ZipRecruiter

Log In

1

Pbm Implementation Jobs in Ohio (NOW HIRING)

Birdi

Clinical Pharmacist

North Canton, OH · On-site

$105K - $126K/yr

Actively participate in the development and implementation of performance improvement, quality ... Prior experience in Retail, Mail Order or Specialty Pharmacy, PBM, pharmaceutical or managed health ...

New

Forhyre

OH

... 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 ...

Highmark Health

Specialty Pharmacist Consultant

Columbus, OH · On-site

$54.50 - $65.50/hr

This position requires a balance of clinical and business acumen to successfully implement, support ... plan, PBM setting and/or specialty pharmacy setting SKILLS * Project Management * Consulting

next page

Showing results 1-20

All JobsPbm Implementation JobsPbm Implementation Jobs in Ohio

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:
What job categories do people searching Pbm Implementation jobs in Ohio look for? The top searched job categories for Pbm Implementation jobs in Ohio are:
Pbm Implementation jobs near you

Director of Business Development & Member Engagement

FRONTPATH HEALTH COALITION

Perrysburg, OH • On-site

Full-time

Dental, Vision

Re-posted yesterday

Job description

Position Title: Director of Business Development & Member Engagement
Reports to: Chief Executive Officer
This primary focus of this position is to retain and grow FrontPath Health Coalition membership of sponsors of self/level-funded health plans through building ongoing and trusted working relationships with members; delivering excellent member services and products, and supporting a consistently positive Coalition experience for member groups and their health plan enrollees. The Director of Business Development leads the acquisition of new business through building and maintaining relationships with key constituents including brokers, consultants and third party administrators, as well as prospective members; responding to requests for proposals; and participating in new product development and existing product enhancement. The Director is responsible for coordinating FrontPath resources and overseeing the implementation of new products with members and/or members vendors to ensure members receive services that meet their needs. The Director establishes member communications tools and processes to enhance members understanding of the value of FrontPath membership, services and products.
Major Areas of Responsibility

Strategic Planning & Implementation
  • Together with the President & CEO develop strategies and partnerships with relevant healthcare organizations for the benefit of the coalition
  • Implementation and tracking of strategic initiatives
  • Work closely with members to identify resources that add value to their health plan and find solutions the coalition can align with to meet member needs
  • Give focused attention to strategies that help reduce health care spend for members and the community at large
Serving as visible point of contact with FrontPath members and their brokers/consultants, and/or third party administrators, and coordinating, as needed, communication with appropriate FrontPath staff;
Developing outreach strategies to encourage greater member participation in key FrontPath products and service offerings.
Collaborative Activities & Partnerships
  • New business opportunities research & development (including due diligence activities)
  • Request For Proposals oversight, review & response development
  • Products & Services Pharmacy Benefit manager (PBM) relationships; On Site/Near Site Clinic; Wellness Programs; Dental & Vision; All products related to employee benefit plan design; Small Group Product relationships (Fully Insured, Partially Insured, Captives, MEWA, etc.); Review & development of network design opportunities; Telehealth, Data & Care Management Services relationships
  • Partnerships Brokers/Consultants; TPAs; Joint marketing opportunities; Network collaborations; Pharma vendors (Programs, Educational Materials & Opportunities, Services)



Financial Oversight

  • Annual Budget Preparation for Business Development, Member Engagement, and Marketing
  • Revenue Development; new members and/or products and services to new/existing members


Marketing and Sales, Membership Engagement, Growth & Retention

  • Conduct orientation and onboard services for all new members; facilitate with FrontPath staff new member implementations and member issue management and oversight
  • Member Communications support, development & review
  • Host and develop meaningful quarterly meetings with members
  • Advertising campaigns
  • Member Engagement educational forums
  • Sponsorship(s) review & management
  • Website development support and assist as requested
  • Prospect Development; Marketing Materials preparation & review; Prospect & Renewal Member Meetings - materials preparation & review
  • Sales of all FrontPath products and services to also include all a la carte offerings through partnerships
  • Remain conversant in client history and track all member interactions and maintain member profile information in Salesforce, create and disseminate member interaction documentation standards for Salesforce.
  • Maintain master contacts and email distribution lists, and develop content and story ideas for member communications, newsletter and surveys

Legal & Professional Services

  • Collaboration with President & CEO for contract preparations, review & negotiations
    • Coalition Members
    • Vendors
  • Joint network products development, marketing and oversight
  • Wrap Network Programs & Services opportunities review & program(s) marketing

Regulatory Compliance
  • Member education and support on regulatory topics such as Consolidated Appropriations Act (CAA) provisions for self-funded health plan sponsors
  • Compliance activities related to the provider network aspects of CAA including Transparency in Coverage machine readable files production and maintenance; No Surprises Act support, Mental Health Parity review and documentation, annual fee disclosures,
Other Duties as required







Experience Required:

Minimum Bachelors degree from an accredited college or university;
3 + years related work experience, primarily including client services functions, such as strategic account creation and execution;
Demonstrated knowledge relative to local market forces and purchaser leadership in health care reform
Demonstrated ability and proven track record to create and foster strategic relationships with key stakeholders at member organizations;
Demonstrated ability to respond to and use healthcare data to inform strategic decision-making;
Excellent oral, written, and interpersonal communication skills;
Proven ability to work within a team and to foster teamwork;
Strong planning, problem-solving, time management, organizational and prioritization skills.
Knowledge of PC-based Word, Excel, Access, Power Point, Outlook, and SalesForce.
This is a full-time position reporting to the Chief Executive Officer.