Implementation Specialist

Serve You Rx; Milwaukee (WI); Remote; USD 95,000 - 125,000; Full time

Benefits offered by this job

Medical benefits

Dental coverage

Vision coverage

401k

HSA

Paid parental leave

Paid time off

Job summary

Serve You Rx is seeking an Implementation Specialist to lead client onboarding on the PBM platform. You will serve as the primary project manager, coordinating benefit configuration, data exchanges, and client communications to ensure on-time delivery and a smooth transition to ongoing support.

Ideal candidates have PBM/TPA project management experience, strong communication skills, and the ability to work fully remote.

Qualifications

• Bachelor’s degree in pharmacy, Healthcare Administration, Business or related field OR 5+ years PBM/TPA PM experience.
• PBM, managed care, or pharmacy operations experience preferred.
• PM experience managing multiple concurrent implementations.

Responsibilities

• Lead end-to-end PBM implementations, including benefit configuration and testing.
• Serve as the primary project manager for client implementations, managing timelines and milestones.
• Be the main client contact throughout the implementation process.
• Collaborate with Clinical, IT, Operations, Pharmacy, and Finance teams.
• Coordinate data exchanges and client data needs during onboarding.
• Manage client communication and disruption mitigation planning.
• Review historical claims and PA files to support implementation.
• Ensure member communications meet regulatory and PBM guidelines.
• Identify risks, resolve issues, and escalate as needed.
• Run implementation meetings and post-implementation handoffs.
• Ensure compliance with PBM regulatory requirements and Serve You Rx standards.
• Document client configurations and implementation workflows.

Skills

PBM operations

TPA operations

Project management

Communication

Problem-solving

MS Office/Outlook

Independent work

Education

Bachelor’s degree or 5+ years PBM/TPA PM experience

Tools

MS Office/Outlook

Job description

The Implementation Specialist is responsible for leading the successful onboarding and implementation of new and existing clients onto the Serve You Rx PBM platform. This role functions as the primary project manager during the implementation phase, ensuring accurate configuration, on-time delivery, and a seamless transition to ongoing client support within the Client Success team.

What You’ll Do

• Lead end-to-end PBM implementations, including benefit configuration, eligibility setup, formulary alignment, and testing
• Serve as the primary project manager for assigned client implementations, managing timelines, milestones, and deliverables
• Act as the main point of contact for clients throughout the implementation process
• Partner closely with internal teams (Clinical, IT, Operations, Pharmacy, and Finance) to ensure accurate system setup
• Coordinate data exchanges such as eligibility files, accumulators, reporting requirements, and other client data needs
• Manage client communication strategies throughout implementation, including planning and execution of member disruption mitigation and notification efforts
• Request, review, and track appropriate use of historical claims files, prior authorization (PA) files, and ORFT data to support accurate implementation and transition activities
• Confirm member lettering requirements and facilitate required member communications in alignment with client expectations, regulatory standards, and PBM guidelines
• Proactively identify risks, resolve issues, and escalate concerns as appropriate
• Facilitate implementation meetings, status calls, and post-implementation handoffs to account management
• Ensure all implementations meet PBM regulatory requirements and Serve You Rx standards
• Maintain clear documentation of client configurations, communication plans, and implementation workflows
• Contribute to process improvements and best practices within the Client Success department

Qualifications

• Bachelor’s degree in pharmacy, Healthcare Administration, Business, or a related field OR minimum of 5 years of PBM, TPA project management experience
• Preferably experience within a PBM, managed care, or pharmacy operations environment
• Demonstrated project management experience, including managing multiple concurrent implementations
• Strong knowledge of PBM and TPA operations, pharmacy benefits, claims processing, and eligibility management
• Excellent communication, organizational, and problem-solving skills
• Ability to work independently in a fully remote environment
• Prior PBM implementation or client onboarding experience preferred
• Project management certification (PMP, CAPM, or similar) preferred
• Experience working with employer groups, TPAs, brokers, or health plans preferred
• Familiarity with pharmacy benefit systems and data integrations preferred
• Deep knowledge of PBM operations and pharmacy benefit processes.
• Excellent interpersonal and communication skills
• Strong organizational skills with ability to manage competing priorities and deadlines.
• Proficiency in MS Office/Outlook and ability to learn internal systems quickly.
• Ability to perform in a fast-paced environment, respond under pressure, and handle escalations professionally.

Why Serve You Rx?

Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and an unwavering commitment to doing what's best for its clients. With a fervent focus on those it serves, including insurance brokers, consultants, third-party administrators, and their clients, Serve You Rx delivers exceptional service and tailored, cost-effective benefit solutions. Independent and privately held for nearly 40 years, Serve You Rx can implement new groups in 30 days or less and say "yes" to a wide variety of viable solutions. Known for its adaptability, quality, and client-centricity, Serve You Rx aims to be a benchmark for better client service.

The company offers generous benefits to include: medical (HMO and PPO), dental, vision, 401k, HSA, identity theft and legal coverage, pet insurance, paid parental leave, and 18 days of paid time off in your first year.

About The Organization

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.