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Pbm Compliance Jobs (NOW HIRING)

Jobtailor

Senior Partner, PBM Compliance

Murray, UT · On-site

$70 - $110/hr

Provide strategic compliance guidance to Select Health leaders. * Develop training and educate stakeholders on compliance and ethics. * Lead investigations and projects within assigned portfolio.

CVS Health

Legal Counsel - PBM Market Conduct

Irving, TX · On-site

$144K - $288K/yr

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

CVS Health

Legal Counsel - PBM Market Conduct

Hartford, CT · On-site

$144K - $288K/yr

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

CVS Health

Legal Counsel - PBM Market Conduct

Blue Bell, PA · On-site

$144K - $288K/yr

You will support CVS Health, particularly Caremark, and provide advice and legal counsel on investigation and enforcement matters related to PBM compliance (state market conduct exams); assist with ...

AVTC Group

PBM Specialist

Princeton, NJ · On-site +1

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some ... ensure compliance. • Provide management recommendations throughout the project. • Identify ...

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How much do pbm compliance jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for pbm compliance in the United States is $24.25, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $26.44 per hour, depending on experience, location, and employer.

What is PBM compliance?

PBM compliance refers to the adherence to regulations, laws, and contractual requirements governing Pharmacy Benefit Managers (PBMs). PBM compliance professionals ensure that PBMs operate within federal and state guidelines, particularly regarding drug pricing, patient privacy (such as HIPAA), and contracts with pharmacies and drug manufacturers. Their work helps prevent fraud, waste, and abuse in the prescription drug supply chain, protecting both patients and health plan sponsors. Compliance in this field is critical to maintaining transparency, ethical practices, and trust within the healthcare system.

What are the key skills and qualifications needed to thrive as a PBM Compliance professional?

To thrive as a PBM Compliance professional, you need a strong understanding of pharmacy benefit management regulations, healthcare laws, and compliance protocols, often supported by a degree in healthcare, pharmacy, or a related field. Familiarity with regulatory research tools, compliance management systems, and auditing software is typically required, along with certifications such as Certified Compliance & Ethics Professional (CCEP) being advantageous. Attention to detail, ethical judgment, and strong communication skills help professionals navigate complex regulations and collaborate with cross-functional teams. These skills and qualifications are crucial to ensure adherence to legal requirements, minimize risk, and maintain the integrity of PBM operations.

What are some common challenges faced in a PBM Compliance role, and how can I prepare to address them?

Professionals in PBM (Pharmacy Benefit Manager) Compliance often navigate complex regulatory requirements and frequent changes in healthcare laws. Common challenges include staying updated with evolving state and federal regulations, ensuring internal processes remain compliant, and effectively communicating compliance expectations across departments. To prepare, candidates should develop strong attention to detail, keep current with industry updates, and build collaborative relationships with legal, clinical, and operational teams. Proactive learning and ongoing professional development are essential for success in this dynamic environment.

What is the difference between Pbm Compliance vs Pharmacy Technician?

AspectPbm CompliancePharmacy Technician
Required CertificationsOften requires PBM-specific certifications, compliance trainingCertified Pharmacy Technician (CPhT) typically required
Work EnvironmentFocus on PBM operations, regulatory compliance, auditsWork in retail, hospital, or mail-order pharmacies assisting pharmacists
Industry UsagePrimarily in pharmacy benefit management companiesIn various pharmacy settings across healthcare

While both roles are involved in pharmacy operations, Pbm Compliance specialists focus on regulatory adherence within PBMs, whereas Pharmacy Technicians assist pharmacists in daily pharmacy tasks. Understanding these differences helps clarify career paths and employer expectations in the pharmacy industry.

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What states have the most Pbm Compliance jobs?

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Pbm Compliance jobs near you
Infographic showing various Pbm Compliance job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $50,446 per year, or $24.3 per hour.

Senior Partner, PBM Compliance

Murray, UT • On-site

Jobtailor
See more jobs at Jobtailorexternal

$70 - $110/hr

Other

Posted 8 days ago

Job description

Responsibilities
  • Provide strategic compliance guidance to Select Health leaders.
  • Develop training and educate stakeholders on compliance and ethics.
  • Lead investigations and projects within assigned portfolio.
  • Establish communication channels with internal and external stakeholders.
  • Promote a culture of compliance and reporting.
  • Evaluate risks and develop corrective action plans.
  • Monitor changes in the regulatory environment and assess implications.
  • Support legal counsel and coordinate with HR and other departments.
Qualifications
  • Bachelor’s Degree in healthcare administration or similar field preferred.
  • Demonstrated professional‑level experience in a regulatory, compliance, or risk management role in the healthcare sector.
  • Expert‑level knowledge of federal and state laws related to health care billing, coding, reimbursement, contracting, and risk adjustment.
  • Ability to interpret and apply complex healthcare regulations and assess gaps.
  • Strong communication, presentation, and interpersonal skills.
  • Demonstrated discretion to maintain confidential information.
  • Experience implementing an effective compliance program.
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