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Pbm Implementation Jobs in New York (NOW HIRING)

Judi Health

Account Coordinator, PBM

New York, NY · Hybrid

$22 - $28.50/hr

Support implementation and client management teams with all day-to-day client requirements ... experience in PBM / health plan, benefits consulting, healthcare preferred * Track record of ...

Judi Health

Account Manager, PBM

New York, NY · Hybrid

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

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.

Judi Health

Account Executive, PBM

New York, NY · On-site +1

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 ...

Capital Rx

Medical Coding Specialist

Manhattan, NY · On-site

$70K - $85K/yr

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Assists the pharmacists in operationalizing nd implementing custom client formulary and benefit ...

Bcbsa

Director, Trade Client Relations

New York, NY · Remote

$155K - $175K/yr

Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation * Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and ...

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Pbm Implementation information

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 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 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, 11% Part Time, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Account Coordinator, PBM

Judi Health

New York, NY • Hybrid

$22 - $28.50/hr

Other

Medical

Posted 13 days ago

Job description

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 for timely and accurate management and execution of assigned client benefit requests, including benefit changes, eligibility changes, override requests, demo support and new implementation support 
  • 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 in pre- and post-implementation quality assurance and testing to validate coding accuracy 
  • Participate in claim reviews to proactively identify discrepancies 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, as required 
  • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. 

 
Required Qualifications: 

  • Undergraduate bachelor's degree, with record of strong academic performance or equivalent job experience 
  • 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare preferred 
  • Track record of building trusting internal and external relationships 
  • Track record of 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 delivering high quality work product 

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