Hybrid Pharmacy Business Support Team Lead: PBM Oversight

Wellmark, Inc.

Des Moines (IA)

Hybrid

USD 90,000 - 135,000

Full time

7 days ago
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Job summary

Wellmark, Inc. is seeking a Team Leader for Pharmacy Business Support (PBM Oversight) in Des Moines, IA.

You will lead a growing team overseeing PBM and other pharmacy vendors, partnering across departments to strengthen oversight and vendor partnerships. The role requires strong leadership, strategic thinking, and ability to influence across the organization, with a hybrid schedule of in-office and remote work and a focus on cost of care.

Qualifications

  • Bachelor’s degree in business, health care administration, or a related field is required.
  • 4+ years of experience in health insurance, Operations, PBM, or pharmacy benefit administration.
  • Demonstrated leadership experience with cross-functional or matrixed teams.
  • Strong written and verbal communication skills with the ability to communicate with vendor partners.
  • Understanding of applicable rules, regulations, and guidelines affecting the department.

Responsibilities

  • Provide leadership and day-to-day management of financial and human resources, including coaching and budgeting for staff.
  • Support business objectives with timely, accurate results and monitor key metrics for improvement.
  • Serve as primary liaison with CVS for non-clinical aspects of the pharmacy benefit and ensure proper implementation of business requirements.
  • Oversee quality assurance, compliance monitoring, and performance tracking related to PBM services.
  • Cascade operational strategy to the team and drive service excellence across stakeholders.
  • Collaborate with the Pharmacy Product team to inform strategy and roadmap, providing subject matter expertise.
  • Ensure adherence to contractual, regulatory, and accreditation standards (CMS, NCQA) through oversight and documentation.
  • Promote a culture of accountability and innovation; lead change management across the team.

Skills

Leadership
Vendor oversight
Communication
Cross-functional collaboration
Data-driven decisions

Education

Bachelor’s degree in business, health care administration, or related field

Tools

PBM systems

Job description

Wellmark, Inc. is seeking a Team Leader for Pharmacy Business Support (PBM Oversight) in Des Moines, IA.

You will lead a growing team overseeing PBM and other pharmacy vendors, partnering across departments to strengthen oversight and vendor partnerships. The role requires strong leadership, strategic thinking, and ability to influence across the organization, with a hybrid schedule of in-office and remote work and a focus on cost of care.

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