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Pharmacy Benefits Operations Manager

Marsh McLennan · Chicago, IL · $115,200–$230,400 a year · Full time

Posted Sep 15, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a process you improved in a benefits or consulting operation. How did you measure the change?

What they are checking: Whether they use data to drive improvement rather than relying on gut feel.

Tell me about a time you had to balance financial targets with quality of service.

What they are checking: Whether they can make sound trade-offs when budget and client experience pull in different directions.

Tell me about a change you led that people resisted. How did you handle it?

What they are checking: Whether they can bring people along instead of forcing change through.

What would you do

A new service offering is launching and the consultants are not using it. What do you do?

What they are checking: Whether they can drive adoption through change management, not just announcements.

How do you manage relationships with carriers and PBM vendors when service problems keep coming up?

What they are checking: Whether they can hold vendors accountable while keeping the working relationship productive.

The team is spread across Dallas, Chicago and New York. How do you keep processes consistent?

What they are checking: Whether they can run consistent operations across offices in a hybrid setting.

About the work

What federal and state pharmacy regulations matter most to an employer pharmacy benefits practice?

What they are checking: Whether they know the compliance landscape, including recent PBM transparency rules.

How would you build a project tracking system for renewals, placements and benchmarking across many clients?

What they are checking: Whether they can design operational tools that give leaders a clear view of the work.

How do you know the practice is ready for an audit or regulatory review?

What they are checking: Whether they think about controls and documentation before problems appear.

Which operational metrics would you watch weekly for this practice?

What they are checking: Whether they know what signals early trouble in a pharmacy benefits operation.

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The full job description

As published by Marsh McLennan.

Company: Mercer Description: We are seeking a talented individual to join our Health & Benefits operations team, part of our People and Investments business at Marsh. This role could be based in Dallas, Chicago, Minneapolis, Los Angeles or New York. This is a hybrid role that has a requirement of working at least three days a week in the office. The Pharmacy Benefits Operations Manager will drive operational excellence across our pharmacy benefits practice. You'll manage process improvements, ensure regulatory compliance, oversee financial performance, and launch new service offerings. The Operations Manager will oversee financial evaluations, renewal strategies, business placements, benchmarking, and project tracking, while fostering strong relationships with carriers, vendors, and internal Marsh teams. We will count on you to: • Lead continuous process improvement and risk mitigation initiatives, leveraging data to enhance efficiency. • Develop and execute operational strategies that align departmental goals with company objectives and ensure smooth daily execution. • Support business growth by enabling new service offerings across cross-functional teams • Ensure compliance with federal and state health and pharmacy regulations • Collaborate with internal and external stakeholders to align operations with business needs • Lead change management initiatives to adapt operations to evolving business environments • Thrive and be motivated by an environment that embraces AI and technology-enabled tools. What you need to have: • Minimum of 8 years in Rx/pharmacy operations • BA/BS degree • Excellent verbal and written skills for stakeholder engagement • Compliance and risk management background What makes you stand out: • Knowledge of process improvement (Lean/Six Sigma) • Budget/financial management • Familiarity with Workday or similar HRIS Why join our team: • We help you be your best through professional development opportunities, interesting work, and supportive leaders. • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues, clients, and communities. • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries. With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow us on LinkedIn and X. Marsh is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@marsh.com. Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person. The applicable base salary range for this role is $115,200 to $230,400. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.

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