Indianapolis or Atlanta or Tampa or Miami or Mason or Durham or Seven Hills or Grand Prairie or Winston-Salem
HybridFull Time
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
5+ YOEBA/BS and 5+ years business analysis experience; pharmacy benefit (PBM) and clinical knowledge; 4+ years US healthcare domain experience; data analysis, test automation, Jira, Confluence, and Excel proficiency.
Rightway: Healthcare navigation and transparent pharmacy benefit management services.
8+ YOEBachelor's required (Master's preferred). 8+ years leadership in PBM/health plan/omnichannel contact center, experience with budgets, workforce strategy, CRM, WFM, analytics, and AI-enabled customer service.
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/yrRemoteFull Time
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.
MarpaiNASDAQ: MRAI: AI-powered third-party administrator for self-funded health plans.
2+ YOE3+ Mgmt2+ years PBM/managed care experience, 3+ years call center and supervisory experience preferred; CPhT or state pharmacy technician license preferred; strong leadership, communication, KPI analysis, HIPAA compliance skills.
SS&C TechnologiesNasdaq: SSNC: Provides software and technology for financial and healthcare sectors.
10+ YOE10+ years selling enterprise SaaS to payers/PBMs, proven $5M+ annual sales, strong payer/PBM relationships, executive communication, negotiation, and willingness to travel up to 75% and live near a major airport.
Marsh McLennanNYSE: MRSH: Global professional services firm providing risk, strategy, and people solutions.
10+ YOE10+ years PBM/pharmacy or related account management experience with PBM contract expertise; Bachelor's degree or equivalent; Life & Health licensure (or ability to obtain within 90 days); strong MS Office skills; own transportation; travel ~25-30%.
Microsoft Outlook, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
3+ YOEBachelor's degree, 3+ years managed care experience, prior leadership preferred; strong pharmacy benefits operations, analytical skills and PBM liaison experience.
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.
Lockton: Provides insurance brokerage and global risk management solutions.
8+ YOEBachelor's in business, 8+ years experience with PBMs or pharmacy/benefits industry, strong client-facing, analytical and spreadsheet skills, travel availability, excellent communication and problem-solving.
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
3+ YOE3+ years in healthcare/pharmacy/health insurance or PBM, benefits and claims knowledge, strong customer service, analytical and presentation skills, proficiency with Microsoft Office and virtual meeting tools.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Teams, Webex
Arkansas or Arizona or California or Colorado or Connecticut or Florida or Georgia or Illinois or Indiana or Kansas or Maryland or Massachusetts or Minnesota or Missouri or Nevada or New Jersey or New York or North Carolina or Ohio or Oklahoma or Oregon or Pennsylvania or Rhode Island or Tennessee or Texas or Utah or Virginia or Washington or Wisconsin
RemoteFull Time
SmithRx: Pharmacy benefit management platform for transparent drug cost savings.
Bachelor's or equivalent experience in healthcare/PBM, comprehensive benefits administration knowledge, strong analytical and communication skills, advanced Microsoft Excel; 4+ years Pharmacy QA experience preferred.
Lockton: Provides global insurance brokerage and risk management consulting services.
3+ YOEBachelor's degree required, minimum 3 years industry experience (PBMs preferred), strong spreadsheet/Excel and analytical skills, customer service and communication, legal right to work in the U.S.
WellDyne: Pharmacy benefit management and prescription drug administration services.
1+ YOEBachelor's degree,1+ year experience (1-3 years preferred),high proficiency in Microsoft SQL or R,Python preferred,Microsoft Excel and Tableau experience,PBM/pharmacy experience preferred.
Microsoft SQL, R, Python, Microsoft Excel, Microsoft Visual Studio, Tableau
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.
Durham or Alabama or Arizona or Arkansas or Colorado or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or North Carolina or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Wisconsin or Wyoming
$158k-$253k/yrHybridFull Time
Blue Cross and Blue Shield of North Carolina: Provides health insurance and medical benefit plans to members.
8+ YOEBachelor's or advanced degree (or 10+ years' experience),8+ years related experience,Medicare Part D Stars knowledge,analytics and forecasting experience,PBM/pharmacy quality familiarity,team leadership and CMS/HPMS experience.
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
6+ YOE6+ years of programming or testing experience with relevant languages, databases, operating systems, and software; Medicaid data, MMIS, T-MSIS, CMS reporting, and managed care analytics experience.
Microsoft Power BI, Databricks, ETL, ELT, Spark, DAX, Data Lake, MMIS, T-MSIS, HIPAA, CI/CD, PBM, PBA
Cambridge or Maine or New Hampshire or Vermont or Massachusetts or Rhode Island or Connecticut or New York or Pennsylvania or New Jersey or Delaware or Maryland or District of Columbia or Virginia or North Carolina or South Carolina or Georgia or Florida or Puerto Rico or Alaska or Arizona or Hawaii or Michigan or Tennessee or United States
$223k-$265k/yrRemoteFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's required; 10+ years pharma/biotech experience with 5+ years managing national/regional payers/PBM accounts; launch and rare-disease access experience; strong strategic, analytical, negotiation, and cross-functional skills; ability to travel 25–50%.
Syneos Health: Global biopharmaceutical services for clinical development and commercialization.
2+ YOE2+ years MSL experience required; advanced clinical or scientific degree preferred; HEOR/managed care/PBM and GI/Liver experience preferred; strong scientific and clinical acumen; ability to translate complex data; travel up to 60% and valid driver’s license required.