Health PBM Operations & Strategy Lead

Accenture; Cleveland (OH); On-site; USD 87,000 - 235,000; Full time

Job summary

Accenture Healthcare is seeking a Health PBM Operations Manager to lead assessments of PBM operations, develop data-driven implementation strategies, and ensure compliance with pharmacy regulations. The role involves guiding technology choices for claims processing, data analytics, and automation, and managing cross-functional implementation workstreams.

The position requires 5+ years in PBM operations and 3+ years in health industry consulting with a technology focus, with travel up to 80% as

Qualifications

• Bachelor's degree required.
• Minimum 5 years of experience in PBM operations.
• Minimum 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 opportunities.
• Develop and support data-driven strategies aligning PBM operations with client goals.
• Apply pharmacy regulations and 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 integration into client operations.
• Define KPIs with clients and monitor performance improvements.

Skills

PBM operations

Consulting experience

Education

Bachelor's degree

Job description

Accenture Healthcare is seeking a Health PBM Operations Manager to lead assessments of PBM operations, develop data-driven implementation strategies, and ensure compliance with pharmacy regulations. The role involves guiding technology choices for claims processing, data analytics, and automation, and managing cross-functional implementation workstreams.

The position requires 5+ years in PBM operations and 3+ years in health industry consulting with a technology focus, with travel up to 80% as