444 pbm jobs at 165 companies in United States

3mo
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Sr Director, PBM Strategic Relations - PBM Products
United States
$160k-$200k/yr RemoteFull Time
RxBenefits
RxBenefits: Optimizes pharmacy benefit plans for employers to reduce costs.
10+ YOE5+ Mgmt10+ years PBM experience; 5+ years leadership; Bachelor’s degree or equivalent; strong PBM program knowledge; executive communication; project management.
PBM, data management, governance, vendor management, contract negotiation
5d
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PBM Billing Specialist Senior
Mason or Atlanta or Ashburn or Columbus or Cincinnati or Richmond or Seven Hills or Roanoke or Norfolk
$19-$35/hr RemoteFull Time
Elevance Health
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.
Microsoft Excel
2mo
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PBM Claims Analyst - Guaynabo PR
Guaynabo, Puerto Rico, United States
OnsiteFull Time
Alivia Health
Alivia Health: Provides specialty pharmacy and medication delivery services in Puerto Ri.
Associate degree in Medical Billing and Coding or related healthcare field; experience auditing PBM accounts is a plus.
1mo
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Payor and PBM Specialist
Bedford, Massachusetts, United States
$78k-$95k/yr OnsiteFull Time
Clearway Health
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.
CAQH ProView, NPPES, PECOS, Medicare/Medicaid enrollment portals
1mo
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Senior PBM Strategic Account Executive - Remote
United States
$113k-$193k/yr RemoteFull Time
UnitedHealth Group
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%.
1mo
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Vice President, Network & PBM Strategy
San Diego, California, United States
$208k-$395k/yr OnsiteFull Time
MedImpact
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
2mo
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Career Opportunities - PBM Operations Analyst
Hanover or Norwich
OnsiteFull Time
TruDataRx: Optimizes pharmacy benefit plans using clinical data analytics.
2+ YOE2+ years in formulary operations; strong MediSpan/NDC knowledge; formulary configuration, data integrity; proficiency in MS Office.
MediSpan, NDC, Microsoft Office, Excel, PowerPoint, Word
3mo
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Senior CSM, PBM
United States or Texas
$125k-$145k/yr RemoteFull Time
Rightway
Rightway: Healthcare navigation and transparent pharmacy benefit management services.
5+ YOEBachelor’s degree required; 5-8 years in pharmacy operations; remote or Dallas, TX; strong client management, PBM knowledge, communication, problem solving.
Excel, Google Sheets, PowerPoint, Google Slides
3w
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PBM Implementation Manager
United States
RemoteFull Time
WellDyne
WellDyne: Pharmacy benefit management and prescription drug administration services.
2+ YOEProject management experience and PBM knowledge; college four-year degree or 2 years' client services/project management experience; strong communication, analysis, and MS Office skills; Salesforce beneficial.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Salesforce.com
4w
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PBM Project Manager
Shoreview, Minnesota, United States
$86k-$121k/yr OnsiteFull Time
M Health Fairview
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.
Enterprise Project Lifecycle (EPLC), Agile, Scrum
1mo
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PBM Audit Manager
Cherry Hill, New Jersey, United States
OnsiteFull Time
MedWiz Pharmacy
MedWiz Pharmacy: Provides pharmacy services for long-term care and specialty health.
3+ YOEHigh school diploma required (BA preferred), NJ pharmacy technician license required, CPhT preferred, 3-5 years pharmacy auditing/billing experience, strong PBM/Medicare/Medicaid/DME knowledge, MS Office proficiency.
Microsoft Excel, Microsoft Word, Microsoft Outlook
5d
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PBM Client Experience Manager
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/yr RemoteFull Time
CVS Health
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.
Salesforce
2w
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Senior Analyst Pharmacy (PBM)
Mason, Ohio, United States
$100k-$140k/yr OnsiteFull Time
Tata Consultancy Services
Tata Consultancy ServicesNational Stock Exchange of India: TCS: Global provider of IT services, consulting, and business solutions.
8+ YOEExpertise in Pharmacy Benefit Management (PBM) processes, requirement gathering, Agile delivery, HIPAA compliance, SQL data validation, and familiarity with JIRA/Rally/ALM.
JIRA, Rally, ALM, SQL
3d
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Implementation Manager - PBM (Remote)
Natchitoches, Louisiana, United States
RemoteFull Time
Liviniti
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
1mo
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Pharmacy Technician / PBM Tech
Glenview or Northbrook or Wheeling or Morton Grove
$18-$22/hr OnsiteFull Time
BrightSpring Health Services
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.
1w
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Customer Service Supervisor PBM
United States
$59k-$65k/yr RemoteFull Time
Marpai
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.
2mo
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Pharmacy Technician - PBM Services & Analytics
Austin, Texas, United States
HybridFull Time
Central Health
Central Health: Travis County public hospital district providing safety-net healthcare services.
3+ YOEPharmacy technician with PBM analytics experience; 3 years in pharmacy operations or healthcare analytics; 340B knowledge; Texas registration; bilingual preferred.
Excel, SQL, Power BI, Tableau, EMR
1mo
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Vice President of Sales (PBM / Pharmacy Benefits)
United States
RemoteFull Time
Dane Street
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.
5d
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Client Success Director- PBM Partner Lead
United States
$160k-$170k/yr RemoteFull Time
Vida Health
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.
5d
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Pharmacy Contracting Executive – PBM and Pharmacy Services
United States
$86k-$119k/yr RemoteFull Time
CenterWell
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.
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