Principal Architect - PBM Modernization & AI Engineering The Principal Architect - PBM ... Ensure all solutions are secure, scalable, observable, compliant, and aligned with enterprise ...
Principal Architect - PBM Modernization & AI Engineering The Principal Architect - PBM ... Ensure all solutions are secure, scalable, observable, compliant, and aligned with enterprise ...
Compliance Analyst I
Milwaukee, WI · On-site
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
Compliance Analyst I
Milwaukee, WI · On-site
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
Auditor, PBM
Rolling Meadows, IL · On-site
Responsible for leading complex pharmacy claim audits, ensuring compliance with client-specific ... S. degree 3-5 years experience Experience as a Pharmacy Tech and project managment within PBM ideal ...
Auditor, PBM
Rolling Meadows, IL · On-site
Responsible for leading complex pharmacy claim audits, ensuring compliance with client-specific ... S. degree 3-5 years experience Experience as a Pharmacy Tech and project managment within PBM ideal ...
... Chief Compliance Officer or VP of Regulatory Affairs, PBM contract or vendor relationship manager, Manager or Director of Clinical Pharmacy Programs . * Based in the United States . * Able to ...
Quick apply
... Chief Compliance Officer or VP of Regulatory Affairs, PBM contract or vendor relationship manager, Manager or Director of Clinical Pharmacy Programs . * Based in the United States . * Able to ...
... compliance. We combine industry expertise and integrated solutions to help companies enhance ... PBM). This position is ideal for a mid-level consultant that has a passion for working with clients ...
... compliance. We combine industry expertise and integrated solutions to help companies enhance ... PBM). This position is ideal for a mid-level consultant that has a passion for working with clients ...
Product Development Director - CarelonRx - PBM
Woburn, MA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Woburn, MA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Manager - PBM/Payer Industry
Washington, DC · On-site +1
... compliance. We combine industry expertise and integrated solutions to help companies enhance ... PBM). This position is ideal for a mid-level consultant that has a passion for working with clients ...
Manager - PBM/Payer Industry
Washington, DC · On-site +1
... compliance. We combine industry expertise and integrated solutions to help companies enhance ... PBM). This position is ideal for a mid-level consultant that has a passion for working with clients ...
Account Coordinator, PBM
Manhattan, NY · On-site
$69K - $86K/yr
Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial ... compliance. This position description is designed to be flexible, allowing management the ...
Account Coordinator, PBM
Manhattan, NY · On-site
$69K - $86K/yr
Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial ... compliance. This position description is designed to be flexible, allowing management the ...
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Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines. * Document ... Experience with: * Pharmacy Benefit Management (PBM) * Prior Authorizations * Coverage ...
Quick apply
Be Seen First
Remote Pharmacist - Prior Authorization / PBM Experience
Phoenix, AZ · Remote
$53 - $55/hr
Ensure compliance with CMS regulations, plan policies, and pharmacy benefit guidelines. * Document ... Experience with: * Pharmacy Benefit Management (PBM) * Prior Authorizations * Coverage ...
PBM Senior Analyst, Underwriting
Las Vegas, NV · On-site +1
... compliance. Collaborating closely with cross-functional teams, you will contribute to enhancing ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
PBM Senior Analyst, Underwriting
Las Vegas, NV · On-site +1
... compliance. Collaborating closely with cross-functional teams, you will contribute to enhancing ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
... compliance. Collaborating closely with cross-functional teams, you will contribute to enhancing ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
... compliance. Collaborating closely with cross-functional teams, you will contribute to enhancing ... Ability to assess and quantify risk factors associated with PBM contracts and pricing strategies.
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Atlanta, GA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Woburn, MA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Woburn, MA · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
PR · On-site
Monitor and interpret regulatory changes impacting PBM operations, including CMS guidelines, HIPAA, and Medicare Part D. * Assist in maintaining compliance with Medicare regulations, including ...
Quick apply
This position seeks and obtains additional expertise as indicated from respective Compliance and ... Health insurance/PBM operations and/or contract audit experience * Experience with regulatory ...
This position seeks and obtains additional expertise as indicated from respective Compliance and ... Health insurance/PBM operations and/or contract audit experience * Experience with regulatory ...
Account Coordinator, PBM
Denver, CO · On-site
$69K - $86K/yr
Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial ... compliance. This position description is designed to be flexible, allowing management the ...
Account Coordinator, PBM
Denver, CO · On-site
$69K - $86K/yr
Judi Health is looking for a results-driven Account Coordinator, PBM to support the PBM Commercial ... compliance. This position description is designed to be flexible, allowing management the ...
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Product Development Director - CarelonRx - PBM
Wallingford, CT · On-site
$121K - $190K/yr
Ensures all products are compliant with regulatory directives, state/federal laws, and evolving PBM transparency requirements. * Coordinates the communication, presentation, and implementation of all ...
Client Audit Specialist (PBM) - Remote
Home, WA · On-site +1
This position seeks and obtains additional expertise as indicated from respective Compliance and ... Health insurance/PBM operations and/or contract audit experience * Experience with regulatory ...
Client Audit Specialist (PBM) - Remote
Home, WA · On-site +1
This position seeks and obtains additional expertise as indicated from respective Compliance and ... Health insurance/PBM operations and/or contract audit experience * Experience with regulatory ...
Pbm Compliance information
See salary details
$14.66 - $17.07
12% of jobs
$18.53 is the 25th percentile. Wages below this are outliers.
$17.07 - $19.47
22% of jobs
The median wage is $21.33 / hr.
$19.47 - $21.88
21% of jobs
$21.88 - $24.28
14% of jobs
$25.53 is the 75th percentile. Wages above this are outliers.
$24.28 - $26.68
13% of jobs
$26.68 - $29.09
6% of jobs
$29.09 - $31.49
6% of jobs
$31.49 - $33.89
4% of jobs
$33.89 - $36.30
1% of jobs
$36.30 - $38.70
1% of jobs
$38.70 - $41.11
0% of jobs
$14
$24
$41
How much do pbm compliance jobs pay per hour?
What is PBM compliance?
What are the key skills and qualifications needed to thrive as a PBM Compliance professional?
What are some common challenges faced in a PBM Compliance role, and how can I prepare to address them?
What is the difference between Pbm Compliance vs Pharmacy Technician?
| Aspect | Pbm Compliance | Pharmacy Technician |
|---|---|---|
| Required Certifications | Often requires PBM-specific certifications, compliance training | Certified Pharmacy Technician (CPhT) typically required |
| Work Environment | Focus on PBM operations, regulatory compliance, audits | Work in retail, hospital, or mail-order pharmacies assisting pharmacists |
| Industry Usage | Primarily in pharmacy benefit management companies | In 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.
What cities are hiring for Pbm Compliance jobs?
Cities with the most Pbm Compliance job openings:
What states have the most Pbm Compliance jobs?
States with the most job openings for Pbm Compliance jobs include:
What job categories do people searching Pbm Compliance jobs look for?
The top searched job categories for Pbm Compliance jobs are:

Cigna Healthcare rating
8.3
Based on 239 frontline employees who took The Breakroom Quiz
41st of 893 rated healthcare providers
Job description
Principal Architect - PBM Modernization & AI Engineering
The Principal Architect - PBM Modernization & AI Engineering is a senior architecture leader responsible for designing and delivering modern technology solutions that accelerate the transformation of the Pharmacy Benefit Management (PBM) ecosystem.
As a key member of the PBM modernization program, this individual will partner closely with product, engineering, data, and business teams to modernize legacy platforms and enable scalable, cloud-native, API-first, and event-driven architectures. The Principal Architect will bring deep technical expertise developed through a progression from software engineering into architecture leadership and will serve as a trusted advisor on application architecture, engineering excellence, technology modernization, and AI adoption.
The successful candidate will possess extensive experience designing, building, and modernizing enterprise platforms utilizing modern technology stacks, including React, Java, Go, Node.js, cloud-native services, and modern data architectures. This role requires expertise across application architecture, data engineering, integration strategies, distributed systems, and software delivery practices, with the ability to guide engineering teams through complex transformation initiatives.
Artificial Intelligence will be a critical component of this role. The Principal Architect will help define and implement architectures that leverage Generative AI, Agentic AI, and intelligent automation to streamline business processes, improve operational efficiency, enhance customer experiences, and unlock new business capabilities. This leader will champion practical AI adoption across the software development lifecycle while ensuring solutions remain scalable, secure, compliant, and aligned with enterprise standards.
Key Responsibilities
Modernization, AI & Engineering Leadership
Lead the design and implementation of architecture solutions supporting strategic PBM modernization initiatives.
Drive the transformation of legacy applications into modular, cloud-native, API-first, and event-driven platforms.
Establish architecture standards, reference patterns, and engineering best practices that improve scalability, resiliency, maintainability, and speed to market.
Provide hands-on technical leadership through architecture reviews, solution design, proof-of-concept development, and critical engineering initiatives.
Partner with engineering teams to modernize application platforms using React, Java, Go, Node.js, Kubernetes, cloud-native services, and modern integration patterns.
Define and implement data architecture, data modeling, and data engineering strategies that support operational, analytical, and AI-driven business capabilities.
Drive adoption of DevSecOps, platform engineering, architecture automation, and AI-assisted software development practices.
Identify and implement opportunities to embed Generative AI, Agentic AI, and intelligent automation capabilities within PBM products and business workflows.
Define architectural patterns that support AI-enabled workflow automation, intelligent decision support, knowledge management, and operational excellence.
Leverage AI-powered engineering platforms and development copilots, including Claude Code, Cursor, GitHub Copilot, and emerging technologies, to accelerate modernization efforts, improve developer productivity, enhance software quality, and reduce delivery timelines.
Design and implement AI-enabled software engineering capabilities, including SDLC agents, reusable skills, prompt frameworks, and specification-driven development practices that automate architecture, coding, testing, documentation, and modernization workflows.
Ensure all solutions are secure, scalable, observable, compliant, and aligned with enterprise architecture principles and governance standards.
Mentor architects and engineers while fostering a culture of technical excellence, innovation, continuous learning, and modernization.
Preferred Qualifications
8+ years of experience in software engineering, solution architecture, and technology leadership.
Demonstrated progression from hands-on software engineering roles into architecture leadership positions.
Deep expertise designing and building cloud-native applications utilizing Java, Go, Node.js, React, APIs, microservices, and event-driven architectures.
Strong background in data architecture, data modeling, data engineering, and modern data platforms.
Experience implementing Generative AI, Agentic AI, large language model (LLM)-based solutions, and intelligent automation capabilities in enterprise environments.
Experience within healthcare, pharmacy benefit management (PBM), payer, or pharmacy technology domains preferred.
Proven ability to influence senior technology and business leaders while driving large-scale modernization initiatives.
Strong communication, collaboration, and stakeholder management skills with the ability to translate complex technical concepts into business value.
Bachelor degree in Computer Science or related fields
Why This Role Matters
The Principal Architect serves as a key technical leader in the PBM modernization journey, translating strategic architecture vision into practical, scalable solutions. This role will help reduce technical debt, accelerate innovation, enable AI-driven transformation, and establish the technology foundation for the next generation of PBM platforms and digital capabilities. Through a combination of architectural leadership, engineering excellence, and AI innovation, this individual will play a critical role in shaping the future of the PBM technology landscape.
This version elevates the role to a more executive-level, strategic Principal Architect position while maintaining the hands-on modernization and AI engineering expectations.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
What Cigna Healthcare employees say
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About Cigna
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Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Bloomfield, CT, US