Anticipated End Date:

2026-06-12

Position Title:

PBM Contract Manager

Job Description:

PBM Contract Manager 

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Atlanta, GA, Mason, OH or Norfolk, VA. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The PBM Contract Manager is responsible for managing the life cycle of all PBM contracts from beginning to completion (RFP through PBM client contract execution), including the contract approval process for standard contract negotiations, negotiating less complex contracts. 

How You Will Make an Impact:

• Oversee the PBM contract management approval process, ensuring version control and timely execution. 

• Evaluate and ensure contract compliance with insurance, HMO, and self-funded benefit contracts, related processes, departmental policies, and procedures.

• Coordinate and monitor workflow, allocate resources, establish priorities, and implement standardization where possible. 

• Provide quality control, interpret contract requests, research and resolve account inquiries. 

• Provide consultative services to sales and client groups in response to questions and offers appropriate alternatives in response to standardized/less complex 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 less complex new contracts, contract renewals, amendments and other contract forms (e.g., 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 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. 

• Provide guidance and oversight of PBM contract consultant associates.  

Minimum Requirements: 

Requires a BA/BS in a related field and a minimum of 8 years of professional contract and negotiation experience; or any combination of education and experience that provides equivalent background.

Preferred Skills, Capabilities and Experiences: 

• Ability to prioritize, attention to detail, and the ability to work on multiple tasks simultaneously while meeting deadlines highly preferred. 

• Contract negotiation skills highly preferred. 

• Excellent verbal and written communication skills highly preferred. 

• Ability to research and summarize information highly preferred. 

• Strong documentation skills highly preferred. 

• Ability to effectively and efficiently utilize Artificial Intelligence tools highly preferred.  

• Strong interpersonal skills, with demonstrated ability to lead and contribute to a team effort while also being able to work independently highly preferred. 

• Paralegal certification and/or training in the legal field and/or healthcare contracting experience preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

LEG > Contract Administration

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.