PBM Systems Implementation Lead

The PBM Systems Implementation Analyst plays a key supporting role in onboarding new commercial clients into our pharmacy benefit management (PBM) platform. This position collaborates with internal teams and external clients to execute system configuration and operational readiness for go-live. The role requires strong attention to detail, communication skills, and the ability to manage multiple implementation tasks for various implementations.

This role is highly client-facing, and success depends on your ability to support client relationships, clarify requirements, coordinate internal deliverables, and help negotiate and de-escalate challenges as they arise.

Key Responsibilities:

• Assist in gathering and documenting client requirements during discovery and kickoff meetings.
• Maintain ongoing communication with client stakeholders, ensuring timely updates and follow-ups.
• Support the Implementation Manager in preparing agendas, recaps, timelines, and issue logs.
• Participate in client calls to clarify configuration decisions and confirm readiness for key milestones.
• Help manage and de-escalate client concerns by responding quickly, escalating appropriately, and offering solutions.
• Translate client requirements into setup documentation for eligibility files, benefit designs and accumulations.
• Perform validation of test claims, and eligibility data to support quality assurance prior to go-live.
• Monitor file exchanges (eligibility, accumulators, claims) to ensure proper formatting and timing during implementation for delivery to EDI.
• Ensure internal teams are informed and ready for launch, including OP, IS and EDI.
• Document workflows, benefit decisions, and client-specific configurations for operational handoff.

• Bachelor’s degree or equivalent experience in healthcare, business, or information systems.
• 2–4 years of experience in a PBM, health plan, or pharmacy-related role, preferably in implementations or client operations.
• Knowledge of commercial/employer-sponsored health plan benefits, PBM processes, and pharmacy operations.
• Strong verbal and written communication skills, especially in client interactions.
• Demonstrated ability to manage multiple tasks, prioritize effectively, and stay organized under deadlines.
• Comfort with de-escalating issues and supporting clients through problem-solving.