PBM Operations Lead — Data-Driven Healthcare Transformation

Accenture; Culver City (CA); On-site; USD 94,000 - 294,000; Full time

Job summary

Accenture Health PBM Operations Manager role focusing on optimizing PBM operations through data-driven strategies and regulatory-compliant solutions. You will guide technology implementations, KPI definitions, and client partnerships to drive improvements in claims processing, analytics, and automation.

The position requires 5+ years in PBM ops and 3+ years consulting in health tech, with travel up to 80% as needed to support clients.

Qualifications

• 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

• Assess clients' PBM operations to identify optimization opportunities.
• Develop data-driven strategies aligning PBM operations with client goals.
• Apply pharmacy regulations and best practices for compliance.
• Evaluate technology solutions for PBM ops, including claims processing, analytics, and automation.
• Manage technology implementation workstreams and integration with client operations.
• Define KPIs with clients and monitor impact for continuous improvement.
• Coach and lead a team of consultants and analysts.
• Stay informed on health industry trends and regulatory changes.

Skills

PBM operations

Consulting

Data analytics

Education

Bachelor's degree

Tools

Data analytics tools

Automation tools

Job description

Accenture Health PBM Operations Manager role focusing on optimizing PBM operations through data-driven strategies and regulatory-compliant solutions. You will guide technology implementations, KPI definitions, and client partnerships to drive improvements in claims processing, analytics, and automation.

The position requires 5+ years in PBM ops and 3+ years consulting in health tech, with travel up to 80% as needed to support clients.