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Pbm Implementation Jobs in Colorado (NOW HIRING)

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Pbm Implementation information

What are the key skills and qualifications needed to thrive as a PBM Implementation Specialist, and why are they important?

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 popular job titles related to Pbm Implementation jobs in Colorado? For Pbm Implementation jobs in Colorado, the most frequently searched job titles are:
What cities in Colorado are hiring for Pbm Implementation jobs? Cities in Colorado with the most Pbm Implementation job openings:

Client Executive, Human Capital Risk- CAC

Baldwin

Denver, CO • On-site

$120 - $140K/hr

Full-time

Posted 9 days ago


Job description

CAC Group, part of The Baldwin Group, is a leading insurance broker and advisor that provides expertise and placement capabilities across the spectrum of insurance and capital markets. Our team defines our success. We recruit and retain the industry's best talent with deep knowledge and experience in their respective segments, products, and industries. We root for each other, as we are all connected and aligned to serving clients in a better and smarter way. Find out more about career opportunities to work with the best team in the industry.
Our team serves private equity firms and their portfolio companies from a holistic human capital risk perspective. We are innate problem solvers, and we help companies grow by creating value for companies and for their employees relative to HR strategy including HR policy, benefit strategy, employee engagement/communication, and human capital management technology. The Client Executive will be responsible for participating in setting client strategy, managing the cadence of client service, listening for the needs of our clients, assisting in supporting the client's day to day needs, project managing the process to achieve desired outcomes and exceed client expectations in alignment with agreed upon timelines.

Duties & Responsibilities:

  • Client Management
    • Providing best in class client service by exceeding client expectations for a book of business representing clients of various size, scope, and geographic locations through effective project management and proactive strategy
    • Participate in setting strategy for clients pertaining to Human Capital Risks including Human Capital strategy, Benefits, Compliance, Change Management, and Communications while engaging appropriate subject matter experts
    • Resolve client, and vendor-related day-to-day service issues
    • Manage entire client service experience
    • Create relationships with various client stakeholders from executive leadership to support staff
  • Project Management
    • Be able to proactively project manage client service plans and needs and be willing to take responsibility for ensuring the team meets project deadlines
    • Maintain open and transparent communication with the entire HCR team, and be able to discuss timelines and set clear expectations for deliverable due dates
  • Benefit Renewal / Vendor Sourcing Process - Assist in the management of the employee benefits plan renewal or vendor sourcing process
    • Display knowledge and understanding of transparent health benefit strategies, including:
      • Alternative funding mechanisms, including level funding and self-funding
      • Mechanisms of self-funding medical/Rx programs, inclusive of stop loss marketing
      • Best in class PBM contract terms
      • Other advanced cost containment measures such as reference-based reimbursement, direct contracting etc.
    • Ensure project management of renewal/vendor sourcing activities
      • Gather vendor information and/or information from clients for RFP/sourcing
      • Organize data into the appropriate format for vendor submission
      • Prepare RFP and send to vendors
      • Assist in the analysis of quotes for accuracy
    • Develop client strategies with PE HCR team in alignment with PE strategies
    • Prepare client deliverables and assist in the creation of the communication strategy
    • Coordinate implementation of new plans and or continuation of benefit plans and contract changes
    • Ensure client compliance
  • Practice Development
    • Help develop and optimize the client service experience including process, deliverables, and definition of success
    • Mentor and develop client service team members
    • Support business development opportunities
    • Contribute to thought leadership

Qualifications:

  • Bachelor's degree in finance, business, marketing, risk management, or human resources management
  • Minimum 5-10 years of industry experience
  • Ability to multi-task and prioritize client needs in a fast-paced work environment
  • Strong organization skills and process oriented
  • A self-motivated individual who is willing to work in a team environment and do what it takes to get the job done
  • Outstanding communication skills both oral and written essential

Salary: $120-$140k salary range plus bonus opportunity and benefits. This information reflects the anticipated range for this position. Actual salary may vary based on location. Individual pay is based on skills, experience, and other relevant factors.

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The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.