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Pbm Consulting Jobs (NOW HIRING)

Judi Health

Account Manager, PBM

New York, NY · Hybrid

Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting ...

Capital Rx

Account Coordinator, PBM

Denver, CO · On-site

$69K - $86K/yr

Undergraduate bachelor's degree, with record of strong academic performance or equivalent job experience * 1+years of proven experience in PBM / health plan, benefits consulting, healthcarepreferred

Judi Health

Account Coordinator, PBM

Charlotte, NC · On-site

$69K - $86K/yr

Undergraduate bachelor's degree, with record of strong academic performanceor equivalent job experience * 1+ years of proven experience in PBM / health plan, benefits consulting, healthcare preferred

Capital Rx

Account Coordinator, PBM

Charlotte, NC · On-site

$69K - $86K/yr

Undergraduate bachelor's degree, with record of strong academic performance or equivalent job experience * 1+years of proven experience in PBM / health plan, benefits consulting, healthcarepreferred

Capital Rx

Clinical Account Consultant, PBM

Manhattan, NY · On-site

$140K - $160K/yr

The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of ... in PBM, managed care, or health plan environments. * Strong clinical knowledge of formulary ...

Capital Rx

Account Manager, PBM

Charlotte, NC · On-site

$100K - $125K/yr

Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting ...

Capital Rx

Account Manager, PBM

Denver, CO · On-site

$100K - $125K/yr

Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting ...

Capital Rx

Clinical Account Consultant, PBM

Denver, CO · On-site

$140K - $160K/yr

The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of ... in PBM, managed care, or health plan environments. * Strong clinical knowledge of formulary ...

Capital Rx

Clinical Account Consultant, PBM

Charlotte, NC · On-site

$140K - $160K/yr

The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of ... in PBM, managed care, or health plan environments. * Strong clinical knowledge of formulary ...

Capital Rx

Account Manager, PBM

Manhattan, NY · On-site

$100K - $125K/yr

Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting ...

Judi Health

Account Manager, PBM

Charlotte, NC · On-site

$100K - $125K/yr

Undergraduate bachelor's degree, with record of strong academic performance * 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare * Track record of building trusting ...

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Pbm Consulting information

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$22K

$62.5K

$121K

How much do pbm consulting jobs pay per year?

As of Aug 18, 2026, the average yearly pay for pbm consulting in the United States is $62,502.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,000.00 and $87,000.00 per year, depending on experience, location, and employer.

What is PBM consulting?

PBM consulting refers to professional advisory services focused on pharmacy benefit management (PBM). Consultants in this field help health plans, employers, or other organizations optimize their pharmacy benefit programs by analyzing contracts, improving cost efficiency, ensuring regulatory compliance, and enhancing patient outcomes. They may also provide guidance on PBM selection, formulary management, and rebate negotiations. PBM consultants use industry expertise to help clients navigate the complex landscape of prescription drug benefits.

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

To thrive as a PBM (Pharmacy Benefit Management) Consultant, you need a thorough understanding of pharmacy benefits, healthcare regulations, and data analysis, often supported by a degree in pharmacy, healthcare administration, or business. Familiarity with PBM software platforms, claims processing systems, and data analytics tools is typically required. Strong communication, negotiation, and problem-solving skills distinguish top performers in this role. These skills ensure effective management of pharmacy benefits, cost optimization, and successful client relations within a complex healthcare environment.

What are some common challenges faced by PBM consultants when working with clients to optimize pharmacy benefit plans?

PBM Consultants often encounter challenges such as navigating complex regulatory requirements, addressing diverse client needs, and managing tight timelines for plan implementation. They must balance cost-containment goals with ensuring access to high-quality medications and manage relationships between plan sponsors, pharmacies, and pharmaceutical manufacturers. Effective communication and staying updated on industry trends are crucial for overcoming these challenges and delivering optimal solutions for clients.

What does a Pbm Consulting do?

A PBM (Pharmacy Benefit Management) consultant advises healthcare organizations on pharmacy benefit strategies, formulary management, and cost containment. They analyze drug utilization data, develop policies, and help optimize medication benefits for clients, often using data analysis tools and industry regulations.
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Pbm Consulting jobs near you
Infographic showing various Pbm Consulting job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 84% Full Time, 9% Part Time, and 6% Contract. Highlights an 83% Physical, 6% Hybrid, and 11% Remote job distribution, with an average salary of $62,502 per year, or $30 per hour.

Senior Data Scientist - PBM Analytics

CVS Health

Manhattan, NY • On-site

$101K - $222K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health , you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Within the data science department ("Analytics & Behavior Change"), you'll have the opportunity to drive the next level of PBM (Pharmacy Benefit Manager) member experience and service quality at a leading national healthcare brand.
We're looking for data scientists who thrive in ambiguous, fast-moving environments to drive efficiency and growth in Caremark's PBM business, using advanced analytics, predictive modeling, and statistics. We expect the candidate to leverage business acumen and good data storytelling to help Caremark improve member well-being and its product and services. PBM Analytics is one of the key teams within the Analytics & Behavior Change department and partners with the PBM leadership to drive innovation and develop cutting edge solutions.
This is a hands-on Senior data scientist role, with a combination of business / stakeholder consulting and, data analysis (technical coding, including using machine learning methods).
Position Summary
  • Generate insights, build machine learning, deep learning and statistical predictive models and develop analytical approaches which form the foundation for driving patient engagement tactics aimed at improving medication adherence and patient experience.
  • Deploy large scale machine learning and deep learning models in a production environment.
  • Effectively collaborate cross functionally with Data Engineering, IT and other technical teams to onboard new data sources, create feature stores and optimize/ automate model development and deployment processes (Github, MLOps etc.)
  • Perform data quality assessments, remediate or curate data as necessary, perform data modeling
  • Write complex and efficient SQL code and leverage Exploratory Data Analysis techniques to develop insights from millions of adjudicated prescription claims and member level records across the PBM
  • Communicate complex modeling outputs into clear business narratives for non-technical audiences & senior leadership to build credibility across levels and functions
  • Prepare communication material such as presentations and reports, collaborate effectively with business, marketing, trade and other stakeholders across the organization.
  • Mentor peers and lead intern projects.

Required Qualifications
  • 3+ years of hands-on experience in generating business insights, machine learning, and deep learning frameworks
  • Proficiency in evaluating AI outputs for accuracy, mitigating bias, and directing large language models to deliver actionable business insights
  • Strong experience with deployment of machine learning and deep learning models in production
  • Strong proficiency with Python and SQL, data quality assessment, and data modeling
  • Strong proficiency with Github and MLOps

Preferred Qualifications
  • Strong experience with cloud-based ML frameworks (either Google Cloud Platform, AWS, or Azure)
  • Experience with prompt engineering, Retrieval-Augmented Generation (RAG), and deploying machine learning pipelines
  • Experience in healthcare and/ or pharma

Education
  • Bachelor's degree or equivalent work experience in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline.
  • Master's degree or PhD preferred

Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$101,970.00 - $222,480.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/17/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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