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Pbm Implementation Jobs in New York (NOW HIRING)

Capital Rx

Account Coordinator, PBM

Manhattan, NY · On-site

$69K - $86K/yr

Support implementation and client management teams with all day-to-day client requirements ... PBM / health plan, benefits consulting, healthcarepreferred * Track recordof building trusting ...

Capital Rx

Account Manager, PBM

Manhattan, NY · On-site

$100K - $125K/yr

Support implementation of new plans, pricing, and networks, consistent with strategic or ... experience in PBM / health plan, benefits consulting, healthcare * Track record of building ...

Capital Rx

Clinical Account Consultant, PBM

Manhattan, NY · On-site

$140K - $160K/yr

... in PBM, managed care, or health plan environments. * Strong clinical knowledge of formulary ... Familiarity with implementation support related to formulary strategy, disruption review, or ...

Capital Rx

Account Executive, PBM

Manhattan, NY · On-site

Support implementation effots of clients, including but not limited to strategic review of plan design documentation (implementation documents, summary plan documents, etc) to create plan design for ...

St. Barnabas

Director of Blood Management

Bronx, NY · On-site

The Director of Blood Management is a strategic and clinical leadership role responsible for developing, implementing, and overseeing a comprehensive Patient Blood Management (PBM) program at St.

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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 the most commonly searched types of Pbm Implementation jobs in New York?

The most popular types of Pbm Implementation jobs in New York are:

What are popular job titles related to Pbm Implementation jobs in New York?

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

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

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

What cities in New York are hiring for Pbm Implementation jobs?

Cities in New York with the most Pbm Implementation job openings:

Pbm Implementation jobs near you
Infographic showing various Pbm Implementation job openings in New York as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, and 3% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution.

Account Coordinator, PBM

Capital Rx

Manhattan, NY • On-site

$69K - $86K/yr

Other

Medical

Posted 29 days ago

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary:

Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial account teams with large and jumbo commercial clients in the health system, employer, labor/union, and public sectors. In this role, you will partner with account teams to enhance client satisfaction and help with day-to-day tasks. You'll collaborate with internal teams to meet the needs of our clients and their members. If you're passionate about building strong client relationships, navigating healthcare trends, and improving processes, we want to hear from you!

Position Responsibilities:

  • Support a variety of clients and account management teams to ensure best in class service and superior service levels are achieved
  • Support implementation and client management teams with all day-to-day client requirements
  • Responsible fortimelyandaccuratemanagement and execution ofassignedclient benefit requests, including benefit changes, eligibility changes,override requests, demosupportand new implementationsupport
  • Analyze incoming client requests and work with internal and external teams to complete required plan documentation
  • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
  • Participate inpre- and post-implementation quality assurance and testing tovalidatecoding accuracy
  • Participate inclaim reviews to proactivelyidentifydiscrepancies or inaccuracies and develop solutions to address
  • Handle and resolve sponsor and member issues, escalating as needed
  • Research and respond to claims processing and system configuration inquiries
  • Coordinate integration of other data inputs into client management processes
  • Collaborate cross functionally to support general client operations, asrequired
  • Responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance.


Required Qualifications:

  • Undergraduate bachelor's degree, with record of strong academic performanceor equivalent job experience
  • 1+years of proven experience in PBM / health plan, benefits consulting, healthcarepreferred
  • Track recordof building trusting internal and external relationships
  • Track recordof leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
  • Experience working with structured and unstructured data
  • Proficient in Microsoft Office, SQL a bonus
  • Ability to balance multiple complex projects simultaneously
  • Exceptional written and verbal communication skills
  • Extremely flexible, highly organized, and able to shift priorities easily
  • Attention to detail & commitment to deliveringhigh qualitywork product
New York, NY Salary Range
$69,200—$86,500 USD
Denver, CO Salary Range
$63,200—$79,000 USD
Charlotte, NC Salary Range
$57,600—$72,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.

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