Network Contracting Manager - Whittier California

Company: VirtualVocations
Location: Whittier, California
Posted On: 02/03/2025

A company is looking for a PBM Network Contracting Manager to oversee pharmacy contracting and network strategy.



Key Responsibilities

Negotiate and manage pharmacy network reimbursement for various lines of business
Ensure compliance with regulatory entities and contractual obligations related to pharmacy networks
Develop and implement pharmacy contracts and maintain relationships with pharmacy partners


Required Qualifications

Bachelor's degree or higher in a related field is preferred
1 - 3 years of experience in PBM or Managed Care is highly desired
Understanding of managed care and pharmacy network concepts is preferred
Experience with CMS, Medicare, and state Medicaid regulations is preferred
Knowledge of healthcare processes and pharmaceutical claims adjudication systems More...

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