PBM Implementation Consultant

Lumen Solutions Group Inc.; Baltimore (MD); On-site; USD 85,000 - 180,000; Full time

Job summary

An innovative consulting firm seeks a PBM Strategy and Implementation Consultant to lead pharmacy supply chain transitions. This role involves managing vendor relationships, overseeing contract negotiations, and ensuring stakeholder alignment. The ideal candidate will have extensive experience in pharmacy operations and financial management, capable of driving business readiness and optimizing processes. Join a dynamic team committed to delivering impactful solutions for clients across various sectors, including Fortune 500 companies and government agencies. This is an exciting opportunity to shape the future of pharmacy supply chains.

Qualifications

• 7+ years in pharmacy supply chain or PBM operations required.
• Experience leading PBM health plan transitions essential.

Responsibilities

• Manage business execution team and ensure alignment with goals.
• Negotiate and manage PBM and supply chain contracts.
• Develop value story for the PBM supply chain model.

Skills

Pharmacy Supply Chain Management

PBM Transitions

Contract Management

Vendor Relationship Management

Financial Management

Stakeholder Engagement

Risk Management

Project Leadership

Education

Bachelor's Degree in Business Administration

Bachelor's Degree in Healthcare Management

Bachelor's Degree in Supply Chain Management

MBA or related graduate degree

Job description

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About us:

Lumen Solutions Group Inc., a dynamic small and minority-owned, Disadvantaged Business Enterprise headquartered in Florida, USA. As a leading consulting services and solutions provider, we focus on IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, Enterprise Transformation for our clients. Our client base includes Fortune 500, Government, non-profit and emerging growth companies.

Job Description: JOB TITLE: PBM Strategy and Implementation Consultant

This role requires deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supply chain implementation and PBM transition, including managing execution activities, aligning stakeholders, contract management, vendor relationship management, and driving business readiness.

Project Leadership & Accountability

• Manage business execution team, ensuring alignment of team efforts with goals, objectives, and timelines.
• Collaborate with the business sponsor, IT lead, PMO, and vendor partners to provide leadership and strategic direction, ensuring timely and successful delivery of business-related milestones.
• Make key business decisions in partnership with the business sponsor.
  
  

Contracts & Vendor Management:

• Negotiate and manage PBM and supply chain contracts and Statements of Work (SOWs) with vendors, ensuring that contractual obligations are met and deliverables are aligned with business needs.
• Manage vendor performance, working with the PMO, IT, and Operations teams to address any issues or risks that arise during implementation.
  
  

Value Story Development and Communication

• Develop and validate the value story for the PBM supply chain model, including calculating and quantifying the financial and investment value to the organization.
• Work closely with the business sponsor to ensure the value story reflects the broader organizational impact, including cost savings, efficiency improvements, and enhanced service delivery.
• Regularly update stakeholders on the realized value, change in value and adjusting strategies where necessary.
  
  

Cross-functional Collaboration: and Business Readiness:

• Collaborate with the IT Lead, PMO, Operations, vendor partners, and other departments to ensure seamless integration of business processes with the PBM supply chain model.
• Act as the liaison between business stakeholders and project teams, translating business requirements into actionable tasks and ensuring alignment across all parties.
• Facilitate business-focused meetings to discuss project status, issues, risks, and decisions with key stakeholders.
• Work closely with the PMO office, IT, Operations, and vendors to prepare for net new roles and functions and support business readiness efforts, including ensuring effective communication, training, and documentation to prepare impacted teams for the transition.
  
  

Risk Management & Performance Optimization:

• Identify opportunities for operational improvements and provide recommendations to optimize business processes, enhance service delivery, and drive cost savings and efficiencies
• Proactively identify and manage business related risks and issues, escalating as necessary to ensure timely resolution and minimize disruptions.
• Work collaboratively with cross-functional teams and vendor partner, to develop and implement mitigation plans and corrective actions as needed.
  
  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: Bachelor's Degree

Education Details: Business Administration, Healthcare Management, Supply Chain Management, or related field.

Experience: Previous experience leading a PBM health plan transition, 7+ years’ experience in total in either pharmacy supply chain, pharmacy business operations, PBM operations, PBM contracting, pharmacy services, and supply chain management.

In Lieu of Education

In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Preferred Qualifications

MBA or other graduate degree in business related field

Knowledge, Skills And Abilities (KSAs) Proficiency

• Strong knowledge of PBM contracting, claims adjudication, pharmacy network management, formulary design, financial processes including rebates and discounts, and compliance regulations.
• Strong decision-maker with the ability to navigate complex business issues and make strategic choices in collaboration with the business sponsor.
• Expertise in Medicare, Medicaid, and Commercial pharmacy operations.
• Experience managing PBM implementations or transitions at a health plan, PBM, or consulting firm.
• Adaptability and resilience in a dynamic, fast-paced environment.
• Excellent interpersonal skills with the ability to influence and engage senior stakeholders and vendors.
• Highly organized and detail-oriented, with the ability to manage large-scale, multi-functional, multi-organizational projects with executive visibility.
• Ability to communicate at all organizational levels from individual contributor level to executive leaders. Excellent communication, negotiation, stakeholder engagement, and relationship management skills, both verbal and written
  
  

***Lumen and / or its clients will not provide equipment (Laptop, monitor, etc.) to the selected contractor. The contractor must have their own equipment. Access to a virtual desktop set up (software) will be provided by Lumen’s client, allowing the user access to the required systems and technology. ***

Lumen Solutions Group Inc. is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  IT Services and IT Consulting

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