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Director, PBM Compliance


  • NJ, Morristown
  • Nevada, Nevada
  • Virginia, Virginia
  • Minnesota, Minnesota
  • Ohio, Ohio
  • Kentucky, Kentucky
  • Missouri, Missouri
  • Connecticut, Connecticut
  • Illinois, Illinois
  • Georgia, Georgia



Director, PBM Compliance: Responsible for oversight of vendor performance including compliance with contractual requirements and vendor audit. Primary duties may include, but are not limited to:

  • Serves as a subject matter expert for all compliance and audit policies.
  • Identifies, monitors and tracks vendor compliance with all contractual commitments within existing vendor agreements and supporting Amendments.
  • Executes vendor audits annually in compliance with contractual rights.
  • Primary contact for vendor compliance and audit activities and serves as compliance contact for various internal departments, such as executive leadership, legal, government affairs, client management and operations.
  • Negotiates audit requirements with both internal resources and external entities.
  • Manages the overall reporting, tracking, and responses for all vendor audits.
  • Coordinates to ensure that corrective action plans are completed, evaluated, tested and risk assessments are completed. 
  • Serves as point person for major vendor compliance initiatives and ensures appropriate company advocacy and representation on all compliance-related issues concerning the PBM.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Qualifications

  • Requires a BA/BS in a related field and minimum of 10 years compliance experience with knowledge of the pharmacy benefit management industry; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

  • MS/MBA and/or field related professional designation preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at 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 for assistance.

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