Charlotte, NC · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Charlotte, NC · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Denver, CO · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Denver, CO · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Manhattan, NY · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Manhattan, NY · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Charlotte, NC · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
Charlotte, NC · On-site +1
$80K - $100K/yr
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
Quick apply
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
The person in this role will be strategic and client-facing, responsible for cultivating new relationships and managing existing accounts within a pharmacy benefit management (PBM) or health plan ...
Eden Prairie, MN · On-site +1
$91K - $163K/yr
The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team ... PBM Client Management experience working with HealthPlan clients * PBM reporting experience
Eden Prairie, MN · On-site +1
$91K - $163K/yr
The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team ... PBM Client Management experience working with HealthPlan clients * PBM reporting experience
Eden Prairie, MN · Remote
$91K - $163K/yr
The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team ... PBM Client Management experience working with HealthPlan clients * PBM reporting experience
Eden Prairie, MN · Remote
$91K - $163K/yr
The Senior Account Manager serves as the primary liaison between OptumRx and the Health Plan team ... PBM Client Management experience working with HealthPlan clients * PBM reporting experience
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
The Manager II, Medicaid PBM Sales Support leads a team of Medicaid PBM account managers supporting various markets. How you will make an impact: Primary duties may include, but are not limited to:
PR · On-site
Guaynabo, PR PBM Claims Analyst is responsible for auditing, analyzing, and tracking accounts receivable related to Pharmacy Benefit Managers (PBMs) at a specialty pharmacy. This role focuses ...
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PR · On-site
Guaynabo, PR PBM Claims Analyst is responsible for auditing, analyzing, and tracking accounts receivable related to Pharmacy Benefit Managers (PBMs) at a specialty pharmacy. This role focuses ...
Approach the account management process with a high degree of professionalism and effectiveness by ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
Quick apply
Approach the account management process with a high degree of professionalism and effectiveness by ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
Approach the account management process with a high degree of professionalism and effectiveness by ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
Approach the account management process with a high degree of professionalism and effectiveness by ... Bachelor's degree preferred * 3-5 years of experience in PBM industry, group health insurance, or ...
$29.5K - $36.5K
5% of jobs
$36.5K - $43.4K
11% of jobs
$47.6K is the 25th percentile. Wages below this are outliers.
$43.4K - $50.4K
15% of jobs
$50.4K - $57.3K
14% of jobs
The median wage is $60K / yr.
$57.3K - $64.3K
14% of jobs
$64.3K - $71.2K
12% of jobs
$75.1K is the 75th percentile. Wages above this are outliers.
$71.2K - $78.2K
9% of jobs
$78.2K - $85.1K
7% of jobs
$85.1K - $92.1K
6% of jobs
$92.1K - $99K
4% of jobs
$99K - $106K
3% of jobs
$29.5K
$65.8K
$106K
To thrive as a PBM (Pharmacy Benefit Manager) Account Manager, you need a solid understanding of pharmacy benefits, client relationship management, and healthcare industry practices, typically supported by a bachelor’s degree in business, healthcare, or a related field. Familiarity with PBM platforms, claims processing systems, and knowledge of industry compliance standards such as HIPAA are often required. Excellent communication, problem-solving, and negotiation skills help you effectively manage client needs and resolve complex issues. These skills and qualifications are crucial for building trust with clients, ensuring high service standards, and driving the overall success of managed pharmacy benefit programs.
A typical day for a PBM Account Manager involves serving as the main point of contact for clients, addressing their ongoing questions about pharmacy benefits, and ensuring smooth administration of benefit programs. You might spend your time analyzing utilization reports, coordinating with internal teams such as clinical pharmacists and claims specialists, and managing client onboarding or renewal meetings. Regular communication and problem-solving are central to the role, as you'll be expected to proactively address service issues and provide strategic account recommendations. The work is often fast-paced and collaborative, requiring you to balance multiple client accounts while staying current on industry trends and regulatory requirements.
A PBM (Pharmacy Benefit Manager) Account Manager is responsible for managing relationships between PBMs and their clients, such as health plans, employers, or government programs. They ensure contract compliance, oversee benefit implementations, and address any service or performance issues. Their role includes analyzing claims data, managing formularies, and optimizing cost-saving strategies while maintaining high-quality service for clients. Effective communication, problem-solving, and industry knowledge are essential for success in this role.
$80K - $100K/yr
Other
Medical
Posted 2 days ago
Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including:
Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health.
Location:Remote (For Non-Local) or Hybrid (Local to NYC,Denver, or Charlotte)
Position Summary:
The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations. Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent.
Position Responsibilities:
Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business
Support implementation as a critical member of the client management teams with all day-to-day client requirements
Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations
Analyze incoming client requests and work with internal and external teams to complete required plan documentation
Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent
Lead pre- and post-implementation quality assurance and testing to validate coding accuracy
Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address
Travel requirements not to exceed 25%
Handle and resolve sponsor and member issues, escalating as needed
Research and respond to claims processing and system configuration inquiries
Coordinate integration of other data inputs into client management processes
Collaborate cross functionally to support general client operations, as required
Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support
Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance.
Qualifications:
Undergraduate bachelor's degree, with record of strong academic performance
5+ years of proven experience in PBM / health plan, benefits consulting, healthcare
Track record of building trusting internal and external relationships
Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
Experience working with structured and unstructured data
Proficient in Microsoft Office, SQL a bonus
Ability to balance multiple complex projects simultaneously
Exceptional written and verbal communication skills
Extremely flexible, highly organized, and able to shift priorities easily
Attention to detail & commitment to delivering high quality work product
Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment.
This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job.
All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.
Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.
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Health care and social assistance
201 - 500 Employees
New York, NY, US
2017
