Health PBM Operations Lead: Data-Driven Transformation

Accenture

Morristown (NJ)

On-site

USD 101,000 - 294,000

Full time

6 days ago
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Benefits offered by this job

Medical insurance
Dental insurance
Vision insurance
Life insurance
Long-term disability
401(k) plan
Bonus opportunities
Paid holidays
Paid time off

Job summary

Accenture is seeking a Health PBM Operations Manager to lead assessments of PBM operations and drive data-driven strategies for client organizations. You will guide implementation, ensure regulatory compliance, and oversee technology solutions across claims processing, analytics, and automation.

Ideal candidates bring 5+ years in PBM ops and 3+ years in health- industry consulting focused on technology. Expect travel up to 80% to work with diverse clients.

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 optimization and growth opportunities.
  • Develop and support implementation of data-driven strategies aligned with client goals.
  • Apply pharmacy regulations and industry best practices to guide client compliance.
  • Evaluate and recommend technology solutions to improve PBM operations (claims processing, data analytics, automation).
  • Manage technology implementation workstreams and integrate into clients' operations.
  • Define KPIs with clients, support performance improvement plans, monitor impact, and adjust as needed.
  • Coach and direct a team of consultants and analysts, promoting collaboration and continuous improvement.
  • Stay informed about health industry trends and changes in pharmacy regulations and share insights.

Skills

PBM operations
Data-driven strategies
Client-facing

Education

Bachelor's degree

Job description

Accenture is seeking a Health PBM Operations Manager to lead assessments of PBM operations and drive data-driven strategies for client organizations. You will guide implementation, ensure regulatory compliance, and oversee technology solutions across claims processing, analytics, and automation.

Ideal candidates bring 5+ years in PBM ops and 3+ years in health- industry consulting focused on technology. Expect travel up to 80% to work with diverse clients.

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