12 pbm jobs at 6 companies in Maryland

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
1w
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Pharmacy Director - Health Plan
Columbia, Maryland, United States
$161k-$348k/yr HybridFull Time
MedStar Health
MedStar Health: Providing comprehensive healthcare services and patient care.
8+ YOERequires PharmD, pharmacist licensure in the District of Columbia or reciprocity eligibility, and 8–10 years of pharmacy leadership experience in health plan, PBM, or managed care operations.
CMS, NCQA, PBM, Medicare Part D, Medicaid
4w
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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.
4w
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Manager, Pharmacy Benefits
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
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.
5d
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Clinical Pharmacist, Clinical Program Oversight
Illinois or Ohio or Texas or Georgia or Vermont or Minnesota or Maryland or Massachusetts or South Carolina or Missouri or Michigan or Virginia or New York or North Carolina or Florida or Connecticut or Indiana or Pennsylvania or New Jersey or Rhode Island or Kentucky or Tennessee or United States
$106k-$206k/yr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOERequires 5+ years of clinical pharmacist experience, PBM clinical pharmacy experience, pharmacist licensure, clinical and analytical skills, project management, and Microsoft Office proficiency.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, PubMed, Lexicomp
1w
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Pharmacy Director - Health Plan
Columbia, Maryland, United States
$161k-$348k/yr OnsiteFull Time
MedStar Health
MedStar Health: Operates hospitals and provides diverse clinical healthcare services.
8+ YOE8+ MgmtRequires a PharmD, pharmacist licensure in DC or reciprocity eligibility, and 8–10 years of pharmacy leadership experience, including health plan, PBM, or managed care pharmacy operations.
pharmacy benefit managers (PBMs), CMS, NCQA
2mo
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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
2mo
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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.
1mo
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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
1mo
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Director, National Accounts, East
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/yr RemoteFull Time
Amylyx Pharmaceuticals
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%.
1mo
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Sr. Manager, Pricing - Pharmacy Appeals
Arizona or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or New Mexico or Montana or Iowa or Michigan or Oregon or Maine or Wisconsin or New York or North Dakota or Kansas or New Jersey or Nebraska or Indiana or Connecticut or Nevada or Rhode Island or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Virginia or South Dakota or Illinois or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$68k-$183k/yr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
7+ YOE5+ Mgmt7 years experience in pricing/PBM/healthcare operations or related domains; 5+ years leading operations teams; 1+ year appeals and claims adjudication experience; Bachelor's degree or equivalent; proficiency with Excel, MS Access, Salesforce; strong analytical and leadership skills.
Microsoft Excel, MS Access, Salesforce, Pharmacy Portal
3w
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Medicare Part B Operations Coordinator, Revenue Cycle
Rhode Island or Idaho or Arkansas or Vermont or Georgia or Texas or Minnesota or Montana or New Mexico or Iowa or Michigan or Maine or Wisconsin or North Dakota or District of Columbia or Kansas or New Jersey or Nebraska or Indiana or Connecticut or Nevada or Louisiana or Kentucky or Tennessee or Mississippi or Ohio or Oklahoma or West Virginia or Massachusetts or Maryland or South Carolina or Alabama or Missouri or Utah or Arizona or Virginia or South Dakota or Illinois or North Carolina or Florida or Colorado or Pennsylvania or New Hampshire or Wyoming or Delaware
$17-$34/hr RemoteFull Time
CVS Health
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
1+ YOE1+ year retail pharmacy/PBM/account experience, 1+ year Microsoft Excel and Access experience, strong communication and organizational skills, HIPAA compliance, HS diploma required, Associate's preferred, Rhode Island Pharmacy Technician (Tech II) license and CPhT/PTCB noted.
Microsoft Excel, Microsoft Access