Pbm Domain Expert

1 day ago

Hyderabad, Telangana, India beBeePbm Full time ₹ 20,00,000 - ₹ 25,00,000

Job Opportunity

We are seeking an experienced Senior PBM Professional to join our organization as a domain expert.

  • Serve as primary PBM domain SME supporting Technology & operations teams.
  • Design and deliver training programs to onboard and upskill teams on the U.S. pharmacy and PBM ecosystem, terminology, workflows, regulations, and compliance.
  • Collaborate with US teams to tailor training content & sessions for Technology & Operations teams in India, based on their roles, to equip them with subject knowledge for effective delivery output.
  • Act as a bridge between U.S. and India teams, ensuring clarity of business requirements, domain expectations, and operational priorities.
  • Provide subject matter expertise on PBM Knowledge to teams across Technology & Operations portfolio.
  • Collaborate with cross-functional teams including operations, analytics, clinical services, and technology to drive PBM-aligned deliverables.
  • Support knowledge documentation, SOP creation, and continuous learning efforts to build a sustainable PBM knowledge base in the GCC.
  • Guide strategic domain-related initiatives and contribute to domain-specific process excellence.
Required Qualifications & Experience
  • A minimum of 10-15 years of progressive experience in the U.S. Pharmacy and PBM industry, with in-depth knowledge of PBM domains such as benefit configuration, claims processing, formulary management, pricing, and compliance.
  • Prior experience working with or within a PBM or healthcare organization in the U.S. is mandatory.
  • Experience working in or with a Global Capability Center (GCC) in India is strongly preferred.
  • Proven track record of training, mentoring, and capability building across global teams.
  • Deep understanding of U.S. healthcare regulations (HIPAA etc.) and how they impact PBM functions.
  • Excellent communication, leadership, and stakeholder engagement skills.
  • A basic understanding of common software development methodologies.
Preferred Attributes
  • Experience with PBM platform tools and systems.
  • Clinical or pharmacy background (e.g. BPharm) is a plus but not required.
  • Passion for knowledge sharing, team development, and process excellence.

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