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Pbm Implementation Jobs in New York (NOW HIRING)

Judi Health

Account Manager, PBA

New York, NY · Hybrid

  • Medical

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 ...

Capital Rx

Formulary Operations Specialist

Manhattan, NY · On-site

$70K - $85K/yr

Assists the pharmacists in operationalizing nd implementing custom client formulary and benefit ... Formulary development and maintenance process experience at a PBM or health plan including ...

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

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

Global Industrial

Manager, Benefits

Port Washington, NY · On-site

  • Medical

  • Dental

  • Vision

  • Life

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

CVS Health

Senior Product Manager

New York, NY · On-site

$106K - $284K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

We're looking for aspiring analytical enthusiasts to drive efficiency and growth in Caremark's PBM ... Support engineering and data science teams to implement features by clarifying requirements ...

CVS Health

Senior Product Manager

New York, NY

$106K - $284K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

We're looking for aspiring analytical enthusiasts to drive efficiency and growth in Caremark's PBM ... Support engineering and data science teams to implement features by clarifying requirements ...

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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 Manager Sr, New York PDP - Remote

Prime Therapeutics LLC

New York, NY • On-site, Remote

Full-time

Posted 7 days ago

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 112 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Account Manager Sr, New York PDP - RemoteJob Description
The Senior Account Manager is responsible for providing complex level support for the Employer Account Executive and Employer Groups by driving communications, client-facing initiatives, and product and program recommendations. This position leads client initiatives both cross-functionally and with clients.
Responsibilities
  • Work directly with Employer Groups and Health Plan Leadership team to resolve issues and ensure member satisfaction; coordinate with operational units to put processes in place that will prevent repeat issues in the future and drive the identification and implementation of complex process improvements with internal partners to ensure scale and efficiency and result in better client outcomes
  • Collaborate with account executive and employer market leadership to build business cases, and at times, lead client-facing initiatives; provide input into, and client management support for initiatives such as implementations, setting performance standards, and creating cost justifications
  • Partner with Employer Account Executives and/or Prime and Health Plan leadership to understand the purpose and intent of incoming reporting requests and evaluate what relevant information exists, how it can be accessed, and determine the most appropriate ways to present the information to the requestor in a consumable fashion; conduct independent review and analysis to ensure the information is understood and can be leveraged to influence decision making with the client, or Prime leadership
  • Work directly with existing, small employer accounts to optimize the pharmacy spend through adoption and expanded use of Prime products and services
  • Facilitate regular meetings with Employer Groups in the assigned book of business to build relationships and promote other product opportunities to increase market penetration and awareness; assist with any necessary follow up with stakeholders or clients
  • Support client audits and assist with the development of client presentations and the facilitation of client visits and health fairs
  • Document interactions with assigned accounts and input into the Salesforce CRM tool, including but not limited to meeting agendas and notes, identified dependencies or risks, key decision points and outcomes, and any next steps, agreed actions and responsibly parties; ensure the appropriate data is captured within Salesforce in order for the tool to be leveraged as a source of truth for the overall client relationship (client interactions, products pitched and deployed, decision records, etc.)
  • Support Employer Group retention through proactive and thorough issue resolution, ensuring an intimate understanding of client's challenges, priorities and adopted products and services, and helping Prime and Health Plan identify and implement changes that result in mutual value in the relationship
  • Serve as mentor and primary trainer for the broader Employer Account Management team; document and maintain Standard Operating Procedures (SOP) for client specific initiatives and ensure awareness and adoption of process changes
  • Other duties as assigned

Minimum Qualifications
  • Bachelor's Degree in business or related field, or equivalent combination of education and/or work experience; HS diploma from an accredited school or equivalent GED required
  • 5 years of Client Service/Account Management experience

Must be eligible to work in the United States without the need for work visa or residency sponsorship
Additional Qualifications
  • Demonstrated ability to develop effective selling messages, presentations, and proposals that drive sales
  • Strong interpersonal skills, with the ability to effectively facilitate meetings, resolve conflict, build consensus, establish rapport, collaborate, and influence effectively across departments, internally and externally, and at all levels within an organization
  • Ability to balance and prioritize compliance, business and other competing goals and risks, while still driving programs and initiatives to completion
  • Organization and prioritization skills, strong attention to detail, and the ability to simultaneously lead multiple, complex projects and strategies, under pressure and strict timeframes
  • Ability to manage complex information to develop well-reasoned solutions that solve client's problems
  • Ability to work effectively in a matrixed team environment

Preferred Qualifications
  • Master's or Advanced degree
  • Experience in leadership and/or project management
  • Healthcare or PBM industry experience
  • Pharmacy Technician experience and/or CPhT certification

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job
Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

What Prime Therapeutics employees say

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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