31 pbm jobs at 15 companies in Aurora, IL

2w
Save
Mark Applied
Hide
Senior Manager, Corporate Compliance – Pharmacy Benefit Manager (PBM) Market Conduct Exam Support
Southfield or Northbrook or Irving or Scottsdale or Hartford or Woonsocket
$75k-$166k/yr HybridFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE7+ years in compliance/regulatory/legal or market conduct roles with PBM experience; strong analytical, communication, and cross-functional coordination skills; ability to manage multi-state exams and meet deadlines.
1mo
Save
Mark Applied
Hide
Vice President of Pharmacy Solutions
Chicago, Illinois, United States
OnsiteFull Time
KPH Healthcare Services
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.
1mo
Save
Mark Applied
Hide
Vice President, Senior Pharmacy Benefits Consultant
New York or San Francisco or Glendale or Washington or Chicago or Lansing or Atlanta or Boston or Cleveland
$151k-$200k/yr RemoteFull Time
Segal
Segal: Provides employee benefits, human resources, and investment consulting services.
12+ YOE12+ years of PBM or benefits consulting experience; deep PBM knowledge; licensed pharmacist preferred (RPh/PharmD); bachelor’s degree required; strong analytical, communication, negotiation skills; advanced Microsoft product skills.
Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Copilot, generative AI
4d
Save
Mark Applied
Hide
Senior Product Analyst – Clinical Engagement Solutions, Omnichannel Communications Team - National Remote
Schaumburg or United States
$73k-$130k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOE3+ years omnichannel communications operations experience, 1+ year in healthcare/PBM preferred, intermediate Microsoft Office skills, vendor management, regulatory familiarity.
Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Outlook, Microsoft Teams, Quadient Inspire, Adobe Acrobat Pro, InDesign
2w
Save
Mark Applied
Hide
Director, Trade Client Relations
Chicago or Washington or Illinois or Florida or New York or California or Pennsylvania or South Carolina or New Jersey or Texas
$155k-$175k/yr RemoteFull Time
Blue Cross Blue Shield Association
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.
Microsoft Excel, Microsoft PowerPoint
1d
Save
Mark Applied
Hide
Associate Director, Emerging Channel Insights & Analytics -Market Access & Patient Services (Remote)
Mettawa or United States
$142k-$269k/yr RemoteFull Time
AbbVie
AbbVieNYSE: ABBV: Develops and sells innovative pharmaceutical and biopharmaceutical medicines.
10+ YOEBachelor's degree and 10+ years of healthcare analytics experience, including 5+ years in pharmaceutical market access analytics; expertise in payer, PBM, claims, policy, and strategic insights.
1mo
Save
Mark Applied
Hide
Vice President of Pharmacy Solutions
Chicago or Texas
RemoteFull Time
KPH Healthcare Services
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.
2mo
Save
Mark Applied
Hide
Intake Coordinator - Transplant
Chicago, Illinois, United States
$18-$28/hr OnsiteFull Time
Rush University Medical Center
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.
Microsoft Office, Windows
1w
Save
Mark Applied
Hide
Account Executive - Cigna Pharmacy - Remote
Chicago or Illinois or United States
$109k-$182k/yr RemoteFull Time
The Cigna Group
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.
Microsoft
1mo
Save
Mark Applied
Hide
Supervisor - Pharmacy Adjudication
Woodridge, Illinois, United States
$49k/yr OnsiteFull Time
Onco360
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
4+ YOEMinimum 4 years pharmacy/adjudication experience, high school diploma/GED, registration with state Board of Pharmacy, experience with NCPDP claim resolution, insurance/PBM knowledge, leadership and auditing skills.
Pulse, NCPDP
1mo
Save
Mark Applied
Hide
Auditor of Pharmacy Benefit Management - Remote
Rolling Meadows, Illinois, United States
$68k-$132k/yr RemoteFull Time
Arthur J. Gallagher & Co.
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.
1mo
Save
Mark Applied
Hide
Remote Insurance Verification Specialist, Specialty (Florida)
Deerfield or Orlando or Florida
$17-$22/hr RemoteFull Time
Walgreens
Walgreens: Retail pharmacy providing prescriptions and health and wellness products.
High school diploma/GED, customer service experience in healthcare/PBM/specialty pharmacy or call center, clear written and verbal communication, basic to intermediate PC skills with Microsoft Windows and Microsoft Office.
Microsoft Windows, Microsoft Office
2w
Save
Mark Applied
Hide
Senior Product Manager, Pharmacy
Chicago, Illinois, United States
$140k-$160k/yr HybridFull Time
Codal
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.
FHIR, HL7, SMART on FHIR, NCPDP SCRIPT, Surescripts, Epic, EHR, EMR
1mo
Save
Mark Applied
Hide
Vice President of Pharmacy Solutions
Chicago or Texas
RemoteFull Time
KPH Healthcare Services
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.
3w
Save
Mark Applied
Hide
Director of Eligibility Operations
Chicago, Illinois, United States
HybridFull Time
Liviniti
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.
X12 834, X12 270/271, SQL, Snowflake, Jira, Zendesk, Azure DevOps
1mo
Save
Mark Applied
Hide
Director, Payer Innovation
Chicago, Illinois, United States
OnsiteFull Time
KPMG
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.
1mo
Save
Mark Applied
Hide
Patient Care Specialist - Prior Authorization
Schaumburg, Illinois, United States
$20-$22/hr OnsiteFull Time
Carepoint Pharmacy
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.
Cover My Meds, ICD-10