PBM Oversight Team Lead — Hybrid

Wellmark Blue Cross and Blue Shield; Des Moines (IA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Wellmark Blue Cross Blue Shield in Des Moines, IA is seeking a Team Leader for Pharmacy Business Support (PBM Oversight). You will lead a growing team responsible for oversight of PBM vendors and pharmacy-related operations in a fast-paced, member-centric environment.

Your leadership will drive performance, coaching, and collaboration across Clinical, Health Networks and Provider Support, with a hybrid schedule requiring at least 3 days in the Des Moines office and 2 days remote.

Qualifications

• Bachelor's degree in business, health care administration, or related field, or equivalent experience.
• MBA or advanced degree in a related field is preferred.
• 4+ years of experience in health insurance, PBM, or pharmacy benefit administration.
• Strong leadership and collaboration across cross-functional teams.

Responsibilities

• Provide leadership and day-to-day management of financial and human resources for staff and department functions.
• Support business objectives with accurate, timely results and monitor critical metrics.
• Serve as primary liaison with CVS for non-clinical PBM aspects.
• Oversee QA, compliance monitoring, and performance tracking for PBM services.
• Cascade and communicate operational strategy to drive service excellence.
• Collaborate with Pharmacy Product team to inform strategy and roadmap.
• Ensure adherence to contractual, regulatory, and accreditation standards (CMS, NCQA).
• Represent non-clinical pharmacy perspectives in cross-functional planning.
• Promote accountability, innovation, and service excellence within the team.
• Partner with stakeholders to resolve issues and align with enterprise priorities.
• Monitor performance metrics to identify trends and opportunities for improvement.
• Develop and maintain policies and training materials.

Skills

Leadership

Communication

Strategic thinking

Change management

Cross-functional collaboration

Problem solving

Time management

Education

Bachelor's degree in business/health care admin or related field

MBA or advanced degree (preferred)

Tools

PBM data systems

Regulatory databases / CMS guidelines

Job description

Wellmark Blue Cross Blue Shield in Des Moines, IA is seeking a Team Leader for Pharmacy Business Support (PBM Oversight). You will lead a growing team responsible for oversight of PBM vendors and pharmacy-related operations in a fast-paced, member-centric environment.

Your leadership will drive performance, coaching, and collaboration across Clinical, Health Networks and Provider Support, with a hybrid schedule requiring at least 3 days in the Des Moines office and 2 days remote.