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Pbm Advocate Jobs (NOW HIRING)

Senior Product Manager

Boston, MA ยท Remote

$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+ ...

$150 - $200/hr

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+ ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Your team serves as our patient members' advocate, guiding them through the complex world of ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Your team serves as our patient members' advocate, guiding them through the complex world of ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Your team serves as our patient members' advocate, guiding them through the complex world of ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Your team serves as our patient members' advocate, guiding them through the complex world of ...

Staffed by veterans of the benefit and pharmacy industries, our first specializes in advocacy ... As a proven pharmacy partner, RxBenefits provides all pharmacy benefit manager (PBM) administrative ...

$100 - $125/hr

Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong ... What You're Like You're an advocate with a customer-first mindset who will do whatever is needed to ...

New

$100 - $125/hr

Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong ... What You're Like**You're an advocate with a customer-first mindset who will do whatever is needed ...

Showing results 41-60

Pbm Advocate information

See salary details

$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.

Senior Product Manager

Boston, MA โ€ข Remote

Interra Health
Fitness and Sports Centersย โ€ขย 51 - 200 employees

$140K - $188K/yr

Full-time

Medical, Dental, Vision, Retirement

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Who We Are:
Interra Health is a fast-growing healthcare technology company transforming how providers and patients navigate the prescription journey. Formed through the merger of DoseSpot, Arrive Health, and pVerify, Interra Health delivers trusted eligibility, real-time coverage and pricing insights, prescribing tools, and pharmacy transparency at the point of care—helping providers make informed decisions and patients access the right medications with greater clarity and affordability. Backed by strong market momentum and a bold vision for the future of connected care, Interra Health offers the chance to join an innovative, mission-driven team working at the intersection of software and healthcare to reduce friction, improve access, and make the healthcare experience better for everyone.

Interra Health is looking for a Senior Product Manager to own our Real-Time Prescription Benefits (RTPB) and Pharmacy Alternatives product line. This product line includes the pharmacy benefit and transaction-check capabilities that tell prescribers what a medication will actually cost and whether it's covered before the patient ever reaches the counter. This is one of the highest-stakes product lines in our portfolio: accuracy and speed here directly shape prescribing decisions, patient cost, and adherence.

You will own the RTPB roadmap end-to-end — partnering with Engineering, payer/PBM connectivity partners, Compliance, and Clinical stakeholders to keep pace with NCPDP standards, formulary and copay data accuracy, and e-prescribing integration requirements. This role requires genuine pharmacy domain fluency: you need to understand how benefit checks, formulary logic, and prescriber workflows actually work in order to make credible trade-offs and earn trust with clinical and payer stakeholders. The right person combines strong product instincts with a relevant clinical background and is comfortable owning a regulated, technically complex product line in a post-merger environment where systems and standards are still consolidating.

What You'll Do

  • Own the RTPB and Pharmacy Alternatives product roadmap end-to-end — from problem definition through launch and post-launch iteration

  • Translate NCPDP real-time pharmacy benefit standards and payer/PBM connectivity requirements into clear product specs and engineering-ready requirements

  • Own formulary, copay, and benefit-check data accuracy — partnering with Engineering and payer/PBM connections to diagnose and resolve accuracy or latency issues

  • Partner with Compliance and Legal to ensure RTPB features meet applicable pharmacy, payer, and data-privacy regulatory requirements

  • Partner with Clinical and Pharmacy Ops stakeholders to validate that product decisions result in actionable insights for prescribers

  • Manage relationships with payer/PBM connectivity partners on integration requirements, testing, and issue resolution

  • Define and track success metrics for RTPB and Pharmacy Alternatives — transaction accuracy, latency, adoption, and prescriber/pharmacy satisfaction — and report against clear targets

  • Use AI tools to accelerate requirements drafting, data analysis, and documentation, raising both the speed and quality of product output

  • Represent RTPB & Pharmacy Alts in cross-functional planning, prioritization, and executive updates, and advocate for the roadmap against competing priorities

What You'll Bring

  • Bachelor's degree and 8+ years in product management, including ownership of complex, regulated healthcare or pharmacy technology products (equivalent experience considered)

  • Clinical background required — e.g., PharmD, other pharmacy or clinical experience, or direct experience building pharmacy/PBM/benefit-check technology

  • Working knowledge of NCPDP standards, real-time pharmacy benefit (RTPB) transactions, e-prescribing, and formulary/copay data structures

  • Demonstrated ability to translate complex regulatory and clinical requirements into clear product specifications

  • Proven cross-functional collaboration with Engineering, Compliance, and external payer/PBM partners

  • Experience owning a product roadmap with measurable accuracy, latency, or adoption outcomes

  • Comfort operating in a fast-paced, post-merger environment where systems, standards, and structures are still consolidating

Nice to Haves

  • Direct experience with e-prescribing network integrations

  • Experience working directly with PBMs or payer connectivity teams

  • Familiarity with medication access, adherence, or patient cost-transparency solutions

  • Active pharmacy licensure or clinical credential

Pre-Employment Drug Screening: This position is subject to a pre-employment drug screening, where permitted by applicable law. Any required screening will be conducted after a conditional offer of employment and in accordance with applicable federal, state, and local laws.

Benefits & Perks:

Remote work environment with a flexible work schedule to encourage work-life balance

✈Annual company offsite

Generous leave package including flexible time off policy that encourages team members to take time off to relax and recharge; plus 13 paid holidays, paid sick leave, and paid parental leave

Medical, dental, and vision insurance for you and your family, plus a company funded FSA & HSA (dependent on which medical plan you choose)

401(k) company match

One-time workspace reimbursement to help you optimize your remote workspace

Interra Health is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. 

Compensation Range: $140K - $188K