PBM Contract Process Manager
Elevance Health

Job Info

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Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location.

The PBM Contract Process Manager isresponsible for managing the life cycle of a PBM contract from beginning to completion (RFP through PBM Client Agreement execution), including the contract approval process.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Develops and oversees the PBM contract management approval process.
  
• Evaluates and ensures contract compliance with insurance, HMO, and self-funded benefit contracts, related processes, departmental policies, and procedures.
  
• Coordinates and monitors workflow, allocates resources, establishes priorities, and implements standardization where possible.
  
• Provides quality control. Interprets contract requests, researches and resolves account inquiries.
  
• Provides consultative services to sales and client groups in response to questions and offers appropriate alternatives in response to complex/non-compliant customized contract requests.
  
• Manage the contracting process, including drafting of contracts, ensuring version control managing deadlines, obtaining internal approvals and overseeing the execution process.
  
• Draft and assist with negotiation of new contracts, contract renewals, amendments and other contract forms (e.g., LOI, LOA, MOU) as needed with clients.
  
• Communicate contract deliverables to the respective operational areas and obtain proper approvals from internal business areas and stakeholders.
  
• Work with internal stakeholders, external clients and consultants in support of PBM contracting initiatives.
  
• Review of RFP responses to ensure compliance with company's position and market competitiveness.
  
• Establish priorities, coordinate and monitor workflow, and implement standardization where possible.
  
• Maintain contract templates while developing and overseeing contract approval process and non-standard and exception contract language approvals.
  
• Provide quality control, interpret contract language, research and resolve contract process template inquiries and issues
  
• General research, contract administrative management and other related work as may be assigned.
  
• Maintenance of records of contracts and other related documents.
  

Minimum Requirements:

Requires a BA/BS in a related field and a minimum of 6 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Paralegal Certification is strongly preferred
  
• Ability to prioritize, attention to detail, and the ability to work on multiple tasks simultaneously while meeting deadlines is imperative is preferred
  
• Training in the legal field and/or contracting experience preferred
  
• Excellent verbal and written communication skills is preferred
  
• Ability to research and summarize information is preferred
  
• Strong documentation skills are preferred
  
• Strong interpersonal skills, with demonstrated ability to lead and contribute to a team effort while also being able to work independently is preferred
  

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $83,748 to $143,568

Locations: California; Colorado; District of Columbia (Washington, DC), Maryland, New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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