Top 26 Patient access supervisor Jobs in Flint, Mi

PBM Partnerships & Payer Relations Manager
Insight —Flint, MI
- Mid-level
- Analysis skills
- Presentation skills
- AD&D insurance
- Paid holidays
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Supervisor of Behavioral Health For GCHC
GENESEE HEALTH SYSTEM —Flint, MI
- $66,851.41 - $89,316.24 a year
- Weekends as needed
- Addiction Medicine
- Master's degree
- Clinic
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Field Reimbursement Manager
Syneos Health Commercial Solutions —Flint, MI
- Mid-level
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Field Reimbursement Manager
サイネオス・ヘルス —Flint, MI
- Mid-level
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Clinical Field Staff Supervisor
Residential Home Health and Hospice —Lapeer, MI
- $80,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Pass drug screening
- Paid holidays
- Adoption assistance
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W&C Social Work Case Manager MSW
Hurley Medical Center —Flint, MI
- Full-time
- Master of Social Work
- HIPAA
- Inpatient
- Health insurance
- Parental leave
4d
Home Health Registered Nurse Case Manager -Lapeer County
Tone Home Health Services —Flint, MI
- Part-time
- Background check
- Nursing
- RN License
Quick Apply
13d
RN Nurse Care Manager
HarmonyCares —Flint, MI
- Full-time
- Nursing
- RN License
- Word processing
- Paid training
- Paid holidays
1d
Hospice Registered Nurse Case Manager
Compassus —Grand Blanc, MI
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid parental leave
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PBM Partnerships & Payer Relations Manager

Insight -
Flint, MI

Quick Apply

Job Details

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Client relationship development
Contract management experience in healthcare
Bachelor's degree
Vendor contract management
Project contract management
Supplier relationship management (SRM)
Escalation handling
Terms and conditions negotiation

Full Job Description

Insight Health System is a physician-led organization focused on advancing excellence in healthcare and community well-being. Our expertise is in transforming distressed hospitals into stable, patient-centric care that is second to none. With a track record for innovation in healthcare, research and development, Insight Health System provides the communities we serve with world-class healthcare services at the forefront of medical technology. Our network currently includes a portfolio of entities encompassing six acute care hospitals (three of which are nonprofit), six surgery centers, 28 clinics, 580 physicians, 10 unions, and 4,200 employees. Collectively, Insight Health System hospitals provide nearly 100,000 patient days annually.

Position Overview
We are seeking a proactive, relationship-driven PBM Partnerships & Payer Relations Manager to serve as the primary point of contact for Pharmacy Benefit Managers (PBMs), third-party administrators (TPAs), brokers, and self-funded employer groups. This role is responsible for building new partnerships, strengthening existing relationships, supporting contract execution, ensuring operational accuracy, and driving network growth across all payer and PBM channels. The ideal candidate excels at communication, problem-solving, and business development within the pharmacy or healthcare benefits ecosystem.

Benefits:

Comprehensive health, dental, and vision insurance
Paid time off: vacation, holidays, and sick leave
401(k) with employer match (immediate vesting; eligibility begins after 3 months)
Employer - paid short - and long - term disability, basic life insurance
Voluntary coverages: accident, critical illness, hospital indemnity, AD&D, etc.

Key Responsibilities:

PBM Partnership Management

Serve as the main liaison for all PBM partners, contractors, TPAs, and associated vendors.
Manage onboarding, implementations, and ongoing communication to ensure alignment and strong operational performance.
Oversee contract execution, version control, and escalation resolution with external partners.
Proactively step in to assist with prior authorizations or operational duties as needed to ensure exceptional service continuity.
Maintain a clear understanding of PBM reimbursement strategies, plan designs, MAC pricing, and specialty pharmacy dynamics.
Step in to assist with PAs or operations during high-volume periods or staffing gaps.

Self-Funded Employer Network Development

Build new relationships with self-funded employers, brokers, benefits consultants, and employer coalitions.
Identify opportunities for employers to utilize the pharmacy as a preferred or direct-to-employer solution (specialty savings, infusion savings, carve-outs).
Present pharmacy value propositions, cost-savings models, and service offerings to employer groups.
Support the execution of direct-to-employer agreements and develop customized employer workflows.

Payer & Network Growth

Drive expansion into new PBM networks, payer groups, and employer health plans.
Research and pursue opportunities to improve reimbursement rates or negotiate favorable contract terms.
Track market trends, competitive pricing, and plan changes influencing pharmacy performance.
Strengthen ties with existing PBM and payer partners to secure long-term relationships.

Operational & Contract Coordination

Troubleshoot operational issues, adjudication errors, reimbursement discrepancies, and network constraints.
Collaborate with internal teams (legal, finance, operations, pharmacy) to ensure contractual accuracy and workflow alignment.
Maintain oversight of contract renewals, amendments, compliance obligations, and key dates.
Support renegotiation efforts by preparing comparisons, contract reviews, and partner summaries.

Performance Monitoring & Reporting

Track reimbursement patterns, adjudication behaviors, specialty margins, and PBM performance metrics.
Generate internal reporting to evaluate partnership effectiveness and financial outcomes.
Identify opportunities to optimize pricing strategies, improve patient access, and enhance profitability.

Relationship Building & Strategic Development

Cultivate strong, trust-based relationships with PBM executives, employer decision-makers, consultants, and industry partners.
Represent the organization at meetings, conferences, and strategic discussions.
Identify emerging opportunities for collaboration, market expansion, or product/service enhancement.

Required Qualifications

Bachelor’s degree in Business, Healthcare Administration, Pharmacy, or a related field.
Experience working with PBMs, payers, networks, benefits administrators, or pharmacy operations.
Strong communication, negotiation, and relationship-management skills.
Ability to manage contracts, escalations, timelines, and multi-stakeholder relationships.
Strong analytical thinking, problem-solving skills, and organizational abilities.

Preferred Qualifications

Prior experience working directly with PBMs, TPAs, or self-funded employer groups.
Experience in specialty pharmacy, infusion services, or pharmacy network contracting.
Working knowledge of claim adjudication, reimbursement structures, MAC lists, spread pricing, and DIR fee models.
Experience building direct-to-employer pharmacy programs or benefit carve-out models.
Familiarity with value-based pharmacy programs, outcomes reporting, and data-driven performance metrics.
Strong understanding of healthcare contracting, payer policies, and benefits administration.
Ability to interpret contract terms, fee schedules, and reimbursement methodologies.
Experience presenting pharmacy solutions or savings programs to employers, payers, or consultants.
Existing relationships with PBMs, benefit brokers, employer groups, or industry partners is a major plus.

Insight is an equal opportunity employer and values workplace diversity!

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Refine Your Search

patient access supervisor jobs in flint, mi

PBM Partnerships & Payer Relations Manager

Supervisor of Behavioral Health For GCHC

Field Reimbursement Manager

Field Reimbursement Manager

Clinical Field Staff Supervisor

W&C Social Work Case Manager MSW

Home Health Registered Nurse Case Manager -Lapeer County

RN Nurse Care Manager

Hospice Registered Nurse Case Manager

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