ZipRecruiter

Log In

1

Pbm Implementation Jobs in Florida (NOW HIRING)

WellDyne

Account Coordinator

Lakeland, FL · On-site

$18.50 - $24.25/hr

This position will also assist in plan implementation and interaction for plan updates and changes ... PBM, company specific product offerings, basic pricing components, and company capabilities and ...

WELLDYNE

Account Coordinator

Lakeland, FL · On-site

$18.50 - $24.25/hr

This position will also assist in plan implementation and interaction for plan updates and changes ... PBM, company specific product offerings, basic pricing components, and company capabilities and ...

WELLDYNE

Account Executive

Lakeland, FL · On-site

Provides implementation support, measurement standards, and revisions as needed that incorporate ... PBM, company specific product offerings, pricing components, and company capabilities and ...

WELLDYNE

Account Coordinator

Lakeland, FL · On-site

$18.50 - $24.25/hr

This position will also assist in plan implementation and interaction for plan updates and changes ... PBM, company specific product offerings, basic pricing components, and company capabilities and ...

WellDyne

Account Coordinator

Lakeland, FL · On-site

$18.50 - $24.25/hr

This position will also assist in plan implementation and interaction for plan updates and changes ... PBM, company specific product offerings, basic pricing components, and company capabilities and ...

Trinity Health

Financial Analyst

Pace, FL

Lead A/R reviews, resolve payment discrepancies, and implement collection procedures * Serve as ... Perform and oversee Medicare Part D reporting, audits, attestations, and PBM compliance * Complete ...

Trinity Health

Financial Analyst

Pensacola, FL · On-site

Lead A/R reviews, resolve payment discrepancies, and implement collection procedures * Serve as ... Perform and oversee Medicare Part D reporting, audits, attestations, and PBM compliance * Complete ...

Trinityhealth

Financial Analyst

Pace, FL

Lead A/R reviews, resolve payment discrepancies, and implement collection procedures * Serve as ... Perform and oversee Medicare Part D reporting, audits, attestations, and PBM compliance * Complete ...

ChenMed

Ambulatory Pharmacist

Sunrise, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed, LLC

Ambulatory Pharmacist

Lauderhill, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed

Ambulatory Pharmacist

Miami Lakes, FL

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus * Basic Life Support (BLS ...

ChenMed

Ambulatory Pharmacist

Tamarac, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed

Ambulatory Pharmacist

Lauderhill, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed

Ambulatory Pharmacist

Tampa, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed

Ambulatory Pharmacist

Lauderhill, FL

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus PAY RANGE: $118,062 - $168,658 ...

ChenMed

Ambulatory Pharmacist

Miami, FL · On-site

$118K - $168K/yr

Works directly with physicians and providers to implement and follow care protocols, including ... Experience in managed care, HMO, PBM, or MSO settings is a plus * Basic Life Support (BLS ...

next page

Showing results 1-20

All JobsPbm Implementation JobsPbm Implementation Jobs in Florida

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 Florida? For Pbm Implementation jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Pbm Implementation jobs in Florida look for? The top searched job categories for Pbm Implementation jobs in Florida are:
What cities in Florida are hiring for Pbm Implementation jobs? Cities in Florida with the most Pbm Implementation job openings:
Pbm Implementation jobs near you
Account Coordinator

Account Coordinator

WellDyne

Lakeland, FL • On-site

$18.50 - $24.25/hr

Full-time

Posted 15 days ago

WellDyne rating

6.0

Company rating: 6.0 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

At our company, we move fast, adapt quickly, and turn challenges into opportunities—all while keeping quality at the heart of everything we do. We believe that work should be a positive and respectful place, and that with the right mindset, anything is achievable.
Our Vision:
Fulfill the essential promise of pharmacy care and help people to live to their healthiest, happiest, and fullest potential.
Our Mission:
To be the disruptive force that drives meaningful change within pharmacy services.
Summary
The Account Coordinators are responsible for assisting the Account Team in the service of his/her assigned accounts which includes web-tool training, eligibility help, trouble-shooting plan or member issues, report requests, and coordination with internal departments to fulfill day-to-day client needs or requests. This position will also assist in plan implementation and interaction for plan updates and changes when required.
Essential Duties and Responsibilities:
  • Provides day-to-day support to clients and client representatives regarding various issues such as eligibility, claims or rejected claims, co-pay questions, and member information.
  • Provides timely and accurate answers to issues/inquiries from internal and external sources.
  • Assists the Account Team in the account implementation process–including attendance of client implementation meetings, review of plan set-up and processing of member materials.
  • Escalates high priority or reoccurring issues to the appropriate Client Services team member to ensure resolution; may require running reports, investigating causes and flagging the problem for follow-up.
  • Maintains professional interdepartmental relations and communication on all client service issues.
  • Submits required paperwork to other departments through processing tools
  • Assists in servicing the total customer relationship requiring interaction with medical administrators, brokers, consultants, legal personnel, trustees, etc.
  • Requires knowledge and use of multiple proprietary software systems and functions.
  • Other duties as assigned.
Education and Experience
  • Bachelor’s degree in Health Administration, Business, or related field desired. Proven industry experience may be acceptable in lieu of degree.
  • Previous experience in client services or account management is preferred.
  • Requires ongoing learning in the pharmacy benefit management industry and continuous product knowledge development in the areas of healthcare and PBM, company specific product offerings, basic pricing components, and company capabilities and limitations.

Knowledge, Skills, and Abilities
  • Ability to communicate with all levels of people in a manner which illustrates superior professionalism.
  • Excellent interpersonal skills for dealing with clients, peers, other departments, and senior management.
  • Excellent written communication and documentation skills.
  • Ability to manage multiple projects to successful conclusion.
  • Must have the ability to use logical methods to address problems and develop effective solutions ensuring customer expectations are met or exceeded.
  • Ability to identify developing problems and take actions as needed.
  • Must have advanced attention to detail with the ability to prioritize and meet deadlines.
  • Ability to organize information in a clear and concise manner.
  • Must have working knowledge desktop computer applications in the MS Office Suite.
  • Requires knowledge and use of multiple proprietary or industry software systems and functions.
  • Ability to adapt and be flexible in a variety of situations.
  • Ability to multitask and possess excellent time management skills.
  • Ability to analyze and interpret data/issues to identify root cause and resolution.
  • Must be able to work independently as well as support and contribute to team goals.
  • Follows all policies and procedures related to job responsibilities and participates in the development and maintenance of departmental policies and procedures for Client Services, as appropriate.
  • Exhibits compliant and ethical behavior in the performance of job responsibilities, including complying with all applicable federal and state laws and regulations, WellDyne Code of Conduct, Business Ethics Policies and Procedures, and other policies and procedures applicable to position.
  • May require additional coverage times outside of regularly scheduled hours.
Work Environment / Physical Demands
This position is in a typical office environment which requires prolonged sitting in front of a computer. Requires hand-eye coordination and manual dexterity sufficient to operate standard office equipment including operation of standard computer and phone equipment. May have occasional high stress when dealing with customers/clients. Some travel may be required.
EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind. All employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected status under federal, state, or local law.

Apply