ZipRecruiter

Log In

2

Contract Remote Pbm Jobs (NOW HIRING)

Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some ... Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful ...

Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some ... Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful ...

OneDigital

PBM RFP & Pricing Lead - Remote

Automated extraction of PBM contract terms and pricing components * AI-assisted summarization and comparison of bidder responses * Predictive modeling and benchmarking of PBM pricing outcomes

Rightway

Senior CSM, PBM

Miami, FL · Remote

... contract deliverables, tracking client inquiries and maintaining logs, resolving client escalations ... Remote or Dallas, TX * Important characteristics of ideal candidate: Detail-oriented, consultative ...

next page

Showing results 1-20

All JobsContract Remote Pbm Jobs

Contract Remote Pbm information

What are some common challenges faced by professionals working as Contract Remote PBMs, and how can they be addressed?

One common challenge for Contract Remote PBM (Pharmacy Benefit Manager) professionals is maintaining clear communication with clients and team members, as remote work can sometimes lead to misunderstandings or delays. Additionally, staying updated on ever-changing pharmacy regulations and plan requirements can be demanding. To address these challenges, it's important to utilize reliable communication tools, establish regular check-in meetings, and actively participate in ongoing training. Building strong relationships with stakeholders and being proactive in addressing client concerns also contribute to successful remote contract management.

What is a Contract Remote PBM?

A Contract Remote PBM refers to a pharmacy benefit manager (PBM) who works on a contractual basis and operates remotely, rather than being employed full-time on-site. PBMs are companies or professionals that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. Their primary responsibilities include negotiating with drug manufacturers and pharmacies to control drug spending, processing prescription drug claims, and creating formularies to determine which drugs are covered. A contract remote PBM performs these duties from a remote location, often utilizing digital tools to collaborate with clients and stakeholders.

What is the difference between Contract Remote Pbm vs Contract Remote Pharmacist?

AspectContract Remote PbmContract Remote Pharmacist
CredentialsLicensing, certification in pharmacy benefit managementState pharmacy license, certification (e.g., PTCB)
Work EnvironmentRemote, healthcare/insurance industryRemote, healthcare/pharmacy industry
Employer & Industry UsageHealth plans, PBMs, insurance companiesPharmacy chains, hospitals, insurance companies
Common Search & ComparisonYesYes

Contract Remote Pbm roles focus on managing pharmacy benefits, requiring knowledge of benefit design and healthcare policies, while Contract Remote Pharmacist roles involve direct pharmacy practice, medication review, and dispensing. Both are remote healthcare positions but differ in responsibilities and industry focus.

What are the key skills and qualifications needed to thrive as a Contract Remote Pharmacy Benefit Manager (PBM), and why are they important?

To thrive as a Contract Remote PBM, you need a strong understanding of pharmacy benefit management, contract negotiation, and healthcare regulations, often supported by experience in pharmacy or healthcare administration. Familiarity with PBM software platforms, claims adjudication systems, and knowledge of regulatory compliance tools is essential. Excellent analytical skills, attention to detail, and effective remote communication are standout soft skills for this role. These abilities ensure optimal contract outcomes, regulatory adherence, and seamless collaboration with clients and stakeholders in a remote environment.
More about Contract Remote Pbm jobs
What cities are hiring for Contract Remote Pbm jobs? Cities with the most Contract Remote Pbm job openings:
What are the most commonly searched types of Remote Pbm jobs? The most popular types of Remote Pbm jobs are:
What states have the most Contract Remote Pbm jobs? States with the most job openings for Contract Remote Pbm jobs include:
What job categories do people searching Contract Remote Pbm jobs look for? The top searched job categories for Contract Remote Pbm jobs are:
Contract Remote Pbm jobs near you
Infographic showing various Contract Remote Pbm job openings in the United States as of June 2026, with employment types broken down into 100% Contract. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution.

PBM Specialist

Associates Systems LLC

Princeton, NJ • Remote

Other

Posted 28 days ago

Job description

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert -
Remote work with some travel - 10%
US Citizens or Permanent Residents
JOB OVERVIEW
The PBA/PBM (SME) is responsible for supporting numerous aspects of the design, development and implementation (DDI) followed by maintenance and operations (M&O) of a new PBAmodule as part of Medicaid Enterprise System (MES) Modernization Program. This role provides support for all aspects of the PBA effort with the emphasis on ensuring all business requirements are met, all business processes are established and the new PBAmodule is successfully integrated with all components of State.
The PBA/PBM SME will work with various team members, stakeholders, vendors and the provider community to ensure successful delivery aligned with CMS and State requirements, funding rules, and State priorities. The role works closely with the current operations staff, the PBA Vendor, State Associate Director, Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful implementation of the new PBA Module

The PBA/PBM SME will operate under the direction of the State Associate Director during DDI and the Medicaid Manager during M&O.
Key RESPONSIBILITIES
Experience with PBA, PBR, FWA, and PCM.
Utilize strong Medicaid PBA processing knowledgeto support the Project Manager inguiding/driving the DDI.
Utilize vast historical PBA/PBM knowledge to lead discussions.
Provide PBA/PBM expertise on all aspects of the DDI and M&O efforts.
Review all PBA deliverables and ensure requirements are met in conjunction with the Project Manager.
Provide subject matter expertise in Pharmacy Benefit Administration orManagement(PBA/PBM), including cost avoidance strategies and pharmacy transparency dashboards, and collaborate with the DDI vendor to design and implement these capabilities.
Support cross-module planning to address data integration, shared services, and enterprise alignment.
Assist in facilitating cross team partnership to ensure interoperability and architectural consistency.
Support the testing efforts to ensure compliance.
Provide management recommendations throughout the project.
Identify issues and escalate as appropriate.
Ensure certification outcomes are clearly identifiedand addressed through all stages of the DDI.
Support CMS certification processes and reviews.
Support all OCM activities
Support all internal stakeholder activities.
REQUIRED SKILLS AND EXPERIENCE
Qualifications
Required:
Bachelor's degree in Business, Public Administration, a related field or comparable work experience.
Strong understanding of Medicaid programs and CMS oversight.
Minimum of six years of extensive PBA or PBMexperience.
Experience with engaging large stakeholder groups.
Excellent organization, analytic and communication skills.
Preferred:
Experience with State Medicaid modernization initiatives.
Experience with engaging with the Medicaid Provider Community.
Familiarity with CMS MITA framework and APD/CPR processes.
Familiarity with Gainwell's MMIS system

Apply