Remote PBM Implementation Lead

LucyRx; United States; Remote; USD 95,000 - 140,000; Full time

Job summary

LucyRx is seeking an Implementation Manager to oversee client implementations for PBM services, ensuring a seamless onboarding and successful benefit plan setups across internal and external teams. The role demands coordinating cross-functional teams, translating client requirements into system design, and guiding projects from kickoff through post-go-live handoffs in a remote-first environment.

Candidates should have 3–5 years in PBM or healthcare, strong communication, and a track record of

Qualifications

• Bachelor’s degree in business, Healthcare Administration, Pharmacy, or related field.
• 3–5 years of experience in PBM, healthcare, or benefit administration, with at least 2 years in client implementation or project management.
• Strong understanding of PBM operations including benefit design, formulary management, claims processing, and eligibility.
• Proficiency in Microsoft Office Suite; experience with project management tools (e.g., MS Project, Smartsheet, Jira).
• Excellent communication, organizational, and leadership skills.
• Ability to manage multiple complex projects simultaneously and work under pressure with internal and external stakeholders.

Responsibilities

• Client Onboarding: Serve as the primary contact for new client implementations.
• Lead kickoff meetings and set expectations for timeline, deliverables, and milestones.
• Manage and document client requirements and translate into internal systems.
• Coordinate member communication and outreach during implementation and transition events.
• Translate benefit plans, formulary requirements, coverage rules, and client offerings into operational requirements.
• Support post-go-live audits, stabilization, and continuous improvement initiatives.
• Lead implementation-to-account-management handoff with proper documentation.
• Project Management: Develop detailed project plans and monitor progress.
• Coordinate cross-functional teams (IT, Clinical, Operations, Compliance, Account Management) for alignment.
• Identify risks and develop mitigation plans to address delays or issues.
• Coordinate collection and analysis of historical claims, eligibility, accumulator, and utilization data.
• Documentation and Testing: Document benefit plan setup, network requirements and other components of claims adjudication.
• Coordinate eligibility, accumulator and claim file integration.
• Ensure testing results are communicated and validated with clients.
• Ensure clean handoff to operations and account management post go-live.
• Client Communication and Reporting: Provide regular status updates and documentation to clients and leadership.
• Facilitate meetings, maintain action item logs, and resolve client concerns during implementation.
• Process Improvement: Participate in post-implementation reviews and develop playbooks, templates, and SOPs.

Skills

PBM operations knowledge

Project management

Communication

Leadership

Organizational skills

Multi-stakeholder coordination

Education

Bachelor's degree in business, Healthcare Administration, Pharmacy, or related field

Tools

MS Office Suite

MS Project

Smartsheet

Jira

Job description

LucyRx is seeking an Implementation Manager to oversee client implementations for PBM services, ensuring a seamless onboarding and successful benefit plan setups across internal and external teams. The role demands coordinating cross-functional teams, translating client requirements into system design, and guiding projects from kickoff through post-go-live handoffs in a remote-first environment.

Candidates should have 3–5 years in PBM or healthcare, strong communication, and a track record of