46 pbm jobs at 26 companies in California

2mo
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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
1w
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PBM Integration Specialist (50929)
Irvine, California, United States
$73k-$95k/yr RemoteFull Time
Western Growers
Western Growers: Trade association providing advocacy and insurance to agricultural businesses.
2+ YOERequires healthcare claims and analytics experience, Excel and Access proficiency, familiarity with Power BI and SQL, project management, vendor collaboration, data troubleshooting, and confidentiality practices.
SQL, Microsoft Excel, Microsoft Access, Microsoft Power BI, wired Ethernet
2w
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Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst
Scottsdale or Arkansas or Idaho or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or Indiana or New Jersey or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware or Arizona
$47k-$122k/yr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
4+ YOE4+ years financial analysis, pricing, or underwriting experience; advanced Excel modeling; bachelor\u0002s preferred (finance/economics/math); strong presentation and communication skills.
Microsoft Excel
1mo
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Associate Pharmacy Benefit Consultant
Seattle or San Mateo or San Diego
$120k-$155k/yr HybridFull Time
Rael & Letson
Rael & Letson: Provides actuarial and consulting services for employee benefit plans.
5+ YOEPBM expertise with contract and rebate auditing, RFP and pricing review, client advising, strong communication and negotiation skills, proficiency with Microsoft Office and SharePoint; preferred 5+ years PBM experience.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft SharePoint, Microsoft Teams
1mo
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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
1mo
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Pharmacy Market Manager, West Region - Cigna Healthcare - Remote
United States or Arizona or California or Nevada or Washington
$122k-$203k/yr RemoteFull Time
The Cigna Group
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
5+ YOE5+ years PBM experience, pharmacy subject-matter expertise, PBM pricing/contracting knowledge, consultative sales and client management skills, people management experience, Microsoft Office proficiency, willingness to travel up to 50%.
Microsoft Office
2w
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Clinical Product & Operations Lead Pharmacist
Menlo Park, California, United States
$170k-$220k/yr HybridFull Time
Develop Health
Develop Health: Automates medication access and prior authorizations using generative AI.
3+ YOELicensed pharmacist (PharmD) with 3+ years pharmacy operations or PBM experience, PA/BV expertise, strong communication, and ability to work with product and engineering.
Slack
3w
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Director Pharmacy Account
St. Louis or Waukesha or Costa Mesa or Louisville or Indianapolis or Cincinnati or Walnut Creek or Las Vegas or Denver
$157k-$269k/yr FieldFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEBA/BS and 5+ years Pharmacy/PBM experience; leadership managing client-facing teams; strong client retention, profitability, and relationship management skills.
3w
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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
1mo
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Director of Consultant Relations
United States or San Diego or Vienna
RemoteFull Time
9amHealth
9amHealth: Virtual clinic providing personalized cardiometabolic and diabetes care.
7+ YOE7+ years B2B sales experience selling to or through consultants/brokers in digital health, PBM, benefits or healthcare; strong networking, pipeline management, and travel readiness.
2d
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Account Manager- Healthcare Mkts (Pharmacy Benefit Management)
Arizona or Montana or Utah or Nevada or New Mexico or Wyoming or Washington or Oregon or Idaho or Colorado or California
$57k-$71k/yr RemoteFull Time
RxBenefits
RxBenefits: Optimizes pharmacy benefit plans for employers to reduce costs.
3+ YOEAssociate or bachelor's degree, 3+ years in account management or implementation in PBM, pharmacy, hospital, or healthcare, plus Microsoft Office proficiency and strong communication, analytical, and organizational skills.
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Microsoft OneNote, Salesforce, Spring Health
1mo
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Remote Pharmacist, Quality Withhold Clinical/Medication Therapy Management
Long Beach or Massachusetts
$72k-$157k/yr RemoteFull Time
Molina Healthcare
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
3+ YOEPharmD with active unrestricted license, ≥3 years pharmacy/MTM/PBM/managed care experience, MTM clinical skills, strong communication, and MS Office/Excel proficiency.
Microsoft Office, Microsoft Excel
1w
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Medical Value Access Director - National Accounts, Kaiser
Thousand Oaks or United States
$212k-$287k/yr FieldFull Time
Amgen
AmgenNASDAQ: AMGN: Develops and manufactures biotechnology medicines for serious diseases.
4+ YOEDoctorate+4yrs or Master’s+7yrs or Bachelor’s+9yrs in Medical Science Liaison and/or Payer/PBM experience; deep payer/GPO/pathways expertise, strategic communication and leadership skills.
4w
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Director, National Access
California or New York or Austin or Denver or Michigan or Washington or Illinois or Georgia or Missouri or North America or Utah or Florida
$180k-$220k/yr RemoteFull Time
Pharma&
Pharma&: Acquires and manages specialty pharmaceutical product portfolios globally.
10+ YOE10+ years market access experience, bachelor\u0002s degree required, established payer/PBM relationships, HEOR and budget impact modeling experience, oncology launch experience preferred.
1w
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Senior Accountant - Pharmacy (REMOTE)
Long Beach or United States
$92k-$134k/yr RemoteFull Time
SCAN Health Plan
SCAN Health Plan: Providing Medicare Advantage plans and integrated healthcare for seniors.
4+ YOEBachelor's degree in accounting, finance, or related field; 4+ years in accounting or finance; 2+ years in Medicare Part D, PBM, or managed care accounting; advanced Excel and SQL skills.
Oracle Financials, SQL, Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Microsoft Teams
1mo
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VP Payer Sales
San Francisco, California, United States
$180k-$220k/yr HybridFull Time
Ellipsis Health
Ellipsis Health: AI-powered voice agent for healthcare care management.
10+ YOE10+ years business development in healthcare, experience closing payer/PBM deals, knowledge of Commercial/Medicare/Medicaid/value-based reimbursement, consultative sales skills, executive relationship building.
1mo
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Director, Pharmacy Operations
Oakland or California or Long Beach or El Dorado Hills or Lodi or Rancho Cordova or Redding or San Diego or Woodland Hills
$181k-$271k/yr HybridFull Time
Ascendiun
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
10+ YOE6+ MgmtCollege degree or equivalent, 10+ years health plan/PBM operations experience, 6+ years managing pharmacy operations teams, strong written/verbal communication and cross-functional leadership skills.
1mo
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Account Executive I
San Diego, California, United States
$85k-$145k/yr HybridFull Time
MedImpact
MedImpact: Provides pharmacy benefit management and technology solutions for healthcare payers.
7+ YOEBS/BA and 7+ years experience (or equivalent), 4 years SME preferred; strong knowledge of PBM/managed care; advanced MS Office skills; client relationship and revenue management experience.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Project, Microsoft Outlook
1mo
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Pharmacy Coordinator
San Jose, California, United States
$60k-$87k/yr OnsiteFull Time
Santa Clara Family Health Plan
Santa Clara Family Health Plan: Provides managed health insurance plans for Santa Clara County residents.
2+ YOEHigh school diploma/GED, active CA Pharmacy Technician license, 2+ years pharmacy experience, proficiency with Microsoft Outlook/Word/Excel and PBM web platforms, strong communication and accuracy.
Microsoft Outlook, Microsoft Word, Microsoft Excel, PBM web based platform
2mo
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Product Manager, Product Management - Archimedes
St. Louis or Brentwood or United States or Alaska or Arizona or Arkansas or California or Connecticut or Delaware or Hawaii or Idaho or Louisiana or Maine or Massachusetts or Michigan or Mississippi or Montana or Nebraska or Nevada or New Mexico or New York or North Carolina or North Dakota or Oregon or Rhode Island or South Carolina or South Dakota or Texas or Utah or Vermont or Washington or West Virginia or Wyoming
RemoteFull Time
Navitus Health Solutions
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
4+ YOEBachelor's degree or equivalent experience, 4 years product management/product development experience, experience in PBM/healthcare/health plan/pharmaceutical industry, cross-functional collaboration and strategic product planning skills.