benefits ecosystem.

Qualifications

• Experience working with PBMs, payers, networks, or pharmacy operations.
• Strong ability to manage contracts, escalations, and relationships.
• Familiarity with reimbursement structures and MAC lists.

Responsibilities

• Serve as the main liaison for PBM partners and vendors.
• Build relationships with self-funded employers and brokers.
• Drive growth into new PBM networks and payer groups.
• Conduct performance monitoring and generate internal reports.

Skills

Communication

Negotiation

Relationship management

Analytical thinking

Problem-solving

Education

Bachelor’s degree in Business, Healthcare Administration, Pharmacy, or related field

Job description

A major healthcare provider in Chicago is seeking a proactive PBM Partnerships & Payer Relations Manager to manage relationships with Pharmacy Benefit Managers and employer groups. This role involves building partnerships, ensuring operational accuracy, and driving growth across various payer channels. The ideal candidate should possess strong communication and negotiation skills, a bachelor’s degree in a relevant field, and experience within pharmacy or healthcare operations. The position offers an opportunity to make a significant impact in the healthcare benefits ecosystem.