Health PBM Operations Lead — Data-Driven Transformation

Accenture

Minneapolis (MN)

Hybrid

USD 94,000 - 254,000

Full time

6 days ago
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Benefits offered by this job

Medical benefits
Dental benefits
Vision benefits
401(k) plan
Bonus opportunities
Paid holidays
Paid time off

Job summary

Accenture is seeking a Health PBM Operations Manager to assess and optimize PBM operations for healthcare clients. You will design data-driven strategies, ensure regulatory compliance, and guide technology implementations across claims processing, analytics, and automation.

The role requires 5+ years in PBM operations and 3+ years of health sector consulting with a tech focus, with travel up to 80% as needed by clients. Accenture emphasizes growth, learning, and cross-functional leadership.

Qualifications

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

Responsibilities

  • Conduct assessments of clients' PBM operations to identify optimization opportunities.
  • Develop and support data-driven PBM strategies aligned to client goals.
  • Apply pharmacy regulations and industry best practices for compliance guidance.
  • Evaluate and recommend technology solutions to improve PBM ops, incl. claims processing, data analytics & automation.
  • Manage technology implementation workstreams and integrate into client operations.
  • Define KPIs with clients, support improvement plans, monitor impact, and adjust outcomes.
  • Coach and direct a team of consultants and analysts for collaboration and continuous improvement.
  • Stay informed on health trends, emerging tech, and regulatory changes.

Skills

PBM operations
Consulting experience
Healthcare knowledge

Education

Bachelor's degree

Tools

Data analytics
Automation tools
Claims processing systems

Job description

Accenture is seeking a Health PBM Operations Manager to assess and optimize PBM operations for healthcare clients. You will design data-driven strategies, ensure regulatory compliance, and guide technology implementations across claims processing, analytics, and automation.

The role requires 5+ years in PBM operations and 3+ years of health sector consulting with a tech focus, with travel up to 80% as needed by clients. Accenture emphasizes growth, learning, and cross-functional leadership.

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