Pharmacy Benefit Manager

The State of Montana is seeking a Pharmacy Benefit Manager to provide services for the Health Care and Benefits Division. The selected vendor will be responsible for managing pharmacy benefits for the state's commercial and EGWP (Employer Group Waiver Plan) populations. The contract is expected to be for a period of three years, with an option to renew for an additional two years. The vendor will be required to provide a range of services, including claims processing, pharmacy network management, and clinical services. Key aspects of the job include: • Managing pharmacy benefits for the state's commercial and EGWP populations • Providing claims processing, pharmacy network management, and clinical services • Ensuring compliance with state and federal regulations • Providing customer service and support to plan participants • Managing and reporting on pharmacy benefit data