16 pbm jobs at 9 companies in Frederick, MD

2w
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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
2w
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PBM Financial Analyst Lead
Mason or Atlanta or Ashburn or Columbus or Cincinnati or Richmond or Seven Hills or Roanoke or Norfolk or Cleveland
$75k-$136k/yr HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
3+ YOEBA/BS in accounting or finance and minimum 3 years accounting/FP&A/management reporting experience; proficiency with Excel and SQL; MBA/CPA/CMA and insurance experience preferred.
Microsoft Excel, SQL
1mo
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Capability Manager, Benefit Central PBM Capabilities
Eden Prairie or Minneapolis or Washington or United States
$92k-$164k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
5+ YOE5+ years in product/capability management or related roles with experience developing digital portals, leading cross-functional Agile teams, using AHA/Rally/Jira/Confluence, and driving capability roadmaps.
AHA, Rally, Jira, Confluence, Copilot, Agile/Scrum
2w
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Pharmacy Benefit Coordinator
Linthicum, Maryland, United States
$67k-$72k/yr OnsiteFull Time
Maryland Care Management
Maryland Care Management: Manages Medicaid health insurance programs for Maryland residents.
2+ YOEMaryland pharmacy technician licensure and PTCB certification, 2+ years as pharmacy technician, PBM/managed care experience preferred, knowledge of PBM programs, business writing, and attention to detail.
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
3w
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Benefits Strategy Executive Advisor
Chevy Chase, Maryland, United States
$181k-$293k/yr HybridFull Time
Howard Hughes Medical Institute
Howard Hughes Medical Institute: Conducts biomedical research and funds scientific education and discovery.
15+ YOE15+ years benefits strategy experience with PBM, plan design, vendor management, advising C-suite, and leading large-scale benefits transformation initiatives.
1w
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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
4w
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Senior Capability Manager, Client Implementation and Intake Alignment - Remote
Eden Prairie or Minneapolis or Washington or United States
$113k-$193k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
7+ YOEBachelor's or equivalent, 7+ years in capability/client implementation/program management, experience in healthcare or PBM, intake/demand management, strong analytical and executive communication skills.
RxClaim, Agile, SAFe, Scrum
1w
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Specialty Implementation Project Manager Remote
Eden Prairie or Minneapolis or Washington or United States
$73k-$130k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
1+ YOE1+ year project management and client/account implementation experience; PBM or healthcare experience preferred; intermediate Excel and PowerPoint; cross-functional collaboration; occasional travel (<10%).
Microsoft Excel, Microsoft PowerPoint
1mo
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Health Law Practice Group Associate/Special Counsel - BOS | NY | DC
Boston or New York City or Washington
$200k-$345k/yr HybridFull Time
Mintz
Mintz: Full-service law firm providing legal and regulatory counsel.
3+ YOEJD or LLM, admitted or eligible for MA/NY/DC bar, 3+ years transactional experience in managed care/PBM, commercial contracting and negotiation experience, strong communication and organization.
1mo
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Program Manager - Pharmacy Supply Chain - (Remote)
Baltimore, Maryland, United States
$107k-$212k/yr RemoteFull Time
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
8+ YOE8+ years program/project management experience, pharmacy/PBM knowledge, Bachelor's in Business Management or equivalent experience, PMP preferred, strong stakeholder, financial reconciliation, and process improvement skills.
Microsoft Applications
2w
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Associate Director, Network Pricing - Drug Pricing & Claims Integrity -Remote
Eden Prairie or Minneapolis or Washington
$113k-$193k/yr RemoteFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
7+ YOE7+ years in pharmaceutical pricing, claims adjudication, PBM operations or healthcare financial modeling; strong analytical, contract interpretation, EMR/data workflow diagnostic, and communication skills; RxClaim experience preferred.
RxClaim
1mo
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Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid)
Baltimore, Maryland, United States
$120k-$215k/yr HybridFull Time
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
5+ YOEPharmD required, active registered pharmacist license in any state/DC, 5+ years clinical pharmacy experience (managed care/PBM preferred), strong clinical and business acumen, presentation and client-facing skills.
4w
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Senior Business Analyst - Medicare (Hybrid)
Baltimore, Maryland, United States
$74k-$146k/yr HybridFull Time
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
5+ YOE5+ years progressive analytic/business analysis experience; Bachelor's in Business/IT/CS or additional 4 years experience; knowledge of Medicare/CMS, PBM/pharmacy claims, audits, and strong Excel/Microsoft Office skills.
Microsoft Office, Acumen
2mo
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Pharmacy Program Manager (Hybrid)
Baltimore, Maryland, United States
$107k-$212k/yr HybridFull Time
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield: Provides health insurance coverage and administrative healthcare services.
8+ YOEBachelor's in Business Management or equivalent experience, 8+ years program/project management experience, pharmacy/PBM finance or analytics experience preferred, PMP preferred, strong data synthesis and stakeholder leadership skills, eligible to work in the U.S.
Microsoft Applications
1mo
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Site Director
Washington or Boston or Massachusetts
$139k-$173k/yr OnsiteFull Time
Community Care Cooperative
Community Care Cooperative: Accountable care organization supporting network of community health centers.
5+ YOE5+ MgmtCurrent Washington D.C. pharmacist license and PharmD or BS in Pharmacy required; minimum 5 years retail/outpatient pharmacy supervisory experience; PBM, 340B, and financial/clinical oversight experience; strong interpersonal and Microsoft Office skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint