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Director Remote Pbm Jobs (NOW HIRING)

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some ... The role works closely with the current operations staff, the PBA Vendor, State Associate Director ...

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some ... The role works closely with the current operations staff, the PBA Vendor, State Associate Director ...

This role reports to and partners closely with the Director of PBM Performance, taking strategic direction while owning execution, process development, and advancement of the RFP function. The ideal ...

Senior CSM, PBM Remote About The Role: We are seeking a dynamic and experienced Senior Client ... Solid communication skills, ability to lead projects and influence others even without direct ...

Remote or Dallas, TX * Important characteristics of ideal candidate: Detail-oriented, consultative ... Solid communication skills, ability to lead projects and influence others even without direct ...

Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company dedicated to ...

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one ... Sense of Urgency Supervisory Responsibility This position does not have any direct supervisory ...

Customer Success Director

Wilmington, DE · On-site +1

$120K - $150K/yr

Description Customer Success Director Strategic Accounts | PBM Contract Advisory Wilmington, Delaware 19807 • Remote Role with Travel About Truveris Truveris is a pharmacy cost containment company ...

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one ... Sense of Urgency Supervisory Responsibility This position does not have any direct supervisory ...

Monday - Friday, 8:30am-5pm - Remote We Offer • Medical, Dental & Vision Benefits plus, HSA & FSA ... Acts as payer liaison focused on addressing Home Infusion Therapy (HIT) and PBM payer needs with ...

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How much do director remote pbm jobs pay per year?

As of Jun 30, 2026, the average yearly pay for director remote pbm in the United States is $95,228.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $112,000.00 per year, depending on experience, location, and employer.
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PBM Specialist

Associates Systems LLC

Princeton, NJ • Remote

Full-time

Posted 6 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