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Pbm Implementation Jobs in Oregon (NOW HIRING)

PBM Underwriter

$83K - $124K/yr

Oversee and implement VytlOne's underwriting strategy for VytlOne's PBM opportunities. * Drive full underwriting process for traditional and pass through PBM RFP opportunities. Gather, assess and ...

... implement compliant, workable solutions. The ideal candidate brings strong PBM, pharmacy, healthcare technology, prescription drug, or healthcare regulatory experience; comfort working with state ...

OR · On-site

The ideal candidate will have experience with pharmacy or PBM contracting and compliance matters ... Partner with outside counsel on complex or novel regulatory questions; help implement ...

OR · On-site

The ideal candidate will have experience with pharmacy or PBM contracting and compliance matters ... Partner with outside counsel on complex or novel regulatory questions; help implement ...

Overview The Operations Analyst is responsible for the implementation and support and ongoing ... Demonstrate knowledge of VytlOne's PBM platform, application, file integration functions/standards ...

Overview The Sr. Operations Analyst is responsible for the implementation of new clients and ... PBM operationsClaims processingEligibility / accumulator processing Client integrationsHealth plan ...

OR

$80K - $115K/yr

Experience supporting employer clients in an account management or implementation capacity. * Working knowledge of PBM operations including claims adjudication, eligibility, billing, reporting, and ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... Executing weekly pricing tasks to ensure accuracy and implementation consistency. * Gathering and ...

New

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... Executing weekly pricing tasks to ensure accuracy and implementation consistency. * Gathering and ...

New

... and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative ... For each client, develop and implement an effective business plan * Identify formal and informal ...

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... Executing weekly pricing tasks to ensure accuracy and implementation consistency. * Gathering and ...

New

... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... Executing weekly pricing tasks to ensure accuracy and implementation consistency. * Gathering and ...

New

Pharmacy Consultant

Eugene, OR · On-site +1

$160K - $180K/yr

... PBM's decision support tools to justify the election of the appropriate pharmacy solution ... Assists in the development of the Pharmacy "practice" and helps to implement appropriate changes to ...

Pharmacy Consultant

Portland, OR · On-site +1

$160K - $180K/yr

... PBM's decision support tools to justify the election of the appropriate pharmacy solution ... Assists in the development of the Pharmacy "practice" and helps to implement appropriate changes to ...

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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 Oregon? For Pbm Implementation jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Pbm Implementation jobs in Oregon look for? The top searched job categories for Pbm Implementation jobs in Oregon are:
What cities in Oregon are hiring for Pbm Implementation jobs? Cities in Oregon with the most Pbm Implementation job openings:

$83K - $124K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Job description

Overview

The primary role of the Underwriter manages the compilation, analysis, and reporting of data for contracts for PBM services and other pharmacy business units.  Apply experiences with various PBM contract types (pass through and traditional) along with product/service mix to deliver ranges of client contract  options.  Work cross-functionally with members of proposal team, pricing team, finance, clinical and other groups along with Sales/Account Management to employ strategy around setting market pricing while meeting financial objectives. Utilize SQL, Excel, and data visualization tools to aid in performance quantitative and qualitative analysis, financial modeling, and economic forecasting.

Who We Are

VytlOne is the nation's only independent, fully integrated total pharmacy solutions partner. We lead with integrity, offering mission-driven hospitals, health systems, health centers, and employer partners a smarter way to unlock revenue, growth, and better outcomes. Our innovative model combines customized pharmacy management, 340B program expertise, specialty pharmacy, and PBA/PBM solutions-delivering excellence through tailored strategies and collaborative partnerships. At VytlOne, we're not just transforming pharmacy-we're making a purposeful impact on the communities we serve.

Why Choose a Career at VytlOne?

At VytlOne, our purpose is at the heart of everything we do. People join us not just for a job, but to be part of something bigger-where their work truly matters. We foster a culture of authenticity, where you're encouraged to be yourself and a place to grow, collaborate and make an real difference. With over 1,600 passionate professionals across nearly every U.S. state, we operate as One Team, united by a bold mission and a spirit of innovation. Here, you'll find a place where your ideas are heard, your contributions are valued, and your career can thrive.

Position Location

This is a remote-based position within the Continental US.

Responsibilities
  • Oversee and implement VytlOne's underwriting strategy for VytlOne's PBM opportunities.
  • Drive full underwriting process for traditional and pass through PBM RFP opportunities. Gather, assess and evaluate quantitative elements such as claims file, underwriting model, P&Ls and deliverables of a new client and existing client renewal opportunities working in a team environment with the Pricing/Underwriting Management, Pricing Analysts, Sales/Account Management teams, etc.
  • Monitor competitors and industry trends.
  • Streamline processes and models to drive efficiency and accuracy.
  • Provide financial support for prospect contract negotiations and respond to RFP financial requests.
  • Assist in presenting underwriting model and strategy to leadership.
  • Communicate range of underwriting scenarios/options to internal stakeholders.
  • Participate in ad-hoc department and company projects.
  • Work with Sales and Leadership teams in creating underwriting and product positioning strategies.
  • Support functional & organizational initiatives as required.
  • Develop, maintain and distribute ad-hoc reports and financial models as needed.
  • Promptly report any allegations of impropriety to the Compliance Department
  • Comply with VytlOne's Ethical Business Conduct policy and VytlOne's Compliance Program.
  • Complete required training, as assigned, within the established timeframes.
  • Must be able to cope with the mental and emotional stress of the position.
  • Maintain regular attendance in accordance with established policies.
  • Perform other job-related duties as assigned
Qualifications

Education:                              Bachelor's Degree in Accounting, Finance, or Economics.

Experience:                            Three + years' experience completing complex analytical, financial analysis.

Knowledge, Skills, and Abilities: 

  • Advanced knowledge of Microsoft Excel & Word
  • Basic SQL proficiency utilizing functions, statements such as SELECT, CASE, or JOIN, and conditional operators
  • Ability to analyze data specific to client opportunity, consider context of company strategies and offer actionable underwriting recommendations
  • Experience reviewing, analyzing and assessing complex and unstructured data
  • Ability to work on multiple tasks and prioritize deadlines
  • Contribute productively and work cohesively with cross-functional teams in operations, sales, account management and finance in fast paced, dynamic environment
  • Excellent written and verbal communication skills, with presentation experience in front of leadership
  • Strong initiative and ability to manage multiple projects, as well as, strong follow through skills
  • Must be detail oriented with strong organizational skills

Pay range and compensation package

The anticipated base salary range for this position is $83,000 - $124,500. Actual compensation will be determined based on experience, qualifications and other job-related factors. This range reflects our good-faith estimate of what we expect to pay for this role at the time of posting.

WE OFFER

At VytlOne we offer a diverse and inclusive work culture that supports a flexible work model in a collaborative, innovative team-oriented environment.

    • You'll work with a mission-driven organization focused on improving healthcare outcomes
    • Enjoy competitive compensation, a comprehensive health benefits package, and a supportive team environment including:
    • Comprehensive mental health and wellbeing resources
    • Nationwide Blue Cross Blue Shield PPO with employee-friendly plan design, including a $850 individual annual medical deductible and $25 office visit copays, with low biweekly premiums
    • Company-paid basic life/AD&D, short-term and long-term disability insurance
    • Rx, dental, vision, other voluntary benefits, and FSA
    • Employer-matched 401k Plan
    • Industry-leading PTO plan
    • And more!

Join us and help build the future of pharmacy care - better outcomes, stronger margins, and healthier communities.

FOR MORE INFORMATION:

VytlOne Website VytlOne LinkedIn

VytlOne (formerly Maxor) is an EOE, including disability/vets

Employment Type: OTHER