Mason or Atlanta or Ashburn or Columbus or Cincinnati or Richmond or Seven Hills or Roanoke or Norfolk
$19-$35/hrRemoteFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEHigh school diploma or equivalent and minimum 3 years billing/collections experience; PBM billing experience preferred; AS in accounting preferred; proficiency with Microsoft Excel.
Clearway Health: Manages specialty pharmacy programs for health systems.
5+ YOE5+ years healthcare credentialing experience with PBM and health plan submissions, bachelor's degree or equivalent, knowledge of specialty pharmacy operations, CAQH/PECOS/NPPES familiarity, strong communication and problem-solving skills.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
4+ YOE4+ years PBM client account/contract management; 2+ years Health Plan Commercial Market; strong PBM strategies and pricing; MS Office proficiency; travel up to 25%.
MedImpact: Independent pharmacy benefit management and healthcare technology services provider.
15+ YOE12+ MgmtBA/BS plus ~15 years related experience and 12 years supervisory experience; deep PBM network, contracting, underwriting, and P&L expertise; advanced MS Office skills and executive communication.
Microsoft Office, Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Outlook
M Health Fairview: Non-profit healthcare system providing comprehensive clinical and medical services.
2+ YOEBachelor's degree (or equivalent), 2 years project management experience, 2 years PBM or healthcare experience, ability to work in fast-paced environment; Agile/Scrum and Scrum Master experience preferred; PMP preferred.
Minnesota or Mississippi or Pennsylvania or Montana or North Carolina or Louisiana or Maryland or Maine or Nebraska or Missouri or North Dakota or Colorado or Alabama or New Jersey or New Mexico or Arizona or Nevada or California or Connecticut or South Carolina or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Vermont or Tennessee or Kansas or Virginia or Delaware or Washington or Utah or Wisconsin or Georgia or Indiana or Kentucky or Oregon or Michigan or Massachusetts or New Hampshire or Oklahoma
$47k-$122k/yrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOE5+ years in pharmacy/PBM/insurance, travel up to 25%, Salesforce experience preferred, CPT preferred, high school diploma required, bachelor’s preferred.
Liviniti: Provides transparent pharmacy benefit management and prescription cost savings.
4+ YOE2+ MgmtBachelor's or equivalent,4+ years external client-facing healthcare/PBM experience,2+ years implementation/account management,MS Office proficiency,HIPAA compliance and project management skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Outlook
Glenview or Northbrook or Wheeling or Morton Grove
$18-$22/hrOnsiteFull Time
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
High school diploma or equivalent, state pharmacy technician license, prior data entry experience, familiarity with pharmacy/PBM concepts, strong attention to detail and communication, ability to operate a computer.
MarpaiNASDAQ: MRAI: AI-powered third-party administrator for self-funded health plans.
2+ YOE3+ Mgmt2+ years PBM or pharmacy/managed care experience, 3+ years call center and supervisory experience preferred; strong leadership, communication, KPI analysis, HIPAA compliance, and CPhT preferred.
Dane Street: Provides independent medical examinations and clinical peer review services.
8+ YOE8–10+ years direct PBM or health insurance sales, proven multi‑million dollar quota attainment, deep broker/consultant network, PBM subject-matter expertise, strong negotiation and executive presentation skills.
Vida Health: Provides virtual care for chronic and mental health conditions.
7+ YOEBachelor's degree and 7+ years in account management/customer success or client-facing roles, healthcare/PBM familiarity, project management, strong communication and strategic analysis skills.
Pharmacy Contracting Executive – PBM and Pharmacy Services
United States
$86k-$119k/yrRemoteFull Time
CenterWellNYSE: HUM: Provides senior primary care, home health, and pharmacy services.
6+ YOEBachelor's degree,6+ years pharmacy/PBM/health plan contracting and pricing experience,contract development and negotiation,financial analysis,strong communication and presentation skills.