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Pbm Implementation Jobs in Wisconsin (NOW HIRING)

SERVE YOU RX

Clinical Account Executive

Milwaukee, WI · Remote

... management (PBM) clients and partners. This is accomplished by overseeing clinical program ... Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 ...

SERVE YOU RX

Account Manager

Milwaukee, WI · Remote

Help support discussions and implementation specialist to secure necessary documentation * Provide ... Coordinate the ongoing internal review process for policies and procedures within the PBM ...

Serve You Rx

Account Manager

Milwaukee, WI · On-site

Help support discussions and implementation specialist to secure necessary documentation * Provide ... Coordinate the ongoing internal review process for policies and procedures within the PBM ...

Serve You Rx

Clinical Account Executive

Milwaukee, WI · On-site

... management (PBM) clients and partners. This is accomplished by overseeing clinical program ... Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 ...

Bcbsa

$88K - $110K/yr

In collaboration with other internal teams, implement non-financial tools, including proactive ... Knowledge of PBM and/or health care industry * Medical Pharmacy rebate knowledge Preferred ...

Bcbsa

$88K - $110K/yr

In collaboration with other internal teams, implement non-financial tools, including proactive ... Knowledge of PBM and/or health care industry * Medical Pharmacy rebate knowledge Preferred ...

SERVE YOU RX

Pricing Analyst I

Milwaukee, WI · On-site

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 ...

Highmark Health

Specialty Pharmacist Consultant

Madison, WI · On-site

$58.75 - $70.50/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

Bcbsa

$150K - $200K/yr

Advise on new business processes, system implementations, and policy changes from a risk ... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ...

Serve You Rx

Pricing Analyst I

Milwaukee, WI · On-site

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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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 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:
Pbm Implementation jobs near you
Infographic showing various Pbm Implementation job openings in Wisconsin as of July 2026, with employment types broken down into 100% Full Time. Highlights an 62% In-person, 13% Hybrid, and 25% Remote job distribution.
Clinical Account Executive

Clinical Account Executive

SERVE YOU RX

Milwaukee, WI • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago

Job description

The Clinical Account Executive (CAE) is responsible for managing and optimizing relationships with Serve You Rx pharmacy benefit management (PBM) clients and partners. This is accomplished by overseeing clinical program administration and other trend management activities, developing and delivering pharmacy benefits education, strategic recommendations to improve patient outcomes and control costs, as well as supporting product development, product improvement, and upselling activities that drive cost savings, health outcomes, and company profitability.

Serve You Rx offers clinical services and strategies designed to manage drug costs, ensure appropriate drug use, and improve member outcomes. This position plays a key role in supporting Serve You Rx in reaching its mission to help clients and members have a cost efficient and money saving way to get the prescriptions they need.

This is a remote position.

What You’ll Do:

As the Clinical Account Executive, you will:

  • Actively manage the day-to-day clinical services for assigned accounts.
  • Develop and grow relationships with new and existing clients, brokers, third-party administrators, and consultants, including through the presentation of trend data, drug information, demonstration of clinical program value, plan design recommendations, and other interactions. Lead efforts in upselling clinical programs. Assist in renewal and finalist presentations.
  • Lead the development of compelling clinical reporting, analytics, presentations, pipeline information, and other content that accurately and concisely conveys relevant information, recommendations, outcomes, and drives adoption or demonstrates the value of clinical programs.
  • Research, resolve, and respond to requests for information about drug therapy, the formulary, clinical programs, and other escalated clinical issues and inquiries.
  • Assist with creation or revision of proposal content as assigned.
  • Meet or exceed goals related to client satisfaction.
  • Deliver prescription drug and benefits education across formats, including live, via webinar, health fair, “lunch-n-learn,” and other employee/stakeholder meetings, and in writing.
  • Comply with company policies.
  • Perform other duties and projects as assigned.

Qualifications:

  • PharmD degree from an accredited School of Pharmacy.
  • Minimum of two years of work experience and/or combination of pharmacy practice residency and work experience, including at least one year of experience in managed care or clinical pharmacy practice.
  • Minimum of one year of clinical account management experience in the PBM industry.
  • Microsoft Office proficiency.
  • An active and current pharmacist license in the home state of residency that is in good standing and has no restrictions.
  • Maintain a valid driver’s license and personal insurance liability coverage, as required.

Why Serve You Rx?

Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and an unwavering commitment to doing what's best for its clients. With a fervent focus on those it serves, including insurance brokers, consultants, third-party administrators, and their clients, Serve You Rx delivers exceptional service and tailored, cost-effective benefit solutions. Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 days or less and say "yes" to a wide variety of viable solutions. Known for its adaptability, quality, and client-centricity, Serve You Rx aims to be a benchmark for better client service.

The company offers generous benefits to include: medical (HMO and PPO), dental, vision, 401k, HSA, identity theft and legal coverage, pet insurance, paid parental leave, and 18 days of paid time off in your first year.

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