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Pbm Account Manager Jobs in Ohio (NOW HIRING)

Trak Group

Benefits Success Manager

Cincinnati, OH · On-site

Previous employee benefits or PBM experience is particularly valuable, but strong account managers from other service-oriented industries may also translate well. Benefits Medical, dental, and vision ...

New

Medical Mutual of Ohio

VP Pharmacy Management

Cleveland, OH · On-site

$125K - $165K/yr

... manager (PBM). * Experience with Medicare/Commercial/ACA. Professional Certification(s ... Health Savings Account with a company matching contribution. * Excellent medical, dental, vision ...

Medical Mutual

VP Pharmacy Management

Cleveland, OH · On-site

$124K - $165K/yr

... manager (PBM). * Experience with Medicare/Commercial/ACA. Professional Certification(s ... Health Savings Account with a company matching contribution. * Excellent medical, dental, vision ...

Medical Mutual

VP Pharmacy Management

Brooklyn, OH · On-site

$121K - $160K/yr

... manager (PBM). * Experience with Medicare/Commercial/ACA. Professional Certification(s ... Health Savings Account with a company matching contribution. * Excellent medical, dental, vision ...

Medical Mutual of Ohio

VP Pharmacy Management

Cleveland, OH · On-site

$124K - $165K/yr

... manager (PBM). * Experience with Medicare/Commercial/ACA. Professional Certification(s ... Health Savings Account with a company matching contribution. * Excellent medical, dental, vision ...

Bcbsa

Director, Trade Client Relations

Delaware, OH · On-site +1

$155K - $175K/yr

... management (PBM), utilization management, pharmaceutical contracting, client relations, or ... spending account and many other benefits to eligible employees. Note: No amount of pay is ...

Bcbsa

Director, Trade Client Relations

New Hampshire, OH · On-site +1

$155K - $175K/yr

... management (PBM), utilization management, pharmaceutical contracting, client relations, or ... spending account and many other benefits to eligible employees. Note: No amount of pay is ...

Elevance Health

Business Change Manager Sr

Mason, OH · Hybrid

Experience independently leading small- to mid-sized account management or business initiatives ... Manager (PBM) environment. * Medicare experience, including knowledge of the Medicare line of ...

Elevance Health

Business Change Manager Sr

Mason, OH · Hybrid

Experience independently leading small- to mid-sized account management or business initiatives ... Manager (PBM) environment. * Medicare experience, including knowledge of the Medicare line of ...

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Pbm Account Manager information

See Ohio salary details

$28K

$62.6K

$100.8K

How much do pbm account manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for pbm account manager in Ohio is $62,571.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,600.00 and $74,600.00 per year, depending on experience, location, and employer.

What is a PBM Account Manager?

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.

What does a PBM Account Manager do?

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.

What skills and qualifications are needed to thrive as a PBM Account Manager?

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.

Pbm Account Manager jobs near you
Infographic showing various Pbm Account Manager job openings in Ohio as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $62,571 per year, or $30.1 per hour.

Pharmacy Billing Manager

Communicarehealth

Broadview Heights, OH • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days 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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