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Pbm Advocate Jobs (NOW HIRING)

TrueScripts

Member Care Advocate - West - Mountain

... the PBM industry since 2014. Our mission is to build lasting relationships by providing ... Position Summary The Member Care Advocate is responsible for performing all tasks relative to in ...

Interra Health

Senior Product Manager

$140K - $188K/yr

You will own the RTPB roadmap end-to-end - partnering with Engineering, payer/PBM connectivity ... advocate for the roadmap against competing priorities What You'll Bring * Bachelor's degree and 8+ ...

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Pbm Advocate information

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$32.5K

$60.6K

$85.5K

How much do pbm advocate jobs pay per year?

As of Sep 9, 2026, the average yearly pay for pbm advocate in the United States is $60,627.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,000.00 and $69,000.00 per year, depending on experience, location, and employer.

What is a PBM Advocate?

A PBM Advocate is a professional who assists patients, healthcare providers, and pharmacies in navigating the complexities of Pharmacy Benefit Managers (PBMs). They help resolve issues related to prescription drug benefits, such as coverage denials, formulary restrictions, and prior authorizations. PBM Advocates often work to ensure that patients have access to the medications they need at an affordable cost, while also helping clarify insurance and reimbursement policies. Their role is crucial in bridging the gap between patients, healthcare providers, pharmacies, and insurance companies.

What are the most common challenges faced by a PBM Advocate, and how can they be addressed?

PBM Advocates often encounter challenges such as navigating complex pharmacy benefit structures, managing high call volumes, and addressing diverse member concerns regarding medication coverage and cost. To overcome these, successful advocates stay up-to-date with formulary changes, utilize internal resources and escalation protocols, and develop strong communication skills to explain benefits clearly to members. Team collaboration and continuous learning from experienced colleagues also help advocates efficiently resolve issues and provide excellent service.

What are the key skills and qualifications needed to thrive as a PBM Advocate, and why are they important?

To thrive as a PBM Advocate, you need a solid understanding of pharmacy benefits, health insurance, and prescription drug processes, often supported by a background in healthcare or pharmacy and relevant certifications. Familiarity with pharmacy benefit management systems, claims processing tools, and HIPAA regulations is essential. Strong communication, problem-solving, and advocacy skills help you effectively support patients and providers while navigating complex benefit issues. These skills ensure accurate benefit administration, enhance patient satisfaction, and optimize medication access within the healthcare system.

What is the difference between Pbm Advocate vs Pbm Coordinator?

AspectPbm AdvocatePbm Coordinator
CredentialsTypically requires knowledge of pharmacy benefit management, certifications like CPhT or relevant healthcare experienceOften requires similar certifications, with additional project management or administrative skills
Work EnvironmentPrimarily office-based, interacting with patients, providers, and insurance companiesOffice setting, coordinating between teams, managing schedules and data
Industry UsageUsed in healthcare and insurance sectors focusing on patient advocacy and benefit managementCommon in healthcare organizations managing pharmacy benefits and provider relations

The Pbm Advocate focuses on patient support and benefit advocacy, while the Pbm Coordinator handles administrative and coordination tasks within pharmacy benefit management. Both roles require healthcare knowledge, but the Advocate emphasizes patient interaction, whereas the Coordinator manages processes and logistics.

What are popular job titles related to Pbm Advocate jobs?

For Pbm Advocate jobs, the most frequently searched job titles are:

Infographic showing various Pbm Advocate job openings in the United States as of September 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $60,627 per year, or $29.1 per hour.

Patient Care Advocate Remote (Florida Only)

Deerfield, IL • On-site

Walgreens Boots Alliance
Pharmaceutical and Medicine Manufacturing • 51 - 200 employees
Learn more about Walgreens Boots Allianceexternal

$18 - $23.50/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Walgreens rating

5.6

Company rating: 5.6 out of 10

Based on 2,237 frontline employees who took The Breakroom Quiz

97th of 113 rated pharmacies

Job description


Job Summary:
The Patient Care Advocate provides new and existing patients with the best possible patient experience in relation to their prescriptions, clinical services, billing inquiries, feedback and suggestions. As the first line of contact to patients and stakeholders, the patient care advocate will set the tone for how our company and services are experienced.
Job Responsibilities:
  • Receives inbound calls and performs outbound calls to patients or physician's offices regarding orders for medications, pharmacy services and any other non-clinical inquiries.
  • Adds or updates insurance and pharma information in patient's record, or collect insurance information and alert appropriate teams to update the patient's account.
  • Creates patient activities as a reminder for the following tasks including but not limited to follow-up calls for patients, to initiate discharge of services, to contact a patient's doctor office, to mail a letter to a patient.
  • Completes client and/or pharma-specific duties to satisfy the needs and expectations of customers.
  • Works collaboratively on disease-focused teams to provide best-in-class customer service.
  • Connects patients with pharmacists for counseling and clinical inquiries as required.
  • Completes all additional special handling duties as assigned including but not limited to drug shipment notifications and Adverse Drug Event Reports.
  • Escalates calls to clinicians, insurance verification teams, specialized teams as required.
  • May work on special projects and/or programs, provide bi-lingual support and be cross-trained in other departments including but not limited to specialized, support, and new patient/enrollment teams as required.
  • Provides expertise in specialized pharma programs and subject matter expertise with complex disease states and patient care.
  • Coordinates all activities related to Risk Evaluation Mitigation Strategies (REMS) compliance.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) has a storied heritage of caring for communities for generations and proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico, and leading omni channel platforms. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for retail pharmacy and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
External Basic Qualifications
  • High School/GED
  • Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction
  • Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner.
  • Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).
Preferred Qualifications
  • Experience providing customer service in a healthcare, specialty pharmacy, PBM, call center setting or other related industry including but not limited to adherence, quality, After Call Work (ACW), etc.
  • Experience with Microsoft Office Suite (such as MS Word, MS Excel, etc.)
  • Proficient computer skills with ability to learn proprietary company software; experience working with multiple systems.
We will consider employment of qualified applicants with arrest and conviction records.
The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

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