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Pbm Implementation Jobs in Utah (NOW HIRING)

SmithRx

Compliance Analyst - Corrections

Lehi, UT · On-site +1

We are looking for a Compliance Analyst to assist in all operational aspects of implementing a highly-effective compliance program in a dynamic PBM regulatory landscape. This position will focus on ...

SmithRx

Account Specialist

Lehi, UT · On-site

$17.75 - $24.50/hr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... The Account Coordinator begins involvement with their client at implementation kick-off and is ...

SmithRx

Senior Identity Engineer

Lehi, UT

$98K - $134K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Implement decoupled authorization for cloud-native applications utilizing Open Policy Agent (OPA ...

SmithRx

Senior Identity Engineer

South Salt Lake, UT

$96K - $131K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Implement decoupled authorization for cloud-native applications utilizing Open Policy Agent (OPA ...

SmithRx

Associate Account Manager

Lehi, UT

$115K - $120K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Customer relationship engagement begins with involvement with our customers at implementation kick ...

SmithRx

Senior Account Manager

Lehi, UT

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... The Senior Account Manager begins involvement with their client at implementation kick-off and is ...

SmithRx

Partner Operations Specialist

Lehi, UT

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Support new partner integrations and client implementations. * Partner closely with internal teams ...

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Pbm Implementation information

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 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 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 Utah?

For Pbm Implementation jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Pbm Implementation jobs in Utah look for?

The top searched job categories for Pbm Implementation jobs in Utah are:

What cities in Utah are hiring for Pbm Implementation jobs?

Cities in Utah with the most Pbm Implementation job openings:

Pbm Implementation jobs near you

Senior Partner, PBM Compliance

Murray, UT • On-site

Jobtailor
See more jobs at Jobtailorexternal

$70 - $110/hr

Other

Posted 6 days ago

Job description

Responsibilities
  • Provide strategic compliance guidance to Select Health leaders.
  • Develop training and educate stakeholders on compliance and ethics.
  • Lead investigations and projects within assigned portfolio.
  • Establish communication channels with internal and external stakeholders.
  • Promote a culture of compliance and reporting.
  • Evaluate risks and develop corrective action plans.
  • Monitor changes in the regulatory environment and assess implications.
  • Support legal counsel and coordinate with HR and other departments.
Qualifications
  • Bachelor’s Degree in healthcare administration or similar field preferred.
  • Demonstrated professional‑level experience in a regulatory, compliance, or risk management role in the healthcare sector.
  • Expert‑level knowledge of federal and state laws related to health care billing, coding, reimbursement, contracting, and risk adjustment.
  • Ability to interpret and apply complex healthcare regulations and assess gaps.
  • Strong communication, presentation, and interpersonal skills.
  • Demonstrated discretion to maintain confidential information.
  • Experience implementing an effective compliance program.
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