Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
Demonstrated ability to support complex, multi-product implementations involving medical administration, PBM, network arrangements, eligibility, billing, wellness, care management, reporting, stop ...
Demonstrated ability to support complex, multi-product implementations involving medical administration, PBM, network arrangements, eligibility, billing, wellness, care management, reporting, stop ...
Product Development Director - CarelonRx - PBM
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
Product Development Director - CarelonRx - PBM
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
PBM Underwriting - Senior Analyst
Scottsdale, AZ · On-site
$46K - $102K/yr
You will need to execute and implement constantly evolving pricing strategies in response to market ... PBM finance - Experience managing complex projects over 3-12 months in a matrix environment ...
PBM Underwriting - Senior Analyst
Scottsdale, AZ · On-site
$46K - $102K/yr
You will need to execute and implement constantly evolving pricing strategies in response to market ... PBM finance - Experience managing complex projects over 3-12 months in a matrix environment ...
Sales Implementation Analyst
Irvine, CA · On-site
... PBM, network arrangements, eligibility, billing, wellness, care management, reporting, stop-loss coordination, vendor partners, and client-specific service requirements. • Experience working ...
Sales Implementation Analyst
Irvine, CA · On-site
... PBM, network arrangements, eligibility, billing, wellness, care management, reporting, stop-loss coordination, vendor partners, and client-specific service requirements. • Experience working ...
Account Executive - PBM
Chicago, IL · Remote
Make certain the timelines of project implementation are met * Maintain client satisfaction ... Management (PBM) environment. Liviniti, LLC and all entities provides equal employment ...
Quick apply
Account Executive - PBM
Chicago, IL · Remote
Make certain the timelines of project implementation are met * Maintain client satisfaction ... Management (PBM) environment. Liviniti, LLC and all entities provides equal employment ...
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
Manager - PBM/Payer Industry
Washington, DC · On-site +1
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
Manager - PBM/Payer Industry
Washington, DC · On-site +1
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
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
Quick apply
... PBM) or health plan environment. This position is crucial to delivering value through a ... Lead onboarding and implementation of new clients, ensuring accurate benefit configuration ...
Product Development Director - CarelonRx - PBM
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
Product Development Director - CarelonRx - PBM
$121K - $190K/yr
Leads strategy and implementation of new or enhanced PBM products, including clinically driven solutions, UM programs, and integrated product bundles across Commercial and government segments.
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 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
PBM Project Manager
Shoreview, MN · On-site
For implementation efforts, this role serves as the primary client-facing lead and is responsible ... PBM operations, IT, and vendor partners to execute implementation activities - Proactively identify ...
PBM Project Manager
Shoreview, MN · On-site
For implementation efforts, this role serves as the primary client-facing lead and is responsible ... PBM operations, IT, and vendor partners to execute implementation activities - Proactively identify ...
PBM Project Manager
Shoreview, MN · On-site
$85K - $121K/yr
For implementation efforts, this role serves as the primary client-facing lead and is responsible ... PBM operations, IT, and vendor partners to execute implementation activities - Proactively identify ...
PBM Project Manager
Shoreview, MN · On-site
$85K - $121K/yr
For implementation efforts, this role serves as the primary client-facing lead and is responsible ... PBM operations, IT, and vendor partners to execute implementation activities - Proactively identify ...
PBM Operations Analyst
Norwich, VT · On-site
The PBM Operations Analyst is responsible for managing and maintaining accurate formulary ... Monitor and implement formulary changes, including tiering, exclusions, and utilization management ...
Quick apply
PBM Operations Analyst
Norwich, VT · On-site
The PBM Operations Analyst is responsible for managing and maintaining accurate formulary ... Monitor and implement formulary changes, including tiering, exclusions, and utilization management ...
... PBM implementation calls and meetings. • Attend evening and lunch events with clients to build and strengthen on-going relationships. • Attendance at internal meetings/educational programs.
... PBM implementation calls and meetings. • Attend evening and lunch events with clients to build and strengthen on-going relationships. • Attendance at internal meetings/educational programs.
Pharmacy Benefit Management (PBM) Underwriting Manager
Las Vegas, NV · On-site +1
$110K - $125K/yr
Provide expert responses to complex questions from internal resources, including implementation and ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
Pharmacy Benefit Management (PBM) Underwriting Manager
Las Vegas, NV · On-site +1
$110K - $125K/yr
Provide expert responses to complex questions from internal resources, including implementation and ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
... lead on PBM implementation calls and meetings. • Attend evening and lunch events with clients to build and strengthen on-going relationships. • Attendance at internal meetings/educational ...
... lead on PBM implementation calls and meetings. • Attend evening and lunch events with clients to build and strengthen on-going relationships. • Attendance at internal meetings/educational ...
Pbm Implementation information
See salary details
$14.18 - $19.45
3% of jobs
$19.45 - $24.72
19% of jobs
$25.11 is the 25th percentile. Wages below this are outliers.
$24.72 - $29.98
35% of jobs
$33.76 is the 75th percentile. Wages above this are outliers.
$29.98 - $35.25
24% of jobs
$35.25 - $40.52
6% of jobs
$40.52 - $45.78
5% of jobs
$45.78 - $51.05
2% of jobs
$51.05 - $56.32
1% of jobs
$56.32 - $61.58
1% of jobs
$61.58 - $66.85
1% of jobs
$66.85 - $72.12
1% of jobs
$14
$34
$72
How much do pbm implementation jobs pay per hour?
As of Jul 17, 2026, the average hourly pay for pbm implementation in the United States is $34.09, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $34.86 per hour, depending on experience, location, and employer.
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?
| Aspect | Pbm Implementation | Pbm Analyst |
|---|---|---|
| Credentials | Relevant certifications, technical skills | Same certifications, analytical skills |
| Work Environment | Project-based, cross-functional teams | Data analysis, reporting focus |
| Industry Usage | Healthcare, pharmacy benefit management | Healthcare, insurance, benefits analysis |
| Primary Focus | Implementing PBM systems and processes | Analyzing 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.
More about Pbm Implementation jobs
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What states have the most Pbm Implementation jobs? States with the most job openings for Pbm Implementation jobs include:
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Full-time
Posted 18 days ago
Job description
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing.
Responsibilities
Required Skills
Responsibilities
- Gather and document business and functional requirements.
- Prepare BRDs, user stories, RTMs, and process documentation.
- Perform data analysis, mapping, and interface analysis.
- Develop test scenarios, acceptance criteria, and support UAT.
- Collaborate with business users, IT teams, and vendors.
- Track requirements, changes, and project deliverables.
Required Skills
- 7+ years of Business Analysis experience.
- Healthcare/PBM or Health Plan experience.
- NCPDP D.0, F6, Batch, and SCRIPT knowledge.
- Experience with RxClaim, JUDI, or Abarca preferred.
- Strong experience in data mapping, system integrations, testing, and requirements management.
- Agile experience preferred.