AMPS · 1 day ago
Operations & Implementations Specialist (PBM)
Phoenix,AZ,US
Full-time
Hybrid
New Grad, Entry LevelAMPS is seeking a detail-oriented and personable Operations & Implementations Specialist to join their Pharmacy Benefit Management (PBM) team. This hybrid role bridges Operations and Implementations, ensuring accurate benefit configuration and smooth client onboarding.
Insurance
Responsibilities
Configure pharmacy benefit plan rules in our adjudication engine and portal tools
Perform QA, testing, and plan audits for new implementations and mid-year changes
Review claims for new groups/plans during the initial go-live month
Collaborate with Operations Analysts and Team Leads to prioritize and complete tasks
Assist the Implementation Manager with new client setups, plan changes, and TPA transitions
Communicate with clients, brokers, and TPAs to gather required information
Prepare and update plan documents, SBCs/SPDs, and maintain SharePoint resources
Update client portals with key attributes (fees, Section 111 data, etc.)
Coordinate with Finance for billing setup and Account Management for advocacy and customizations
Qualification
Required
Basic understanding of pharmacy benefits and operational logic
Strong organizational and time management skills
Excellent communication skills—comfortable in client-facing interactions
Ability to manage multiple priorities in a fast-paced environment
Proficiency in Microsoft Office and familiarity with portals or adjudication systems
Preferred
PBM experience
Experience in PBM operations or healthcare implementations
Familiarity with SBC/SPD review and benefit configuration
Company
AMPS
Advanced Medical Pricing Solutions (AMPS) is a diversified healthcare technology company supporting transparent, affordable medical and prescription benefits through proprietary software as a service (SaaS) products and tech-enabled services offered across the healthcare payer and employer markets.
Founded in 2005
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Matt Brow
Chief Executive Officer and Board Member
Jonathan Jeffress
Chief Operating Officer at Advanced Medical Pricing Solutions (AMPS)
Recent News
Advanced Medical Pricing Solutions (AMPS)
2025-08-21
Advanced Medical Pricing Solutions (AMPS)
2025-06-11
2025-04-23
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