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Briljent

Briljent

via Paylocity

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Pharmacy Benefit Manager

Anywhere
full-time
Posted 10/2/2025
Direct Apply
Key Skills:
Pharmacy Benefit Management
Medicaid
Healthcare Solutions
IT Systems
Project Management
Business Analysis
Process Improvement
Agile
Lean Six Sigma
Technical Training
Cross-Functional Collaboration
Procurement Documentation
Functional Design
Technical Considerations
Drug Rebate Functionality
Enterprise-Level Systems

Compensation

Salary Range

$150K - 170K a year

Responsibilities

The Pharmacy Benefit Manager will provide expert input on the design and scoping of the Pharmacy Management Module procurement and support the drafting of high-level scope and objectives. They will collaborate with stakeholders to ensure documentation feeds into RFP development and support the development of procurement documentation.

Requirements

Candidates must have 8+ years of experience with large-scale healthcare solutions, particularly Medicaid Pharmacy Benefits Management systems, and 3+ years of IT system experience. A bachelor's degree is required, with preferred qualifications including certifications in process improvement methodologies and a master's degree.

Full Description

Description Briljent is seeking a highly experienced Pharmacy Benefit Manager (PBM) professional to support the New York State Department of Health’s (DOH) eMedNY Assessment project. The individual will provide subject matter expertise in pharmacy benefit systems and Medicaid enterprise modernization efforts, contributing directly to the design and future procurement of the Pharmacy Management Module. Responsibilities Provide expert input on the design and scoping of the Pharmacy Management Module procurement. Support drafting of high-level scope, vision, objectives, and system capabilities, ensuring alignment with DOH’s vision and CMS directives. Contribute subject matter insights into eMedNY pharmacy and drug rebate functionality. Collaborate with cross-functional stakeholders to ensure documentation feeds into RFP development. Support development of procurement documentation that defines objectives, functional design, and technical considerations. Requirements 8+ years’ experience with large-scale healthcare solutions, including Medicaid Pharmacy Benefits Management systems and MES/MMIS. 3+ years’ IT system experience and formal technical training. 3+ years’ experience on enterprise-level systems/projects. Bachelor’s degree. Preferred Qualifications Certifications and/or experience with process improvement methodologies (Lean Six Sigma, Agile, PDCA cycles, Kanban). Master’s degree. Familiarity with project management, business analysis, or ITIL practices. Additional Details Location: Remote with occasional travel to Albany, NY. Hours: Full-time, 40 hrs/week. Duration: Mid-October 2025 through February 2026. Salary: Equivalent to $150-170K annually Equal Opportunity Employer Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes perspective and collaboration are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status, or any other basis protected by federal, state, or local law, regulation, or ordinance.

This job posting was last updated on 10/3/2025

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