Director of PBM Contracting

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Gifthealth

501 - 1000 employees

Founded 2020

☁️ SaaS

💊 Pharmaceuticals

🤝 B2B

💰 $40M Private Equity Round - GiftHealth on 2023-04

SaaS • Pharmaceuticals • B2B

Gifthealth is a technology-enabled patient access and prescription fulfillment company that connects patients, prescribers, pharmacies, and pharmaceutical manufacturers through a unified digital platform. It streamlines enrollment, electronic benefits verification, e-prior authorization, and payment/affordability support while managing pharmacy fulfillment and patient support services. The platform also provides manufacturers with actionable data and insights on patient journeys and brand performance, driving faster, more reliable medication access.

📋 Description

• Lead all PBM contract negotiations for Gifthealth • Serve as the primary point of contact with PBM partners • Ensure continuous compliance with PBM network agreements and provider manuals

🎯 Requirements

• 8+ years of experience in PBM contracting, payer relations, pharmacy reimbursement, or pharmacy network management • Bachelor's degree or equivalent experience required; degree in healthcare administration, pharmacy, business, or a related field preferred • Knowledge of PBM contract economics including MAC pricing and audit provisions

🏖️ Benefits

• Continuous education opportunities • Participation in industry conferences • Collaboration with cross-functional teams

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