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Full Time Remote Pbm Pharmacist Jobs (NOW HIRING)

Lucyrx

Clinical Strategy Pharmacist

Bethesda, MD · On-site +1

$126K - $151K/yr

Strong understanding of PBM economics, rebate dynamics, and drug market trends * Experience ... Comfort operating in a fast-paced, remote-first environment with high ownership and accountability ...

Alignment Healthcare

Clinical Pharmacist I - Remote

$121K - $144K/yr

Experience navigating PBM adjudication platforms, pharmacy management software, and claims-related systems. * Healthcare Regulatory Compliance (Intermediate): Working knowledge of CMS regulations ...

Rightway

Senior CSM, PBM

Miami, FL · Remote

Remote or Dallas, TX * Important characteristics of ideal candidate: Detail-oriented, consultative ... and pharmacists into a patient's care journey through a modern, mobile app. Rightway is a front ...

Milliman

Consulting Pharmacist

San Diego, CA · On-site +1

$117K - $222K/yr

Applicants must have a deep understanding of pharmaceuticals and pharmacy benefits management (PBM ... Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO ...

Humana, Inc.

PBM HIT Technology Implementation Lead

$106K - $147K/yr

Work with pharmacists and other healthcare professionals in a team environment Use your skills to ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

Fuze Health

Verification Pharmacist - FuzeRx

Sharonville, OH · On-site +1

$53.50 - $64.25/hr

... or remote pharmacist workflows. * Experience in health-system, specialty, mail-order, or PBM ... Benefits: Full-time employee benefits include: dental, vision, and multiple group medical plans to ...

Southern Scripts

Account Executive - PBM

Chicago, IL · Remote

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one ... Position Type and Expected Hours of Work * Full- time/Salaried/Exempt. * Some flexibility in hours ...

Southern Scripts

Account Executive - PBM

Chicago, IL · Remote

Account Executive - PBM (remote position) We wanted a PBM that worked better... so we created one ... Position Type and Expected Hours of Work * Full- time/Salaried/Exempt. * Some flexibility in hours ...

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Full Time Remote Pbm Pharmacist information

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How much do full time remote pbm pharmacist jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for full time remote pbm pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.
What are the most commonly searched types of Remote Pbm Pharmacist jobs? The most popular types of Remote Pbm Pharmacist jobs are:
Full Time Remote Pbm Pharmacist jobs near you
Infographic showing various Full Time Remote Pbm Pharmacist job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 2% Full Time, 95% Part Time, and 1% Temporary. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Pharmacy Billing Manager

Communicarehealth

Broadview Heights, OH • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 hours ago

Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Pharmacy Billing Manager
Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland
Position Overview:
Manage the day to day operation of the billing unit for each pharmacy. Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the pharmacy billing manual. Help manage the pharmacy credentialing process for various PBM insurance payers (Med D, Managed Medicaid, commercial, ect.) for each PSG pharmacy location.
Key Responsibilities:

  • Manage the day to day operations of the billing team
  • Ensure that all billing processes are followed as outline in the billing manual to ensure consistency and prescription integrity for compliance
  • Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care)
  • Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications
  • Works directly with several hospice plans and third party plans as needed.
  • Review the setup of SQL reporting to ensure that all charges are billed appropriate as outlined in the billing manual
  • Manage the pharmacy credentialing process for PBM insurance payers (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care) for each PSG pharmacy location
  • Ensure all pharmacies are actively credentialed/re-credentialed with PBM insurance payers
  • Any other assigned duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications:

  • Management of a Team of employees a plus (but not required)
  • Previous Long-Term Care pharmacy experience a plus (but not required)
  • Knowledge of Framework LTC a plus (but not required)
  • Experience in Pharmacy insurance payer credentialing (LTC pharmacy experience preferred)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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