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Pbm Cvs Jobs (NOW HIRING)

Counsel

Farmington, CT

$144K - $288K/yr

You will be responsible for drafting commercial prescription benefit management (PBM) contracts for CVS Health's health plan and employer clients/payors. In this role you will actively advise ...

Counsel

Buffalo Grove, IL

$144K - $288K/yr

You will be responsible for drafting commercial prescription benefit management (PBM) contracts for CVS Health's health plan and employer clients/payors. In this role you will actively advise ...

Counsel

Woonsocket, SD

$144K - $288K/yr

You will be responsible for drafting commercial prescription benefit management (PBM) contracts for CVS Health's health plan and employer clients/payors. In this role you will actively advise ...

The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager (PBM). Implementations Managers play a critical role in onboarding new clients, ensuring their ...

The Implementations Team supports CVS Caremark, the nations leading pharmacy benefit manager (PBM). Implementations Managers play a critical role in onboarding new clients, ensuring their ...

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Pbm Cvs information

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$10

$28

$45

How much do pbm cvs jobs pay per hour?

As of Jun 28, 2026, the average hourly pay for pbm cvs in the United States is $28.64, according to ZipRecruiter salary data. Most workers in this role earn between $18.27 and $37.26 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a PBM CVS (Pharmacy Benefit Manager at CVS), and why are they important?

To thrive as a PBM CVS professional, you need strong analytical skills, knowledge of pharmacy benefit management processes, and a background in healthcare or pharmacy, often supported by a relevant degree. Familiarity with pharmacy claims processing systems, data analytics tools, and regulatory compliance software is typically required. Exceptional attention to detail, problem-solving abilities, and effective communication skills help you collaborate with clients, healthcare providers, and internal teams. These competencies are essential for optimizing drug benefit plans, ensuring regulatory compliance, and delivering cost-effective solutions for patients and clients.

What is CVS PBM platform?

The CVS PBM platform is a pharmacy benefit management system used by CVS Health to administer prescription drug benefits for health plans, employers, and government programs. It involves managing formulary design, claims processing, and drug utilization review, often requiring knowledge of healthcare regulations and pharmacy operations.

What is the highest pay for CVS Pharmacy tech?

The highest pay for CVS Pharmacy technicians can reach around $20 to $25 per hour, depending on experience, location, and certifications. Advanced roles or those with specialized skills may earn higher wages, especially in high-cost-of-living areas or with additional responsibilities.

Which PBM does CVS use?

CVS Health, which operates as a pharmacy benefits manager (PBM), uses its own PBM platform called CVS Caremark. This platform manages prescription drug benefits for many health plans and employers, providing services such as formulary management, claims processing, and mail-order pharmacy. CVS Caremark is one of the largest PBMs in the United States, integrating pharmacy services with retail and mail-order operations.

What is the difference between Pbm Cvs vs Pharmacy Technician?

AspectPbm CvsPharmacy Technician
Required CertificationsCertification may be preferred or required depending on stateCertified Pharmacy Technician (CPhT) often required
Work EnvironmentPharmacy benefit management settings, healthcare officesRetail pharmacies, hospitals, clinics
Employer & Industry UsageCommon in healthcare administration and insurance companiesCommon in retail and hospital pharmacies
Job FocusManaging prescription benefits, insurance claims, formulary managementPreparing medications, customer service, medication dispensing

While both roles involve working within the pharmacy industry, Pbm Cvs primarily focuses on pharmacy benefit management tasks such as insurance claims and formulary management, often in healthcare administration settings. Pharmacy Technicians, on the other hand, work directly in dispensing medications and assisting pharmacists in retail or hospital environments. Understanding these differences helps job seekers identify the right career path based on their skills and certifications.

How does a PBM CVS team member typically collaborate with pharmacists and healthcare providers to support patient care?

As a PBM (Pharmacy Benefit Manager) team member at CVS, you’ll regularly work alongside pharmacists and healthcare providers to ensure patients receive optimal medication management and support. Your daily responsibilities often include coordinating prior authorizations, resolving prescription benefit issues, and clarifying coverage options or formulary alternatives. Clear communication and teamwork are essential in this environment, as you may need to relay important information or advocate for patient needs across departments. This collaboration helps streamline the prescription process and improves patient outcomes.

What are PBM CVS jobs?

PBM CVS jobs refer to positions within CVS Health that are related to their Pharmacy Benefit Management (PBM) division. These roles typically involve managing prescription drug benefits for health plans, employers, and other clients to optimize costs and improve patient outcomes. Common PBM CVS jobs include roles in pharmacy operations, account management, clinical support, data analysis, and customer service. Employees in these positions work to ensure efficient prescription drug administration, negotiate with drug manufacturers, and support both clients and members. CVS Caremark is the PBM branch of CVS Health, making it a major employer in this field.

Is CVS considered a PBM?

CVS Health operates as a healthcare company that includes pharmacy benefit management (PBM) services through its CVS Caremark division. As a PBM, CVS Caremark manages prescription drug benefits for health plans, employers, and government programs, handling formulary management, claims processing, and pharmacy networks. The role of a PBM involves negotiating drug prices and developing medication management programs, which CVS Caremark performs as part of its services.
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PBM Underwriting - Senior Analyst

PBM Underwriting - Senior Analyst

CVS Health

Scottsdale, AZ

$46K - $102K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 hours ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,268 frontline employees who took The Breakroom Quiz

77th of 99 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 ourselvesaccountable 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.

POSITION SUMMARY:

Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts.

Some of your key responsibilities will include:

- Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin retention; and

- Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) statements; and

- Presenting financial analyses to Executive Leadership during Executive Underwriting Approval Calls and responding to financial questions in real-time; and

- Supporting Underwriting Managers and Sr. Managers with ad-hoc financial analyses and client implementation projects.

Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts. You will need to execute and implement constantly evolving pricing strategies in response to market dynamics to provide competitive, profitable, and attractive pricing offers. You will have a measurable impact in this role, by helping CVS Health, and our clients win, in a competitive marketplace.

REQUIRED QUALIFICATIONS:

- 3 or more years' financial analysis, pricing, or corporate underwriting experience required

- Proficient in Microsoft Excel in complex data analysis

PREFERRED QUALIFICATIONS:

- Basic knowledge of PBM finance
- Experience managing complex projects over 3-12 months in a matrix environment
- Ability to interact with others in a professional manner and help foster teamwork and knowledge sharing to complete key tasks
- Advanced Excel modelling
- Strong organizational, multi-tasking, and follow up skills.
- Strong presentation and communication skills with experience presenting to various business groups

EDUCATION:

- Bachelor's Degree required, preferably in Finance, Mathematics, Economics, or related field; or equivalent work experience may be considered

- Master's Degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 07/08/2026

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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