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Pbm Cvs Jobs (NOW HIRING)

... CVS Health. Your experience with market access and B2B, as well as your success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a ...

... CVS Health. Your experience with market access and B2B, as well as your success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a ...

... CVS Health. Your experience with market access and B2B, as well as your success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a ...

Candidates that have CVS Caremark PBM adjudication/systems, LINKS/Mail order, AS400/mainframe, or other relevant experience are highly desired. * Preferred experience includes business operational ...

Candidates that have CVS Caremark PBM adjudication/systems, LINKS/Mail order, AS400/mainframe, or other relevant experience are highly desired. * Preferred experience includes business operational ...

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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 29, 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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Lead Director, Pharmaceutical Contracting

Lead Director, Pharmaceutical Contracting

CVS Health

Downers Grove, IL • On-site, Remote

$100K - $231K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago


Key responsibilities

  • Lead discussions and negotiations for high-value rebate contracts with branded pharmaceutical manufacturers for Commercial, Health Exchange, and Managed Medicaid segments.

  • Manage business relationships and provide relationship management on rebate issues with assigned pharmaceutical manufacturers.

  • Coordinate with internal leaders and cross-functional teams to support negotiation strategies and formulary positioning for branded pharmaceutical products.


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,270 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.

Health is everything. At CVS Health, our colleagues are committed to increasing access, lowering costs and improving quality of care. In this Director level role you will have the opportunity to have a significant impact in costs for branded pharmaceutical utilization for CVS Caremark; a proud member of the CVS Health family of companies.
In this non-supervisory Director level position, you will assume a highly visible and large impact role and responsibility to lead discussions and engage in strategic negotiations on high-value rebate contracts for Commercial, Health Exchange, and Managed Medicaid segments. This includes management of the business relationship with pharmaceutical manufacturers and contracting for discounts on branded pharmaceutical products. You will engage with cross functional teams across the organization, and you will partner on high profile negotiation strategies.
We are searching for a confident, creative professional with a background in complex contract negotiations that has led and cultivated multiple business relationships. Your strategic vision, critical thinking, and creativity will aid in your success. A professional presence, excellent presentation and communication skills are essential in the engagement and interaction process with manufacturers and internal colleagues.
You will utilize your creativity and skilled collaboration across multiple key business units, as well as your strategic vision, critical thinking capabilities and public speaking and presentation experience. You should be comfortable balancing multiple priorities at one time such as when dealing with multiple, complex contract negotiations and multiple manufactures. You will work with multiple internal (i.e., Trade Negotiators, Medical Affairs, Product), and external (manufacturer) partners to establish relationships and articulate potential management strategies with a deep understanding of utilization and cost patterns that underlie them. You will assist Trade leadership in meeting financial goals, including rebate generation. This is an outstanding opportunity with exposure to leadership; and a chance to create strong partnerships.

ADDITIONAL ACCOUNT MANAGEMENT DUTIES INCLUDE:

*You will work closely with the Executive Director and Vice President of Trade Relations in the negotiation strategies with market access functions of branded pharmaceutical manufacturers.

*You will lead discussions and negotiations for rebates for branded pharmaceuticals where CVS Caremark is the PBM, providing input and recommendations for formulary strategies and positioning, and negotiating contracts that support those strategies.

*You will positively develop and foster strong relationships with direct manufacturers and industry partners.

*You will coordinate with other key leaders that have responsibility for pharmacy benefit strategies to create synergies and value.

*You will have an opportunity to directly work with pharmaceutical manufacturers and provide relationship management on rebate issues for your assigned segments.

*You will be accountable for rebate contracting with assigned manufacturers.

Ideally, this is a hybrid position and will be located out of our corporate offices in either Northbrook, IL or Downers Grove, IL , with a couple of days per week working remotely. Remote/work from home would be considered based on experience.

Required Qualifications:

*10+ years of professional related experience

*8+ years experience in managed care which may include PBM, Pharma, market access, account management, specialty pharmacy, or health plan.

*Ability up to 10-20% travel as necessary, per business needs

Preferred Qualifications:

*MBA, PharmD

*8+ years of experience negotiating contracts in the healthcare or PBM space

*Strong knowledge and understanding of pharmaceutical rebates, purchasing, and prescription benefit designs

*Familiarity with pharmaceutical pricing and reporting of pharmaceutical products

Education:

Bachelor's degree required, will consider equivalent work experience

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00


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. This position also includes an award target in the company's equity award program.

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: 07/10/2026

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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