Pharmacy Contracting Executive – PBM and Pharmacy Services

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The Pharmacy Contracting Executive is responsible for all aspects of contracting for services offered by Center Well 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 Pharmacy Contracting Executive will collaborate closely with pharmacy operations, business development and manufacturer relations teams to address and resolve complex issues. The ideal candidate demonstrates strong analytical skills, attention to detail, and the ability to deliver results in a dynamic environment.

• 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.

• 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.

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

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self‑provided internet service of Home or Hybrid Home/Office employees 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.

40

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole‑person well‑being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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.

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