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Pbm Implementation Jobs in Kentucky (NOW HIRING)

$46.99 - $122.40/hr

Collaborating with PBM Sales and Account Services to provide recommendations on pricing and ... You will need to execute and implement constantly evolving pricing strategies in response to market ...

New

$46.99 - $122.40/hr

Collaborating with PBM Sales and Account Services to provide recommendations on pricing and ... You will need to execute and implement constantly evolving pricing strategies in response to market ...

$120 - $180/hr

The Manager of PBM Underwriting & Analytics is responsible for leading and overseeing the ... Implement & perform underwriting process for pharmacy benefit programs, including pricing ...

$150 - $175/hr

Oversee integration workstreams across large-scale Medicaid, MMIS, PBM, payer, and healthcare technology implementations. * Guide teams through the full integration lifecycle, including requirements ...

$99 - $121/hr

Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong ... Partner with implementation, product, operations, and support teams to deliver positive customer ...

$217 - $262/hr

Collaborate with field and national sales teams to ensure effective implementation and "pull ... PBM/GPO/Payer relationships: Extensive, established relationships and a proven track record of ...

$125 - $175/hr

... PBM contracting, clinical strategy, etc.) * Oversee and coordinate all financial modeling work ... Develop, implement, and maintain standardized project plans, timelines, and communication protocols ...

You will support the entire Pharmacy Compliance team in areas including our PBM (Pharmacy Benefit ... implementations/CMS initiatives and interpreting complex regulatory guidance to advise pharmacy ...

$182 - $247/hr

Manage performance against operating KPIs and clinical outcomes metrics by partnering with internal Devoted teams and external partners, including our PBM, to design and implement solutions that ...

$120 - $190/hr

Implementation & Cross-Functional Leadership * Collaborate closely with Pricing, Analytics, Finance ... Stay current on healthcare, specialty pharmacy, payer, and PBM market trends, including regulatory ...

$95 - $136/hr

Implement data models using Data Lake , ensuring reliability, versioning, and auditability ... PBM/PBA data, including pharmacy and program analytics. What we're looking for * Familiarity with ...

New

$120 - $170/hr

Identifying and implementing process improvements to enhance team efficiency and technology support ... In‑depth knowledge of the healthcare or PBM industry is preferred. * Extensive experience working ...

$68 - $97/hr

Implement transformation, validation, and enrichment logic aligned to Medicaid data quality ... Leverage experience with PBM/PBA data where relevant to Medicaid pharmacy programs. What we're ...

$185 - $225/hr

Evaluate, design, and implement a potential U.S. self-insured health plan, including financial modeling, risk assessment, vendor selection (TPA, stop-loss, PBM), and compliance considerations

$90 - $120/hr

... and implementation for standard and custom MRA lists totaling over $18 Billion in generic AWP per ... Knowledge of PBM or Healthcare industry preferred* Ability to leverage data to develop models ...

$95 - $135/hr

The Environmental Health & Safety Leader is responsible for developing, implementing, and ... PBM) culture * Partners with site leadership to influence all team members to embrace and achieve ...

$92 - $164/hr

... areas to implement client initiatives, complete projects, and address ongoing pharmacy service ... ASHP-accredited residency in Managed Care * 3+ years of managed care or PBM experience * 2+ years ...

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Showing results 1-20

Pbm Implementation information

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 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 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 job categories do people searching Pbm Implementation jobs in Kentucky look for?

The top searched job categories for Pbm Implementation jobs in Kentucky are:

What cities in Kentucky are hiring for Pbm Implementation jobs?

Cities in Kentucky with the most Pbm Implementation job openings:

Infographic showing various Pbm Implementation job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Project Manager Sr (contract)

Elevance Health

Frankfort, KY • Hybrid

Contractor

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago


Elevance Health rating

7.6

Company rating: 7.6 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

213th of 314 rated insurance


Job description

Job ID:JP00046807

Anticipated Start Date: 08/31/2026

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

Manage multiple projects of varying sizes and duration including large projects from a global perspective that incorporates both the business and technical aspects of the project.

Primary duties may include, but are not limited to:

  • Applying project management knowledge, skills, tools and techniques to project deliverables, processes, and systems.

  • In addition to all responsibilities of a project manager this position coaches and mentors project team members.

  • Mentors other project managers

  • Determines project scope

  • Develops resource, risk, quality, cost, and scope management plans

  • Develops training plans

  • Develops requirements documents

  • Develops project approval matrix

  • Identifies project team training and tool needs

  • Defines, recommends and secures contractual agreements for services and products

  • Coordinates requirements, schedules implementation and post-implement plans, and develops service-level agreements for vendor partners and global resources firms

  • Defines quality gates for each project methodology phase

  • Defines critical success factors; and establishes and manages the project warranty period.

Requirements:

  • Requires a BA/BS in a related field and minimum of 5 years professional project management experience required during which at least 3 years are spent leading and directing project tasks; or any combination of education and experience, which would provide an equivalent background.

  • Project Management Professional (PMP) certification preferred.

  • Must have health care experience, good time management, ability to multi task, have clear communications (written and verbal).

  • For 1 role, they MUST have PBM Implementation experience; not just worked in a PBM environment but actual implementations

Job Type: Contract opportunity.

Additional Details:

  • M-F 8am-5pm

  • 100% remote

  • Candidates must live within 50 miles of an Elevance Health PulsePoint.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

About BCForward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Pay Rate Range

37.35 - 78.37 USD hourly

Additional Notes

The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.

Benefits Information

BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).


What Elevance Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Elevance Health logo

About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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