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Pbm Implementation Jobs in New York (NOW HIRING)

Capital Rx

Prior Authorization Systems Technician

Manhattan, NY · On-site

$19.25 - $23.50/hr

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Support new drug-to-market implementations, including analysis and updates for GPI, NDC, and other ...

Judi Health

Account Manager, PBA

New York, NY · Hybrid

Support implementation as a critical member of the client management teams with all day-to-day ... experience in PBM / health plan, benefits consulting, healthcare * Track record of building ...

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

... Evaluate PBM and stop-loss options to optimize cost and risk protection. Operations & Program ... Monitor regulatory changes and implement required updates. Employee Experience & Communications • ...

Apex Informatics

QA Lead

Morristown, NJ · On-site

... PBM (Pharmacy Benefit Manager)/ Health Payer Experience (Any One) * 10+ years of Experience * Collaborate with system engineers, frontend developers and software developers to implement solutions ...

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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.

Project Manager- Pharmacy Associate

Oscar Health

New York, NY • On-site

$96K - $127K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 301 rated insurance

Job description

Hi, we're Oscar. We're hiring a Project Manager- Pharmacy Associate to join our team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
The Project Manager is responsible for supporting all activities related to program implementations goals as well as post implementation oversight and monitoring to ensure success. Additionally supports operational improvements for core operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization and helping implement project management fundamentals and standards across the organization. This individual will establish and manage relationships with key internal and external stakeholders to ensure business alignment and support change management.
You will report into the Director, Pharmacy Programs and Implementation.
Work Location: This position is based in our New York office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid
Pay Transparency: The base pay for this role is: $96,876.00- $127,149.75 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
  • Organize and support daily activities based on the goals of the program
  • Identify optimization opportunities to support program objectives
  • Support implementations end to end to ensure success
  • Lead certain components of the program
  • Partner with other departments and various stakeholders to ensure operational excellence
  • Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
  • Support the tracking and monitoring of controls
  • Develop tools and standards to support team programs year over year based on program retros
  • Develop meeting materials, track and follow-up on action items, assist with management of all project plans
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:
  • Bachelor's degree or 4 years commensurate experience.
  • 3+ years working for a PBM, Payer, or Pharmacy Consulting firm, with a focus on reviewing healthcare data.
  • 3+ years leading cross-functional teams/projects and change management.
  • 1+ years working with health insurance regulation/compliance.
  • 1+ years working with technical teams, integrations or product management.

Bonus points:
  • Experience with medical payer and PBM claims adjudication systems, such as RxClaim.
  • Experience with pharmacy claim testing and Quality Assurance (QA).
  • Experience with a ticketing system (such as Jira or Appian).
  • Experience with Project Management systems (such as Monday.com).
  • Experience with payers offering ACA/health exchange insurance.

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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