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Pbm Implementation Jobs in Nevada (NOW HIRING)

SlateRx

PBM Senior Analyst, Underwriting

Las Vegas, NV · On-site

Participate in development and implementation of initiatives, as needed, to improve processes and ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.

SlateRx

PBM Senior Analyst, Underwriting

Las Vegas, NV · On-site +1

Participate in development and implementation of initiatives, as needed, to improve processes and ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.

Lucyrx

Account Executive

Las Vegas, NV · On-site +1

Leverage knowledge of PBM and Pharmacy industries to provide a consultative approach to client ... onboarding and implementing new business to provide a cohesive incoming client experience.

Lucyrx

Account Executive

Las Vegas, NV · Remote

Leverage knowledge of PBM and Pharmacy industries to provide a consultative approach to client ... onboarding and implementing new business to provide a cohesive incoming client experience.

Lucyrx

Account Executive

Las Vegas, NV · Remote

Leverage knowledge of PBM and Pharmacy industries to provide a consultative approach to client ... Assistwith onboarding and implementing new business to provide a cohesive incoming client ...

Lucyrx

Clinical Account Executive

Las Vegas, NV · On-site +1

... develop and implement solutions that meet the unique needs of our clients. Role and ... Doctor of Pharmacy (PharmD) degree from an accredited institution. * 3+ years of experience in PBM ...

Elevance Health

Director Pharmacy Operations

Las Vegas, NV · On-site

$123K - $162K/yr

Directs regional clinical program implementations and tracks call stats and interventions ... PBM experience preferred. * Experience overseeing large initiatives and teams preferred. For ...

Elevance Health

Director Pharmacy Operations

Las Vegas, NV · On-site

$123K - $163K/yr

Directs regional clinical program implementations and tracks call stats and interventions ... PBM experience preferred. * Experience overseeing large initiatives and teams preferred. For ...

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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 are popular job titles related to Pbm Implementation jobs in Nevada?

For Pbm Implementation jobs in Nevada, the most frequently searched job titles are:

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

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

Pbm Implementation jobs near you

Implementation Manager (Pharmacy Benefit Management)

Las Vegas, NV • Remote

SlateRx
See more jobs at SlateRxexternal

Full-time

Re-posted 17 days ago

Job description

Position Overview:

    • Position is responsible for the leading the process of conversion of PBM services to the company.
    • Includes managing relationships across various constituents and personalities, and across a variety of dynamics.
    • This individual will possess strong project management skills, communication (written and oral), and comprehensive pharmacy benefits knowledge across implementation steps.
    • Ability to assert credibility with HR decision makers and team, as well as third party advisors.
    • Take control of the room by keeping broad multi-constituent groups organized and on task.
    • Additional opportunities will be made available to the right candidate, including growth within the implementation department or across the organization in larger roles.

Supervisor:  Sr. Director, PBM Implementations

Key Responsibilities:

As an Implementation Manager, your key responsibilities will include:

    • Serve as project manager through full implementation process, acting as "air traffic controller" and source of truth across all work steps - beginning with implementation kick-off and continuing through go-live and beyond.
    • Coordinate with internal teams and partners to manage completion of conversion steps on time and with efficient use of resources.
    • Serve as core point of contact for external constituents (client-based, advisor-based) through conversion process.
    • Ensure on-time completion of all milestones, maintenance of detailed implementation status plan, and advanced warning of any risks.
    • Balance competing priorities within and across client implementations.
    • Involve necessary teams to provide input, collateral, or other support on a case-by-case basis.
    • Always maintain frequent correspondence with all relevant parties.

Capabilities:

    • Deep familiarity with PBM service model and associated steps for a conversion (Network, Formulary, Eligibility, Billing, Call Center, Account Service, File Transfer, etc.).
    • Experience building and maintaining relationships with third party advisors.
    • Experience working with Human resources-based decision makers and/or benefit advisors.
    • Proficiency in MS Office suite (Excel, PowerPoint, Word, in particular).
    • Effective communication skills, both written and verbal.
    • Strong work ethic and willingness to be nimble, flexible to drive projects to completion; heavily deadline-oriented with comfort in managing multiple competing priorities.
    • Ability to take direction and work independently while keeping relevant parties apprised.

Status:

    • Position will be virtual (work from home) in an office-like environment.

Education:

    • Associate's or Bachelor's degree is required; Master's degree a plus.

Experience:

    • 3-5 years minimum of previous experience in pharmacy benefits administration, operations, or related discipline.  Specific experience working with HR buyers (benefits manager, VPHR, etc.) and PBM implementations a plus.

Certifications and/or Licensure:

    • Professional certification (PMP, CAPM, or like designation a plus, but not required).

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