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Pbm Consulting Jobs in Minnesota (NOW HIRING)

Business Architect - PBM - Remote

Eagan, MN ยท On-site

$76.82 - $79.20/hr

... PBM, preferably working with integrating Pharmacy and Medical Claims data Strong facilitation ... S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants ...

... PBM) contracts. * Lead successful regional and national marketing pursuits. * Delegate effectively ... Minimum of 8 years of consulting or other relevant experience in the pharmacy managed care industry.

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Pbm Consulting information

What are the key skills and qualifications needed to thrive as a PBM consultant?

To thrive as a PBM (Pharmacy Benefit Management) Consultant, you need a thorough understanding of pharmacy benefits, healthcare regulations, and data analysis, often supported by a degree in pharmacy, healthcare administration, or business. Familiarity with PBM software platforms, claims processing systems, and data analytics tools is typically required. Strong communication, negotiation, and problem-solving skills distinguish top performers in this role. These skills ensure effective management of pharmacy benefits, cost optimization, and successful client relations within a complex healthcare environment.

What is PBM consulting?

PBM consulting refers to professional advisory services focused on pharmacy benefit management (PBM). Consultants in this field help health plans, employers, or other organizations optimize their pharmacy benefit programs by analyzing contracts, improving cost efficiency, ensuring regulatory compliance, and enhancing patient outcomes. They may also provide guidance on PBM selection, formulary management, and rebate negotiations. PBM consultants use industry expertise to help clients navigate the complex landscape of prescription drug benefits.

What does a Pbm Consulting do?

A PBM (Pharmacy Benefit Manager) consulting professional advises healthcare organizations on pharmacy benefit strategies, cost management, and formulary optimization. They analyze drug utilization data, develop cost-saving programs, and help implement pharmacy benefit plans to improve efficiency and compliance.

What are some common challenges faced by PBM consultants when working with clients to optimize pharmacy benefit plans?

PBM Consultants often encounter challenges such as navigating complex regulatory requirements, addressing diverse client needs, and managing tight timelines for plan implementation. They must balance cost-containment goals with ensuring access to high-quality medications and manage relationships between plan sponsors, pharmacies, and pharmaceutical manufacturers. Effective communication and staying updated on industry trends are crucial for overcoming these challenges and delivering optimal solutions for clients.
Infographic showing various Pbm Consulting job openings in Minnesota as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 85% Physical, 5% Hybrid, and 10% Remote job distribution.

Business Architect - PBM - Remote

Genesis10

Eagan, MN โ€ข On-site

$76.82 - $79.20/hr

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 8 days ago


Job description

Genesis10 is currently seeking an Enterprise Business Architect for a contract position with a Leading Pharmacy Benefit Manager located in Eagan, MN. This is a 6+ month, 100% remote opportunity. Compensation: $76.82 - $79.20 per hour, W2, based on experience and qualifications Position Overview: The Enterprise Business Architect provides strategic business architecture leadership for the client's Integrated Specialty business, ensuring alignment between business strategy, market segment strategy, and enterprise capabilities. This role will enable transformation initiatives that deliver measurable business value, supporting the development and implementation of business capability models, business processes, and transformation roadmaps within highly regulated healthcare domains such as Medicaid and Medicare. Primary Responsibilities: Partner with segment leadership to define strategic goals, objectives, and initiatives supporting annual investment planning Identify and evaluate both external and internal business needs to determine required business changes Engage leadership to identify business and technology-enabled innovation opportunities Develop, maintain, and evolve the architecture blueprint and business solution context (current, transition, and future state) Apply structured business architecture techniques (e.g., capability modeling, value stream mapping) Lead the analysis of the business-IT environment to detect critical deficiencies and recommend solutions Determine impacted areas, assumptions, and implications of business capability changes Provide effort estimates, assist in proposal/business case development, and support project planning Partner with capability owners, block leaders, and compliance teams to ensure architectural decisions support enterprise goals Ensure business change initiatives are aligned with federal and state regulations and industry standards Core Requirements: Bachelor's degree 7 years of experience in business architecture (not IT architecture) 5 years of experience in business analysis Deep understanding of government healthcare programs and regulatory frameworks Experience in PBM, preferably working with integrating Pharmacy and Medical Claims data Strong facilitation, communication, and stakeholder management skills Experience with SAFe Agile, MITA, ITIL, and SDLC methodologies Desired Skills: Familiarity with architecture frameworks such as BACOE, ArchiMate, and TOGAF Ability to lead cross-functional teams and influence strategic direction Proficiency in tools such as ServiceNow, SharePoint, and enterprise modeling platforms Strong analytical and critical thinking skills Experience with business process modeling, use cases, and gap analysis Proficiency in healthcare government programs, such as Medicaid and Medicare Experience with technical leadership and managing complex projects or teams Ability to work with senior leadership and external stakeholders Only candidates available and ready to work directly as Genesis10 employees will be considered for this position. If you have the described qualifications and are interested in this exciting opportunity, please apply! Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals. For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client. Benefits of Working with Genesis10: Access to hundreds of clients, most who have been working with Genesis10 for 5-20+ years The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years Access to an experienced, caring recruiting team (more than 7 years of experience, on average) Behavioral Health Platform Medical, Dental, Vision Health Savings Account Voluntary Hospital Indemnity (Critical Illness & Accident) Voluntary Term Life Insurance 401K Sick Pay (for applicable states/municipalities) Commuter Benefits (Dallas, NYC, SF, and Illinois) For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all of our available career opportunities, please visit us at our website www.genesis10.com. Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. #LI-LP1

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About Genesis10

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For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at our website.

Industry

It services

Company size

1,001 - 5,000 Employees

Headquarters location

New York, NY, US

Year founded

1999