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Pbm Implementation Jobs in California (NOW HIRING)

Scangroup

Manager, Pharmacy Operations

Long Beach, CA · On-site

... PBM) on CMS, DHCS, and other states regulatory requirements. The role ensures regulatory compliance ... Oversee the accurate implementation and maintenance of pharmacy benefits, pharmacy account ...

SCAN Group

Manager, Pharmacy Operations

Long Beach, CA · On-site

... PBM) on CMS, DHCS, and other states regulatory requirements. The role ensures regulatory compliance ... Oversee the accurate implementation and maintenance of pharmacy benefits, pharmacy account ...

MedImpact

Director, Channel Management

San Diego, CA · On-site +1

$221K - $287K/yr

Support the development and execution of the PBM's channel management strategy focused on reducing ... Translate client objectives into practical channel recommendations and implementation plans. Cross ...

Impresiv Health

Health Plan Pharmacist

Huntington Beach, CA · On-site

$61.50 - $74/hr

Build and maintain strong relationships within the PBM ecosystem to evaluate alternative vendors ... Design and implement provider and member engagement strategies that influence prescribing behaviors ...

MedImpact

Director, Channel Management

San Diego, CA

$221K - $287K/yr

Support the development and execution of the PBM's channel management strategy focused on reducing ... Translate client objectives into practical channel recommendations and implementation plans. Cross ...

HomeRise

Payroll and Benefits Manager

San Francisco, CA · On-site

$115K - $130K/yr

On the benefits side the PBM leads the Health & Welfare benefits program implementation and serves as the point of contact for employee questions about all benefit programs including the retirement ...

MedImpact

Account Executive I (PBM)

San Diego, CA · On-site +1

$115K - $145K/yr

Support the implementation process for assigned clients, including oversight of implementation and ... private label PBM's, Cash Card and/or other related entities. Other Skills and Abilities ...

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Pbm Implementation information

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

To thrive as a PBM Implementation Specialist, you need a solid understanding of pharmacy benefit management, project management skills, and familiarity with healthcare regulations, often supported by a relevant bachelor’s degree. Experience with PBM software platforms, data integration tools, and possibly certifications like PMP are highly valued. Outstanding problem-solving, attention to detail, and strong communication skills set top performers apart in this role. These skills are essential for ensuring seamless implementation of PBM solutions, minimizing errors, and maintaining compliance in a complex, regulated environment.

What is a PBM Implementation specialist?

A PBM Implementation specialist is a professional who manages and oversees the process of integrating pharmacy benefit management (PBM) services for clients, such as health plans or employers. Their role involves coordinating system setups, benefit configurations, and data transfers to ensure accurate and efficient delivery of prescription drug benefits. They work closely with internal teams and clients to understand requirements, resolve issues, and ensure a smooth transition to PBM services. Strong communication, project management, and technical skills are essential in this role.

What are some common challenges faced during PBM implementation projects, and how can they be addressed?

One of the main challenges in PBM (Pharmacy Benefit Management) implementation is coordinating between multiple stakeholders, such as clients, vendors, and internal IT teams, to ensure accurate data integration and system configuration. This role often requires managing tight deadlines and rapidly resolving issues that arise during system testing and member migration. To address these challenges, strong project management skills, clear communication, and a proactive approach to identifying potential risks are essential. Collaboration with cross-functional teams and maintaining detailed documentation can also help ensure a smooth implementation process.

What is the difference between Pbm Implementation vs Pbm Analyst?

AspectPbm ImplementationPbm Analyst
CredentialsRelevant certifications, technical skillsSame certifications, analytical skills
Work EnvironmentProject-based, cross-functional teamsData analysis, reporting focus
Industry UsageHealthcare, pharmacy benefit managementHealthcare, insurance, benefits analysis
Primary FocusImplementing PBM systems and processesAnalyzing data, generating insights

While both roles require similar credentials and operate within the healthcare and PBM industry, Pbm Implementation focuses on deploying and configuring PBM systems, whereas Pbm Analysts analyze data to optimize benefits and costs. The implementation role is more project-oriented, while analysts focus on data insights.

What are the most commonly searched types of Pbm Implementation jobs in California? The most popular types of Pbm Implementation jobs in California are:
What are popular job titles related to Pbm Implementation jobs in California? For Pbm Implementation jobs in California, the most frequently searched job titles are:
What job categories do people searching Pbm Implementation jobs in California look for? The top searched job categories for Pbm Implementation jobs in California are:
What cities in California are hiring for Pbm Implementation jobs? Cities in California with the most Pbm Implementation job openings:
Pbm Implementation jobs near you
Infographic showing various Pbm Implementation job openings in California as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Temporary. Highlights an 79% In-person, and 21% Remote job distribution.

PBM Clinical Implementation Consultant Pharmacist - Remote

UnitedHealth Group

Los Angeles, CA • On-site, Remote

$127K - $152K/yr

Full-time

Retirement

Posted 8 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
The Clinical Consultant Pharmacist, HealthTrust Segment, provides clinical support for OptumRx implementation team, operations, and other internal departments. This individual is relied upon to support implementation activities for new clients onboarding with OptumRx, as well as be the main clinical resource for a small group of existing clients. In this role, the Clinical Consultant Pharmacist would also support HealthTrust's Clinical Advantage Service Model Account Executives with both behind-the-scenes and client facing support. The individual would also leverage clinical expertise to assist with managing HealthTrust's custom clinical programs.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to Optum Rx via the HealthTrust coalition
  • Provide clinical consultation and clinical account management for HealthTrust's Clinical Advantage Service Model. This role would provide support for client facing requests for this client pool, which the leadership team at HealthTrust has requested on numerous occasions
  • Collaborate with the implementations team to onboard new HealthTrust clients. This role would be the primary clinical contact and support for clients new to OptumRx via the HealthTrust coalition
  • Manage a smaller book (~5-6 clients) and provide clinical support to clients. Identify opportunities for clinical program up-sell and spearhead up-sell to assigned client(s). Provide pipeline and drug information. Participate in quarterly pharmacy review meetings. Comprehend and effectively explain formulary and clinical program changes to clients
  • Assist with updates and changes to HealthTrust's portfolio of custom clinical offerings. Maintain and update custom Utilization Management Criteria. Provide the primary clinical support for HealthTrust's custom exclusion list called,
  • Emerging Trends Management Program (ETMP). Additionally, the pharmacist in this role would work with marketing materials for the HealthTrust custom programs, create reporting for the programs, and train the HealthTrust clinical team on these new initiatives
  • Assist leadership with biannual updates of HealthTrust's custom modified formularies. Lead work for custom formulary disruption reports, lettering, and client notification templates
  • Utilize clinical knowledge to upskill the Clinical Support Consultants that support the HealthTrust Clinical team. This role would work with the CSC on efficient ways and best practices to provide support to the HealthTrust clinical consultants. This role would oversee RxComet revisioning for CASM clients, task submission, and rolling out of new functions for the CSC team
  • Support sales and marketing including participating in RFP & strategic Finalist activities
  • Consistently look at existing processes, methods and materials to find opportunities for improvement

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Bachelor of Science in Pharmacy or Doctor of Pharmacy degree
  • Active, unrestricted US state-specific pharmacist license
  • 3+ years of pharmacy practice experience, including 2+ years of clinical account management experience within a PBM or Managed Care, including external client-facing (beyond patients and prescribers) responsibilities
  • 2+ years of providing formal client presentations
  • Proficiency in Microsoft Word, Excel, PowerPoint, Teams, and Outlook
  • Willing and ability to travel up to 25%
  • Willing to work occasionally outside of business hours as client needs dictate

Preferred Qualifications:
  • ASHP/AMCP-accredited residency in Managed Care
  • 3+ years of managed care or PBM experience
  • Experience managing projects include developing the project plan, mapping out the timeline, driving project through completion
  • Experience with process improvement project plans
  • Experience developing and performing presentations to various audiences
  • Experience leading or working on implementation project plans
  • Experience understanding clinical programs and leading discussions around them
  • Experience supporting, planning and facilitating Pharmacy & Therapeutic (P&T) committees
  • Experience implementing Formulary Management and Utilization Management criteria
  • Takes ownership of assigned work, seeks opportunities for process improvement, and consistently follows through on commitments

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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