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Pbm Implementation Jobs in Lenexa, KS (NOW HIRING)

Lockton, Inc.

Pharmacy Data Analyst

Kansas City, MO · On-site

... implementation plan with client and help consulting teams on client deliverables * Assist in the ... Knowledge of the Pharmacy Benefit Management (PBM) industry preferred * Demonstrate advance ...

SS&C

Product Manager IV

Kansas City, MO · Remote

Our teams design, implement, and operate solutions that help clients manage data, automate ... Required Experience Pharmacy & PBM Domain Expertise (Required): * Strong experience in Pharmacy ...

All JobsPbm Implementation JobsPbm Implementation Jobs in Lenexa, KS

Pbm Implementation information

See Lenexa, KS salary details

$13

$31

$67

How much do pbm implementation jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for pbm implementation in Lenexa, KS is $32.00, according to ZipRecruiter salary data. Most workers in this role earn between $23.70 and $32.74 per hour, depending on experience, location, and employer.

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 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.

Pbm Implementation jobs near you

Director, Pharmacy

Blue Cross and Blue Shield of North Carolina

Kansas City, MO • On-site

$125K - $166K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

New

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

189th of 304 rated insurance

Job description

Job Description

We're seeking a Director, Part D Stars Strategy to join our Government Pharmacy Programs Department. The Director, Part D Stars Strategy, is responsible for driving the day to day strategy, execution, and performance management of Medicare Part D Star Ratings. This role serves as the operational and analytical lead for Part D Stars, translating CMS requirements and performance insights into actionable improvement initiatives that support the organization's goal of achieving and sustaining 4+ Star performance.
You will partner closely with Pharmacy Operations, Analytics, PBM Partners, Product, and Stars team, and plays a critical role in enabling informed decision making through data analytics, forecasting, segmentation, and program oversight. The Director will also lead our internal Quality & Stars team, overseeing team performance, professional development, progress against goals, and ensuring attainment of Part D Stars targets.

What You'll Do

Part D Stars Strategy & Execution

  • Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and CMS technical specifications.
  • Accountable for performance management of Part D Stars measures, including adherence, medication safety, MTM, pharmacy quality measures, and leading indicators/KPIs.
  • Lead, develop, coach and mentor internal Part D Quality & Stars team to achieve enterprise Part D Stars targets.
  • Assess Part D Stars outsourcing opportunities to improve performance as needed.
  • Translate annual CMS updates into operational plans and performance targets.
  • Support multiyear improvement planning and monitor progress against Stars goals.

Analytics, Reporting & Forecasting

  • Direct development and maintenance of Stars performance dashboards and reporting for leadership and operational teams.
  • Partner with Stars and analytics teams to develop forecasting models, test & learn scenarios, member & provider segmentation, Stars cut point scenarios, and risk assessments.
  • Monitor measure trends and identify emerging risks or improvement opportunities.

CrossFunctional Collaboration

  • Collaborate with pharmacy operations, PBM partners, clinical programs, Stars and Product teams, and vendors to implement Stars improvement initiatives.
  • Partner with compliance and regulatory teams to support audit readiness and CMS inquiries.
  • Serve as a trusted advisor to leaders by clearly communicating performance insights and recommended actions.

What You Bring

  • Bachelor's degree or advanced degree (where required)
  • 8+ years of experience in related field.
  • In lieu of degree, 10+ years of experience in related field.

Bonus Points(Preferred Qualifications)

  • Master's degree in Public Health, Pharmacy, Analytics, Business, or a related field preferred.
  • 5-8 years of experience in Medicare Part D Stars, pharmacy quality, PBM operations, or health plan analytics.
  • Strong working knowledge of Medicare Part D Stars measures, methodology, and CMS technical specifications.
  • PharmD, MPH, MS in Analytics, or similar advanced degree.
  • Experience with MTM programs, adherence interventions, and pharmacy operations.
  • Experience with pharmacy related CAHPS measures and how to drive customer experience improvements to positively impact CAHPS.
  • Familiarity with CMS systems and regulatory submissions (e.g., HPMS).
  • Experience using tools such as Power BI or Tableau.
  • Demonstrated success managing complex, crossfunctional teams.
  • Strong analytical and problemsolving skills with experience interpreting performance data and forecasts.
  • Effective written and verbal communication skills, including experience presenting to senior leaders.

What You'll Get

  • The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community
  • Work-life balance, flexibility, and the autonomy to do great work
  • Medical, dental, and vision coverage along with numerous health and wellness programs
  • Parental leave and support plus adoption and surrogacy assistance
  • Career development programs and tuition reimbursement for continued education
  • 401k match including an annual company contribution
  • Learn more

Where You'll Work

  • Our Hybrid Flex approach is built on presence with a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplace that's flexible, connected, and future focused.
  • In a Hybrid-Flex role, you'll work in the office at least two days a week for collaboration and connection.
  • In a Remote Flex role, you'll work virtually, with a few in-office visits each year for meaningful moments that matter.
  • Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in any states listed on this job posting(Onsite expectations will be discussed during the interview process).

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

*Based on annual corporate goal achievement and individual performance.

$157,978.00 - $252,765.00

Skills

Clinical Process Improvement, Healthcare Management, Managed Care, Medicare Regulations, Medication Management, Pharmaceutical Industry, Pharmacy, Pharmacy Benefits Management (PBM), Pharmacy Compliance, Pharmacy Management, Pharmacy Operations, Policy Development, Quality Care, Quality Management, Regulatory Compliance, Specialty Pharmacies

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JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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