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Pbm Implementation Manager Jobs in New York (NOW HIRING)

3ds

Senior Partner Business Manager

Iselin, NJ · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

The Sr. PBM is a high-visibility advocate responsible for fostering influential, executive-level ... Lead Medidata Partner Program development, implementation, and management, actively defining macro ...

New

Oscar Health

Project Manager- Pharmacy Associate

New York, NY · On-site

$96K - $127K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Project Manager is responsible for supporting all activities related to program implementations ... Experience with medical payer and PBM claims adjudication systems, such as RxClaim. * Experience ...

Medidata Solutions

Senior Partner Business Manager

Iselin, NJ · On-site

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

The Sr. PBM is a high-visibility advocate responsible for fostering influential, executive-level ... Lead Medidata Partner Program development, implementation, and management, actively defining macro ...

New

EmpiRx Health, LLC

Vendor Relations Specialist

Montvale, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... implementation activities. Vendor Performance Management: * Monitor vendor performance against ... Ability to learn healthcare and PBM operations quickly. Preferred Qualifications & Experience ...

Judi Health

Account Manager, PBA

New York, NY · Hybrid

  • Medical

Support implementation as a critical member of the client management teams with all day-to-day ... experience in PBM / health plan, benefits consulting, healthcare * Track record of building ...

EmpiRx Health, LLC

Vendor Relations Specialist

Montvale, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... implementation activities. Vendor Performance Management: * Monitor vendor performance against ... Ability to learn healthcare and PBM operations quickly. Preferred Qualifications & Experience ...

Empirx-Health-4

Director, Prior Authorization

Montvale, NJ · On-site

$168 - $194/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... implementations, escalations, and renewals. * Collaborate with formulary management and clinical ... PBM or health plan setting. * 10+ years of progressive management experience in healthcare or ...

EmpiRx Health, LLC

Director, Prior Authorization

Montvale, NJ · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... implementations, escalations, and renewals. * Collaborate with formulary management and clinical ... PBM or health plan setting. * 10+ years of progressive management experience in healthcare or ...

Judi Health

Account Executive, PBM

New York, NY · On-site +1

Ensure successful implementation to client services hand-off * Contract support during the sales process, with transitional ownership and management through the lifecycle of the client * Support ...

Capital Rx

Account Executive, PBM

Manhattan, NY · On-site

Ensure successful implementation to client services hand-off * Contract support during the sales process, with transitional ownership and management through the lifecycle of the client * Support ...

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

... Evaluate PBM and stop-loss options to optimize cost and risk protection. Operations & Program ... Monitor regulatory changes and implement required updates. Employee Experience & Communications • ...

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

... Evaluate PBM and stop-loss options to optimize cost and risk protection. Operations & Program ... Monitor regulatory changes and implement required updates. Employee Experience & Communications • ...

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

Evaluate PBM and stop-loss options to optimize cost and risk protection. Operations & Program ... Monitor regulatory changes and implement required updates. Employee Experience & Communications ...

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Infographic showing various Pbm Implementation Manager job openings in New York as of July 2026, with employment types broken down into 84% Full Time, 11% Part Time, 2% Temporary, and 3% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

Deputy Director of Pharmacy Operations

MetroPlusHealth

Manhattan, NY • Hybrid

$175K - $183K/yr

Full-time

Re-posted 17 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

269th of 308 rated insurance

Job description

Position Overview

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

The Deputy Director of Pharmacy Operations is responsible for oversight and day-to-day operations of the MetroPlusHealth drug benefit as provided via the medical and pharmacy benefit. The Deputy Director will lead the team responsible for coordination with internal benefit design stakeholders and Regulatory and Compliance teams to ensure a compliant drug benefit is maintained. This position will work closely with the Pharmacy Benefit Manager (PBM) to ensure pharmacy benefits are operating as intended. This position engages with senior leaders and key stakeholders to ensure the optimal utilization of technology and resources, to support the implementation of enterprise-wide pharmacy systems and processes, including large-scale operational projects. Additionally, this position is responsible for ensuring fraud, waste and abuse risks are identified and addressed through internal monitoring and partnering with the PBM, MPH Special Investigation Unit (SIU) and oversight of the Restricted Recipient Program (RRP).

Scope of Role & Responsibilities

  • Executes day-to-day operations including but not limited to working with the PBM and internal teams to monitor drug spend and trends.
  • Work with MPH Product, Finance and Regulatory teams to ensure drug benefits are configured as intended and within compliance with new and existing regulations.
  • Supports strategies and programs for delivering pharmacy services across the plan to achieve high quality, affordable health care that improves our members’ lives.
  • Supports monitoring and oversight to ensure PBM and pharmacy vendors meet contractual obligations.
  • Create oversight processes to control costs and mitigate FWA risk.
  • Delivers information and recommendations pertinent to external pharmacy industry trends and developments that represent risk and opportunities for the organization.
  • Supports management of MetroPlusHealth formularies.
  • Oversee the Restricted Recipient Program (RRP) and ensure the program is implement in accordance with the New York State Department of Health (NYSDOH) Managed Care Contract – Appendix Q.

Required Education, Training & Professional Experience

  • Doctor of Pharmacy required
  • Minimum 8 (eight) years of pharmacy practice experience required
  • Minimum of 4 (four) years of experience in pharmacy management of government programs (Medicare, Medicaid), required
  • Supervisory experience in managed care environment required
  • Experience in formulary and criteria development/management preferred
  • Prior experience completing evidenced based formulary reviews, supportive literature evaluation, participation in clinical pharmacy programs, presenting clinical information to providers and committees preferred
  • Proficiency with MS Word, Excel, and PowerPoint is required. Experience in the evaluation and interpretation of pharmacy claims data and other clinical data is preferred.

Required Licensure and/or Certification

  • Valid license and current registration to practice as a Pharmacist issued by the New York State Department of Education (NYSED).

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication
  • Time Management
  • Teamwork

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