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Pbm Implementation Jobs in Washington (NOW HIRING)

Lucyrx

Regional VP - Health Systems Sales

Bethesda, MD · On-site +1

Develop and execute targeted strategies to pursue health system PBM opportunities, engaging ... implementation, and customer success teams to develop go-to-market strategies and optimize the ...

Lucyrx

Senior Data Engineer

Bethesda, MD · Remote

$118K - $139K/yr

... implementing and maintaining Snowflake on Azure Excellent communication and team collaboration abilities. Preferences Prior experience in PBM or healthcare industries is a plus Familiarity with ...

Lucyrx

Account Coordinator

Bethesda, MD · On-site +1

$21.50 - $27.75/hr

The Account Coordinator supports the PBM Commercial Account Management team serving large ... Support implementations and ongoing account activities (timelines, benefit requests, plan ...

Integrated Resources INC

Pharmacy Director

Washington, DC

$146K - $193K/yr

... PBM policies and procedures for compliance with applicable state requirements. Reviews clinical ... Support CLIENT medical management goals by being a point person for the implementation of all ...

Lucyrx

Clinical Strategy Pharmacist

Bethesda, MD · On-site +1

$126K - $151K/yr

... differentiated PBM model-empowered choice, enlightened cost, and elevated care Role and ... Support new product and client implementations by ensuring formulary alignment with benefit design ...

Lucyrx

Software Engineer

Bethesda, MD · Remote

You are expected to research, architect, and implement solutions with little to no oversight ... We're fixing what's broken in the PBM industry by putting people first and challenging outdated ...

Lucyrx

Sr. Cloud Engineer

Bethesda, MD

$59.75 - $79.75/hr

Design, implement, and support Azure Kubernetes Service (AKS) environments for containerized ... Preferences * Experience with healthcare or PBM-related cloud environments is advantageous.

Stand Together

Program Manager

Arlington, VA

... implementation, and maintenance of a program. * Lead the operational excellence of the program ... Strong knowledge of PBM concepts * Enthusiasm for building talent pipelines for the liberty ...

RxBenefits

Strategic Pharmacy Analyst

Washington, DC · On-site

... Implementation, AM, Legal, Pricing and Analytics, Finance, Marketing, Product Team, SLT, and ELT in ... Be the SME on dozens of medical vendor/PBM contracts including utilization rules, B/G ...

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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 Washington? For Pbm Implementation jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Pbm Implementation jobs in Washington look for? The top searched job categories for Pbm Implementation jobs in Washington are:
What cities in Washington are hiring for Pbm Implementation jobs? Cities in Washington with the most Pbm Implementation job openings:
Pbm Implementation jobs near you
Manager - PBM/Payer Industry

Manager - PBM/Payer Industry

Optimity Advisors

Washington, DC • On-site, Remote

Full-time

Posted 21 days ago

Job description

Company Description
Optimity Advisors is a specialized management consulting and advisory firm that focuses on strategy, operations and IT. Our company is comprised of professional advisors with deep domain expertise in strategy, operational transformation, business intelligence, technology and regulatory compliance. We combine industry expertise and integrated solutions to help companies enhance stakeholder value, improve operations, and address performance and risk-related challenges.
Job Description
PURPOSE
We are currently seeking a Manager with experience in payer systems and pharmacy benefit management (PBM). This position is ideal for a mid-level consultant that has a passion for working with clients to understand their challenges, adapt to the unique situation of the client, and develop solutions. A Manager will lead teams, drive projects, and manage relationships through all phases of the project lifecycle.
RESPONSIBILITIES
Project Delivery and Management
  • Establish and execute a common set of project management processes and tolls for a project, including but not limited to project charters, workplans, issues, risks, and change requests
  • Prepare and manage project plans and address critical issues contributing to problems or delays on a project
  • Serve as day-to-day point of contact for client resources
  • Establish and monitor key project metrics for the project
  • Provide client and Optimity management with reports, metrics, and tools to illustrate the status of the project
  • Manage the internal and external project budget
  • Drive creation of deliverables relevant to each phase of the project lifecycle and as-how analyses as needed
  • Coach to clarify assignments and deliverables; mentor others in project management practices, review quality of work, and manage the integration of team members work

NECESSARY SKILLS
  • Excellent verbal and written communication skills, including strong active listening
  • Aptitude for quick learning and subject matter expertise development
  • Highly self-motivated, detail-oriented, and able to execute in high pressure environment
  • Sound problem solving and analytical skills
  • Strong MS Suite skills including Excel, Word, PowerPoint, and Visio

Qualifications
REQUIRED QUALIFICATIONS
  • Bachelor's degree, from an accredited university or college, in Healthcare, Business, or another closely related field
  • 3 years of experience in the payer, pharmacy, or related industry
  • Experience managing projects and cross-functional teams
  • Experience with Medicaid clients
  • Experience implementing PBM systems
  • Authorization to work in the United States on a permanent basis

PREFERRED QUALIFICATIONS
  • Experience in health plan operations
  • Experience with Conduent HSP
  • Experience with PBM vendor to core systems integration
  • Experience with Managed Care Organization
  • Demonstrated career progression with increased responsibilities and mentorship

Additional Information
If you are interested in being considered for this position, please apply directly on our website using the following link:
https://optimityadvisors.bamboohr.com/jobs/view.php?id=29&source=aWQ9MjM%3D
Optimity Advisors is an EEO/AA, Veteran, and People with Disabilities employer.

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