Pharmacy Contracting Executive – PBM and Pharmacy Services

About the Role

The Pharmacy Contracting Executive is responsible for all aspects of contracting for services offered by CenterWell Pharmacy or Humana Pharmacy Solutions, serving employer groups, health systems and pharmacy benefit managers. This role encompasses pricing strategy, contract development, negotiation, evaluation, implementation, and ongoing contract maintenance. The ideal candidate demonstrates strong analytical skills, attention to detail, and the ability to deliver results in a dynamic environment.

Key Responsibilities

• Lead the development, negotiation, and execution of pharmacy service contracts with employer groups, health systems, and PBMs.
• Conduct contract evaluations and ensure successful implementation and maintenance of contractual agreements.
• Develop pricing strategies and ensure alignment with organizational goals.
• Analyze and interpret financial and operational data to inform decision-making and contract performance.
• Collaborate cross-functionally with pharmacy operations, business development, and manufacturer relations to address contract-related challenges.
• Present findings, recommendations, and contract terms to senior management and key stakeholders.
• Ensure compliance with applicable regulations, company policies, and industry standards.
• Maintain accurate contract documentation and support audit processes as needed.

Required Qualifications

• Bachelor's Degree
• Minimum of 6 years of experience in pharmacy, health plan, or PBM contracting and pricing, including contract development, implementation, and maintenance.
• Demonstrated financial acumen with experience analyzing and interpreting complex data sets.
• Strong organizational skills and the ability to manage multiple priorities and deadlines.
• Excellent communication skills, including experience presenting to senior leadership.
• Ability to provide clear direction and make informed business decisions.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Preferred Qualifications

• Master's Degree in a related field
• Paralegal certification or relevant legal experience

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Pay

$86,300 - $118,700 per year. This job is eligible for a bonus incentive plan based upon company and/or individual performance.

Benefits

Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.