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Pbm Implementation Jobs in Wisconsin (NOW HIRING)

Sr. Paralegal

Madison, WI · Hybrid

$38.40 - $47.11/hr

... manager (PBM) models. We are committed to removing cost from the drug supply chain to make ... implementing applicable policies and procedures, and working closely and directly with various ...

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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:
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.
Coordinator, Benefits & HRIS- Hybrid Madison WI

Coordinator, Benefits & HRIS- Hybrid Madison WI

Navitus Health Solutions, LLC

Madison, WI • On-site

$23.42 - $27.89/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago


Job description

Company
Navitus
About Us
Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other.. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $23.42 - USD $27.89 /Hr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
M-F 8am to 5pm
Overview
Navitus Health Solutions is seeking a Coordinator, Benefits and HRIS to join our team!
This position is hybrid working three days in our Madison WI location.
The Coordinator, Benefits and HRIS (Human Resources Information System) supports the administration of associate benefit programs and HRIS operations. This role is responsible for managing day-to-day benefit enrollment activities, including new hires and qualifying life events, while ensuring accurate and timely data processing within the HRIS.
The Coordinator serves as a key point of contact for associates, providing support for benefit-related inquiries, documentation, and communications. Additionally, this role assists with reporting needs, contributes to benefit communication planning, and supports ongoing HR and benefits operations.
Is this you? Find out more below!
Responsibilities
How do I make an impact on my team?
  • Support day-to-day administration of employee benefits programs in compliance with plan documents and applicable regulations, including FMLA, ADA, COBRA, unemployment, and workers' compensation requirements.
  • Administer associate benefit enrollment activities, including new hires, qualifying life events, executive enrollments, and open enrollment; ensure timely processing and accurate collection of required documentation.
  • Manage monthly benefits billing processes, including invoice reconciliation and approval for payment.
  • Monitor and maintain program trackers for various benefit-related initiatives (e.g., education reimbursement, volunteer programs, PTO cash-out, medical premium discounts).
  • Oversee the benefits inbox by triaging incoming inquiries, assigning ownership, and responding to associate and leader questions in alignment with plan provisions and company policies.
  • Create, maintain, and deliver standard and ad hoc reports, including HR metrics and benefit enrollment reporting.
  • Review and approve associate changes submitted through Manager Self Service (MSS), including updates to address, location, reporting relationships, job codes, job grades, and other non-pay-related fields.
  • Administer HRIS benefit eligibility file feeds, including setup, monitoring, and troubleshooting of system integrations and manual vendor files.
  • Support benefit communication planning and execution, including drafting associate communications and maintaining an annual benefits communication calendar.
  • Contribute to process improvement initiatives by identifying opportunities to enhance efficiency, accuracy, and the associate experience; partner with HR team members to implement improvements.
  • Support and uphold compliance, as well as diversity, equity, and inclusion (DEI) initiatives, ensuring alignment with organizational values and program objectives.
  • Other duties as assigned

Qualifications
What our team expects from you?
  • Associate's degree in Human Resources or related field, or equivalent work experience required.
  • SHRMP-CP, PHR or CEBS certification preferred.
  • 1 year of experience in a Human Resources role required.
  • This position is located in our Madison WI location.
  • 2+ years of experience in benefits administration preferred.
  • Experience with HRIS platforms strongly preferred, with specific familiarity in ADP Workforce Now or similar systems.
  • Strong knowledge of HR programs, policies, and procedures, including employee relations, recruitment, compensation, benefits, EEO/AAP, and FMLA administration required.
  • Experience supporting internal benefit communications, including planning, drafting, and delivering associate-facing messaging, strongly preferred.
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?
  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending & Health Savings Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program - up to $750!

#LI-Onsite
Location : Address
361 Integrity Drive
Location : City
Madison
Location : State/Province
WI
Location : Postal Code
53717
Location : Country
US