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Pbm Implementation Jobs in Ohio (NOW HIRING)

The ideal candidate brings strong PBM or health plan experience and excels at managing complex ... and implement client-specific pharmacy strategies preferred. * Strong business acumen with the ...

The ideal candidate brings strong PBM or health plan experience and excels at managing complex ... and implement client-specific pharmacy strategies preferred. * Strong business acumen with the ...

Pharmacist I

Dayton, OH · Remote

$94K - $164K/yr

Supports and participates in Prior Authorization (PA) Reviews by documenting, implementing and ... PBM, Specialty or Retail Pharmacy and Provider Understanding Managed Care and/or Retail Pharmacy ...

New

Pharmacist I

Dayton, OH · On-site

$94K - $164K/yr

Supports and participates in Prior Authorization (PA) Reviews by documenting, implementing and ... Familiarity with the healthcare field, including Insurer, PBM, Specialty or Retail Pharmacy and ...

New

Pharmacist I

Dayton, OH · On-site

$94K - $164K/yr

Supports and participates in Prior Authorization (PA) Reviews by documenting, implementing and ... Familiarity with the healthcare field, including Insurer, PBM, Specialty or Retail Pharmacy and ...

New

... implementation, maintenance, testing and/or functional design of system changes. Requirements ... Experience working within the Payer / PBM market (in particular Medicare and Medicaid, Part D and ...

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Showing results 1-20

Pbm Implementation information

What are the key skills and qualifications needed to thrive as a PBM Implementation Specialist, and why are they important?

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 popular job titles related to Pbm Implementation jobs in Ohio? For Pbm Implementation jobs in Ohio, the most frequently searched job titles are:

Business Information Consultant Senior- PBM Business Strategy and Analytics

Elevance Health

Mason, OH • Hybrid

$98K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Elevance Health rating

7.7

Company rating: 7.7 out of 10

Based on 349 frontline employees who took The Breakroom Quiz

201st of 301 rated insurance


Job description

Anticipated End Date:

2026-08-21

Position Title:

Business Information Consultant Senior- PBM Business Strategy and Analytics

Job Description:

Business Information Consultant Senior- PBM Business Strategy and Analytics

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to our Pulse Point location in Mason, OH. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Business Information Consultant Senior- PBM Business Strategy and Analytics is responsible for coordinating and consolidating various impact analyses for management reporting.

How you will make an impact:

  • Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.

  • Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

  • Analyzes and designs solutions to address varied and highly complex business needs.

  • Collaborates with businesses and technical areas to implement new or enhanced products.

  • Works with products, internal business models and data systems.

  • Coordinates with external audits as appropriate.

  • Acts as the central contact with internal departments and external auditors.

Minimum Requirements:

Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities & Experiences:

  • Experience providing leadership in evaluating performance of complex organizations highly preferred.

  • Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.

  • Ability to work independently and draw up plans to address issues/concerns highly preferred.

  • Experience partnering with cross-functional business owners to develop, prioritize, and implement sustainable process improvements across PBM departments preferred.

  • Comprehensive understanding of PBM Operations preferred.

  • Experience with SQL or other query languages preferred.

  • Exposure to data tools such as Power BI, Tableau, ChatGPT, or others preferred.

  • Experience working with large PBM datasets to identify trends and support decision-making preferred.

  • Experience developing and delivering executive-level presentations that communicate complex data, trends, recommendations, and business outcomes to leadership preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

RDA > Business/Health Info

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.


What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

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