Lead the review, negotiation, and ongoing management of Pharmacy Benefit Manager (PBM) Master Service Agreements (MSAs) and related amendments.
Represent the organization in legal to legal discussions to negotiate complex PBM contractual terms and conditions.
Own end to end PBM annual pricing refresh strategies, including development, negotiation, evaluation, and final review across all PBM partnerships.
Partner with cross functional stakeholders to assess, interpret, and align on requested MSA terms and conditions to ensure organizational readiness and compliance.
Provide ongoing support and cross functional education related to PBM pricing strategies, including changes to pricing optics, contractual terms, and market driven events.
Collaborate closely with analytics teams to ensure financial modeling and assumptions are fully aligned with contractual pricing structures and negotiated terms.
Support responses to client Requests for Proposal (RFPs) by interpreting and applying PBM contractual language accurately and consistently.
Partner with RxBenefits Legal to review and respond to client Administrative Services Agreement (ASA) and Pricing Exhibit redlines, ensuring alignment with PBM contractual obligations and business strategy.
Contribute to additional strategic initiatives, projects, and operational priorities as assigned.

10+ years of professional experience in Pharmacy Benefit Management (PBM)
5+ years of progressive leadership experience
Bachelor’s degree or equivalent experience
Demonstrated expertise and understanding of PBM contractual terms and conditions
Ability to communicate effectively with internal and external executive leadership
Strong organization skills with exceptional attention to detail and a sense of urgency
Advanced interpersonal, communication, and collaborative leadership skills
Strong independent critical thinking skills
Proven team building, relationship management, and project management capabilities
Ability to excel in a fast paced, rapidly growing organizational environment
Ability to communicate with PBM vendors in a respectful and meaningful manner to maintain positive relationships
Proven ability to lead and manage a high performing team.

Remote first work environment
Choice of a HDHP or PPO Medical plan, we pay 100% of the premium for the HDHP for you and your eligible family members
Dental, Vision, Short
and Long-Term Disability, and Group Life Insurance that we also pay 100% of premiums (for your family too on Dental and Vision)
Additional buy-up options for Short
and Long-Term Disability and Life Insurance
401(k) with an employer match up to 3.5% available after 60 days
Community Service Day to give back and support what you love in your community
10 company holidays including MLK Day, Juneteenth, and the day after Thanksgiving plus a floating holiday to use as you like
Reimbursements for high-speed internet, we’ll send you a computer and monitors to help you do your best work
Tuition Reimbursement for accredited degree programs
Paid New Parent Leave that can be used for adoption or birth
Pet insurance to protect your furbabies
A robust mental health benefit and EAP service through Spring Health to support you when you need it most

Senior Director, PBM Strategic Relations – PBM Pricing & Procurement

Key skills