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About the Role
Rightway is seeking a Director of PBM Contracting to lead the drafting, negotiation, and management of PBM agreements. This role involves partnering with various internal teams and external clients to structure commercial terms, financial guarantees, and service commitments, managing the entire contract lifecycle from initiation to execution and amendments.
Responsibilities
- Lead negotiation and drafting of PBM services agreements, amendments, and statements of work with health plans, self-funded employer groups, consultants, and other PBM clients, from bid, initial draft through execution
- Structure and negotiate key financial and clinical terms, including financial guarantees, pricing conditions, reservation of rights, and performance guarantees
- Manage the full contract lifecycle, including redlines, tracked-changes review, exhibit updates, post-execution addenda, and renewal negotiations
- Partner with legal, finance, underwriting, client success, clinical, and operations stakeholders to align contract terms with regulatory requirements, financial models, and operational capabilities
- Serve as key point of contact for client-side legal and procurement teams throughout negotiations, keeping deals moving toward signature
- Serve as subject matter expert, reviewing and responding to RFP and RFI requirements related to PBM contracting
- Maintain and evolve contract templates, playbooks, and standard clause libraries to improve consistency and turnaround time across the contracting team
- Track key contract obligations and deadlines, and identify and escalate risk areas to leadership
Requirements
- 7+ years of experience in contracting, commercial legal, or contract management roles, with direct experience negotiating PBM, health plan, or other healthcare services agreements
- Experience working within a Contract Lifecycle Management tool as well as managing document workflows involving tracked changes, redlines, and multi-party review across legal, finance, and clinical stakeholders
- Strong working knowledge of PBM economics and contract structures, including financial guarantees, pricing methodologies, performance guarantees, and audit rights
- Excellent drafting and negotiation skills, with the ability to translate complex commercial and regulatory concepts into clear contract language and communicate to key client-side stakeholders including consultants
- Proven organizational skills with ability to manage multiple, concurrent negotiations under deadline pressure while maintaining accuracy and attention to detail
- Strong cross-functional collaborator, comfortable partnering with finance, underwriting, client success, clinical, operations, sales, and legal to reach commercially sound outcomes
- Sound judgment in identifying and escalating legal, financial, and regulatory risk, with a solutions-oriented approach to resolving open issues
Skills
- PBM contracting
- Contract negotiation
- Contract lifecycle management
- Financial guarantees
- Clinical terms
- RFP/RFI response
- Contract template management
- Risk assessment
Location
- New York City
- Denver
- Dallas
Work Type
- Full-time
Experience Level
- 7+ years of experience
Education Level
- Bachelor’s degree required
- JD or MBA a plus
Salary/Compensations
- $148,000 - $160,000 annually
Benefits
- Bonus
- Equity
About the Company
- Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
- Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global.
- We’re headquartered in New York City, with satellite offices in Denver and Dallas.
- Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
Equal Opportunity
- Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.