Health PBM Operations Lead

Accenture; San Diego (CA); On-site; USD 94,000 - 294,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life insurance

401(k) plan

Bonus opportunities

Paid holidays

Paid time off

Job summary

Accenture Health is seeking an experienced Health PBM Operations Manager to lead assessments, design data-driven strategies for PBM optimization, and guide technology-enabled improvements for client PBM operations.

The role focuses on regulatory compliance, claims-processing technology, data analytics, and integration with client operations, while building and coaching a team of consultants and analysts. Travel up to 80% may be required to meet client needs.

Qualifications

• Bachelor's degree required.
• Minimum of 5 years of experience in PBM operations.
• Minimum of 3 years of consulting experience within the health industry with a focus on technology solutions.

Responsibilities

• Conduct assessments of clients' PBM 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 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.

Skills

PBM operations

Consulting

Technology solutions

Client-facing

Education

Bachelor's degree

Tools

Data analytics

Claims processing systems

Automation tools

Job description

Accenture Health is seeking an experienced Health PBM Operations Manager to lead assessments, design data-driven strategies for PBM optimization, and guide technology-enabled improvements for client PBM operations.

The role focuses on regulatory compliance, claims-processing technology, data analytics, and integration with client operations, while building and coaching a team of consultants and analysts. Travel up to 80% may be required to meet client needs.