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Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

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 ...

AVTC Group

PBM Specialist

Princeton, NJ · On-site

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 ...

Associates Systems LLC

PBM Specialist

Princeton, NJ · Remote

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 ...

Medone Pharmacy Benefit Solutions

PBM Underwriter

As a PBM Underwriter, you will be a strategic team member that is key in both winning new and retaining existing business by compiling financial proposals that appeal to clients, while meeting MedOne ...

Techstra Solutions

PBM Business Analyst

Pittsburgh, PA · On-site +1

Serve as a Subject Matter Expert (SME) in PBM Manufacturer Rebates and Invoicing processes , guiding system reviews, data flows, and future-state solution design * Collaborate with business and ...

Rx Valet, LLC

Be Seen First

PBM Operations Manager

Lawrenceville, GA · On-site

$65K - $85K/yr

Rx Valet is seeking an experienced, results-oriented PBM Operations Manager to lead our Shield PBM operations and client service teams. This is a senior leadership role responsible for overseeing ...

Vativo RX, LLC.

PBM Sales Executives

FL · Remote

PBM Sales Executive Job Summary The PBM Sales Executive (PBM) will be responsible for the sales within assigned markets, with specific responsibilities and dynamics varying by client/account. The PBM ...

OneDigital

PBM RFP & Pricing Lead - Remote

Position Overview We are seeking a highly experienced PBM RFP & Pricing Lead to own and enhance our end-to-end pharmacy RFP process. This is a hands-on, strategic role focused on product ownership of ...

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How much do pbm jobs pay per year?

As of Jun 10, 2026, the average yearly pay for pbm in the United States is $53,410.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,000.00 and $60,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced by Pharmacy Benefit Managers and how are they addressed?

Pharmacy Benefit Managers often encounter challenges such as staying compliant with frequently changing healthcare regulations, managing relationships between pharmacies, insurers, and clients, and controlling rising prescription drug costs. To address these challenges, PBMs work closely with cross-functional teams, leverage up-to-date technology platforms, and engage in ongoing education about regulatory requirements. Strong analytical skills help them assess and negotiate pricing strategies, while effective communication ensures all stakeholders are informed and aligned. By proactively managing these factors, PBMs play a key role in keeping healthcare affordable and accessible.

What are the key skills and qualifications needed to thrive in the Pbm position, and why are they important?

To thrive as a Pharmacy Benefit Manager (PBM), you need a solid understanding of pharmacy benefits, healthcare administration, insurance processes, and data analysis, often supported by a degree in pharmacy, healthcare management, or a related field. Familiarity with pharmacy claims processing systems, formulary management software, and compliance regulations is essential, and some roles may require pharmacy technician or pharmacist certification. Strong communication, negotiation, and organizational skills help PBMs collaborate with pharmacies, insurers, and clients while managing complex benefit structures. These capabilities are crucial for ensuring cost-effective, compliant, and efficient pharmacy benefit solutions for clients and patients.

What is a PBM job?

A PBM (Pharmacy Benefit Manager) job involves managing prescription drug benefits on behalf of health insurers, employers, and other payers. Responsibilities often include negotiating drug prices with manufacturers, creating formularies, processing pharmacy claims, and ensuring medication cost savings. PBM professionals work in roles such as clinical pharmacists, account managers, and analysts to optimize drug coverage and improve patient outcomes.

More about Pbm jobs
What cities are hiring for Pbm jobs? Cities with the most Pbm job openings:
What are the most commonly searched types of Pbm jobs? The most popular types of Pbm jobs are:
What states have the most Pbm jobs? States with the most job openings for Pbm jobs include:
What job categories do people searching Pbm jobs look for? The top searched job categories for Pbm jobs are:
Pbm jobs near you
Infographic showing various Pbm job openings in the United States as of June 2026, with employment types broken down into 95% Full Time, 2% Part Time, and 3% Contract. Highlights an 47% Physical, 7% Hybrid, and 46% Remote job distribution, with an average salary of $53,410 per year, or $25.7 per hour.

PBM Specialist

Associates Systems LLC

Princeton, NJ • Remote

Other

Posted 17 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
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

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