Strategic PBM Partnerships & Payer Relations Lead

Insight Health Systems

Flint (MI)

On-site

USD 80,000 - 110,000

Full time

14 days+
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Benefits offered by this job

Comprehensive health, dental, and vision insurance
Paid time off: vacation, holidays, and sick leave
401(k) with employer match

Job summary

Insight Health Systems in Flint, Michigan is seeking a proactive PBM Partnerships & Payer Relations Manager to be the main contact for Pharmacy Benefit Managers, ensuring operational excellence and network expansion.

The ideal candidate will have a Bachelor's degree and experience in the pharmacy or healthcare benefits ecosystem. This role offers comprehensive health benefits, PTO, and 401(k) matching.

Qualifications

  • Experience working with PBMs, payers, networks, benefits administrators, or pharmacy operations.
  • Ability to manage contracts, escalations, timelines, and multi-stakeholder relationships.
  • Strong understanding of healthcare contracting, payer policies, and benefits administration.

Responsibilities

  • Serve as the main liaison for all PBM partners and vendors.
  • Manage onboarding, implementations, and communication for strong operational performance.
  • Drive expansion into new PBM networks and employer health plans.

Skills

Communication
Problem-solving
Business Development
Negotiation
Analytical Thinking

Education

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

Job description

Insight Health Systems in Flint, Michigan is seeking a proactive PBM Partnerships & Payer Relations Manager to be the main contact for Pharmacy Benefit Managers, ensuring operational excellence and network expansion.

The ideal candidate will have a Bachelor's degree and experience in the pharmacy or healthcare benefits ecosystem. This role offers comprehensive health benefits, PTO, and 401(k) matching.

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