31 pbm jobs at 16 companies in Arlington Heights, IL
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Senior Data Scientist - PBM Analytics
New York City or Chicago
$102k-$222k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOE3+ years hands-on experience in ML/deep learning, production model deployment, strong Python and SQL skills, GitHub and MLOps experience, ability to evaluate AI/LLM outputs; Bachelor\u0002s degree or equivalent required; advanced degree preferred.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
7+ YOERequires 7+ years of PBM account management, 5+ years leading growth activities and project teams, PBM tools proficiency, executive communication skills, and willingness to travel up to 25%.
KPH Healthcare Services: National provider of integrated pharmaceutical and healthcare services.
10+ YOEExecutive leadership of pharmacy solutions; 10+ years in PBM/GPO or related industry; Bachelor’s degree required; MBA or pharmacy degree preferred; skills in PBM economics, commercialization, finance, and stakeholder management.
Hub International: Provides global insurance brokerage and risk management services.
4+ YOERequires 4+ years in PBM operations, account management, underwriting, pharmacy consulting analytics, or pharmacy benefits analytics; bachelor's degree or equivalent; PBM knowledge; CRM, Microsoft Office, and analytics experience.
Salesforce, Monday.com, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Power BI
Chicago or Washington or Illinois or Florida or New York or California or Pennsylvania or South Carolina or New Jersey or Texas
$155k-$175k/yrRemoteFull Time
Blue Cross Blue Shield Association: National association coordinating independent Blue Cross Blue Shield health plans.
5+ YOEPharmacy degree preferred,5+ years related experience in PBM/contracting/client relations,ability to interpret manufacturer contracts,strong Excel/PowerPoint and communication skills.
AArete: Strategic profitability and digital transformation consulting services.
4+ YOERequires 4+ years in pharmacy, PBM, pharmacy consulting, or managed care; advanced Excel, analytics, communication, and mentoring skills; bachelor's degree or equivalent; U.S. work authorization.
Microsoft Excel, SQL, Claims Adjudication, Microsoft Copilot, OpenAI ChatGPT, Anthropic Claude, Google Gemini, LinkedIn Recruiter AI and Hiring Assistant, Jobvite Talent Fit, AArete HireSense
KPH Healthcare Services: National provider of retail and commercial pharmaceutical healthcare services.
10+ YOEExecutive leader to drive strategy, commercialization, and growth of pharmacy solutions; requires minimum 10 years in PBM/GPO/related industry and a Bachelor’s degree; MBA or pharmacy degree preferred.
Rush University Medical Center: Academic medical center providing patient care and medical education.
2+ YOEMinimum 2 years insurance authorization experience in infusion or healthcare, 1 year PBM/prior authorization experience, high school diploma, strong communication, problem solving, and computer skills.
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
5+ YOE5+ years PBM/consulting experience preferred, Bachelor's degree preferred, consultative client management, strong communication and presentation skills, ability to travel up to 20%, residence in Illinois or adjacent states.
Arthur J. Gallagher & Co.NYSE: AJG: Global insurance brokerage and risk management services provider.
3+ YOEB.S. degree and 3+ years experience; pharmacy tech and PBM project management experience ideal; expertise in pharmacy claim audits, HIPAA compliance, advanced data analysis, predictive modeling, and dashboard development.
Atlanta or Woodland Hills or Costa Mesa or Hanover or Miami or Wilmington or Mason or New York City or Seattle or Grand Prairie or Chicago or Iselin or Columbus or Tampa or Las Vegas or Woburn or Lake Success
$155k-$280k/yrHybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOERequires PharmD, RPh, or another advanced health-related degree and 5+ years of managed care experience, plus an unrestricted pharmacist license. Medicare, MTM, CMR, PBM, and team leadership experience preferred.
Walgreens: Retail pharmacy providing prescriptions and health and wellness products.
1+ YOEHigh school diploma or GED; registration with State Board of Pharmacy if required; 1+ year healthcare/specialty pharmacy/PBM/call center experience; MS Windows and MS Office proficiency; PTCB/ExCPT preferred.
Codal: A design and development agency building digital solutions.
7+ YOE7+ years product management experience in consulting or digital agency; deep pharmacy/Rx lifecycle, PBM, and claims adjudication knowledge; experience leading enterprise product discovery and delivery; strong stakeholder and analytical skills.
KPH Healthcare Services: Provides national retail pharmacy and specialized healthcare services.
10+ YOEExecutive leadership of pharmacy solutions division with 10+ years PBM/GPO/related experience, bachelor's required, MBA or pharmacy degree preferred, strategic leadership, product commercialization, rebate/formulary expertise, financial and analytics skills.
Liviniti: Provides transparent pharmacy benefit management and prescription cost savings.
10+ YOE10+ years in eligibility/EDI or PBM/health plan administration; expert X12 834 and 270/271; SQL and Snowflake familiarity; experience leading eligibility/EDI functions and managing platform migrations; strong communication and product ownership.
Carepoint Pharmacy: Provides specialty pharmacy services and mail-order medication dispensing.
Active pharmacy technician license and certification (PTCB/ExCPT or grandfathered), experience with major PBMs, ability to complete prior authorizations, read medical charts, use Cover My Meds, and knowledge of ICD-10; employed ≥6 months required.
KPMG: Global professional services network providing audit, tax, and advisory.
8+ YOE8+ years consulting or executive payer experience, Masters degree, strong payer/PBM knowledge, project and budget management, client relationship and business development skills, travel up to 80-100%, authorized to work in the U.S. without sponsorship.