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Pbm Implementation Jobs in Wisconsin (NOW HIRING)

WI · On-site

$46.99 - $122.40/hr

Collaborating with PBM Sales and Account Services to provide recommendations on pricing and ... You will need to execute and implement constantly evolving pricing strategies in response to market ...

WI · On-site

$90 - $130/hr

... and PBM industries Core Competencies Demonstrates expertise in managing pharmaceutical manufacturer relationships and leading contract negotiations, ensuring accurate implementation and compliance ...

... implementing process changes to comply with laws and regulations; leading efforts to maintain ... Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies:

... implementing process changes to comply with laws and regulations; leading efforts to maintain ... Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies:

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing ... PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits ...

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing ... PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits ...

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing ... PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits ...

WI · On-site

$150 - $175/hr

Oversee integration workstreams across large-scale Medicaid, MMIS, PBM, payer, and healthcare technology implementations. * Guide teams through the full integration lifecycle, including requirements ...

New

Pharmacy Specialist

Madison, WI · On-site

$20.72 - $25.91/hr

Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing ... PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits ...

Pharmacy Specialist, Formulary Support will support the development, implementation, and ongoing ... PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits ...

Pharmacy Benefits Specialist I

Menasha, WI · Hybrid

$21 - $27/hr

The Pharmacy Benefits Specialist I provide basic operational, planning, implementation and ... Manage the PBM Satisfaction Survey process * Research and resolution of benefit issues * Benefit ...

Pharmacy Benefits Specialist I

Menasha, WI · On-site

$21 - $27/hr

Description The Pharmacy Benefits Specialist I provide basic operational, planning, implementation ... Manage the PBM Satisfaction Survey process * Research and resolution of benefit issues * Benefit ...

$155K - $175K/yr

Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation * Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and ...

WI · On-site

$240 - $270/hr

Ensure timely implementation of corrective actions and remediation plans. * Partner with clinical ... Prior experience within a Pharmacy Benefit Manager (PBM), specialty pharmacy, health plan, or large ...

Manufacturing Engineer

Phillips, WI · On-site

$72K - $93K/yr

Research, evaluate, and implement automation technologies and manufacturing solutions to maximize ... Demonstrate and uphold PBM Guiding Principles of Integrity, Stewardship & Compliance, Principled ...

Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and ... Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 ...

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Showing results 1-20

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 Wisconsin?

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

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

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

What cities in Wisconsin are hiring for Pbm Implementation jobs?

Cities in Wisconsin with the most Pbm Implementation job openings:

Infographic showing various Pbm Implementation job openings in Wisconsin as of August 2026, with employment types broken down into 100% Full Time. Highlights an 74% In-person, 13% Hybrid, and 13% Remote job distribution.

Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst

WI • On-site

$46.99 - $122.40/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts.

  • Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin retention; and
  • Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) statements; and
  • Presenting financial analyses to Executive Leadership during Executive Underwriting Approval Calls and responding to financial questions in real-time; and
  • Supporting Underwriting Managers and Sr. Managers with ad-hoc financial analyses and client implementation projects.

Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts. You will need to execute and implement constantly evolving pricing strategies in response to market dynamics to provide competitive, profitable, and attractive pricing offers. You will have a measurable impact in this role, by helping CVS Health, and our clients win, in a competitive marketplace.

Required Qualifications
  • 4 or more years' financial analysis, pricing, or corporate underwriting experience required
  • Proficient in Microsoft Excel in complex data analysis
Preferred Qualifications
  • Basic knowledge of PBM finance
  • Experience managing complex projects over 3-12 months in a matrix environment
  • Ability to interact with others in a professional manner and help foster teamwork and knowledge sharing to complete key tasks
  • Advanced Excel modelling
  • Strong organizational, multi-tasking, and follow up skills.
  • Strong presentation and communication skills with experience presenting to various business groups
  • Master's Degree
EDUCATION:

Bachelor's Degree preferably in Finance, Mathematics, Economics, or related field; or equivalent work experience may be considered

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/21/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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