Health PBM Operations Manager (Specialty Pharma, PBM) 

[Employer] is a global leader in professional services, helping organizations worldwide transform their operations, enhance their growth, and deliver sustainable outcomes across industries. With a workforce of approximately 750,000 employees serving clients in over 120 countries, we are at the forefront of leveraging technology, data, AI, and innovation to drive meaningful change. Our blend of industry expertise, leadership in cloud, data, and AI, and a commitment to 360° value ensures that we help our clients deliver long-lasting impact.  

 

We collaborate with healthcare executives, leaders, and boards to help organizations innovate, transform, and enhance their operational effectiveness. Our work spans across strategy, operations, clinical optimization, regulatory compliance, and technological advancement. By combining industry knowledge with technology and data-driven insights, we empower healthcare providers to achieve both operational excellence and clinical outcomes.  

 

As a Health PBM Operations Manager, your primary responsibilities may include:  

• Conduct assessments of clients' PBM (Pharmacy Benefits Management) operations to identify areas for optimization and growth

• Develop and support implementation of data-driven strategies that align PBM operations with client organizational goals

• Apply pharmacy regulations and industry best practices to guide client compliance

• Evaluate and recommend technology solutions that improve PBM operations, including claims processing systems, data analytics, and automation tools

• Manage technology implementation workstreams and support integration into clients' existing operations

• Define key performance indicators (KPIs) with clients, support performance improvement plans, monitor impact, and recommend adjustments to enhance outcomes

• Coach and direct a team of consultants and analysts, fostering collaboration and continuous improvement

• Stay informed about health industry trends, emerging technologies, and changes in pharmacy regulations, and share insights and best practices

Travel

• Travel - as needed, varies by client needs and could be up to 80%

Why Join the [Employer] Healthcare Team?  

• Innovate Every Day: Work at the cutting edge of healthcare innovation, designing solutions that push boundaries and create transformative opportunities for healthcare organizations worldwide.  

• Lead with the Best: Join an industry-recognized healthcare consulting leader with a global team of over 20,000 professionals, collaborating to drive large-scale healthcare transformation across the globe.  

• Continuous Learning & Growth: Take advantage of unmatched professional development opportunities, including interactive courses, real-world client simulations, and ongoing mentoring, to expand your healthcare consulting expertise.  

Here’s what you need:  

• Bachelor's degree

• Minimum of 5 years of experience in Pharmacy Benefits Management (PBM) operations.

• Minimum of 3 years of consulting experience within the health industry with a focus on technology solutions.

Bonus points if you have:

• Experience working in a client-facing environment to drive change. Compensation at [Employer] varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, [Employer] provides a reasonable range of compensation for roles that may be hired as set forth below.We anticipate this job posting will be posted until 12/15/2026.[Employer] offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here:

U.S. Employee Benefits | [Employer]

Role Location Annual Salary RangeCalifornia $94,400 to $293,800Colorado $94,400 to $253,800Connecticut $94,400 to $253,800District of Columbia $100,500 to $270,300Illinois $87,400 to $253,800Maine $80,400 to $216,200Maryland $94,400 to $253,800Massachusetts $94,400 to $270,300Minnesota $94,400 to $253,800New York $87,400 to $293,800New Jersey $100,500 to $293,800Ohio $87,400 to $235,000Virginia $87,400 to $270,300Washington $100,500 to $270,300

About [Employer]

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Applicants for employment in the US must have work authorization that does not now or in the future require sponsorship of a visa for employment authorization in the United States.

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Originally posted on [Employer]