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Pbm Manager Jobs in California (NOW HIRING)

Lucyrx

Patient Services Representative

Fresno, CA · Remote

$17.50 - $22/hr

What We Do LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works.We'refixingwhat'sbroken in the PBM industry by putting people first and ...

Impresiv Health

Health Plan Pharmacist

Huntington Beach, CA · On-site

$61.50 - $74/hr

This role serves as a key clinical and strategic partner responsible for formulary management, PBM collaboration, utilization management, pharmacy analytics, and provider engagement. The ideal ...

Develop Health

Senior Product Manager

Menlo Park, CA · On-site

$160K - $200K/yr

Become a deep domain expert in complex healthcare systems -- EHRs, payer portals, PBM formularies ... What You'll Bring On Day 1: * 3-6 years of product management experience , ideally in startups ...

Develop Health

Senior Product Manager

Menlo Park, CA · On-site

$160K - $200K/yr

Become a deep domain expert in complex healthcare systems - EHRs, payer portals, PBM formularies ... What You'll Bring On Day 1: * 3-6 years of product management experience , ideally in startups ...

Ellipsis Health, Inc

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

Reporting to the Chief Growth Officer, Payer & PBM, the VP Payer Sales a high profile role ... Build and manage the entire business development pipeline, building relationships with executive ...

MedImpact

Account Executive I (PBM)

San Diego, CA · On-site +1

$115K - $145K/yr

Manages all aspects of business relationships with minimal management involvement and exhibits a ... private label PBM's, Cash Card and/or other related entities. Other Skills and Abilities ...

MedImpact

Account Executive I (PBM)

San Diego, CA · On-site

$115K - $145K/yr

Manages all aspects of business relationships with minimal management involvement and exhibits a ... private label PBM's, Cash Card and/or other related entities. Other Skills and Abilities ...

Scaled Composites

Project Scheduler

Mojave, CA · On-site

$86K - $160K/yr

Prepare and maintain monthly health reports, dashboards, and supporting documentation for the PBM's and management. * Assist with ad hoc analysis and special projects as directed. Required Skills and ...

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Showing results 21-40

All JobsPbm JobsPbm Manager JobsPbm Manager Jobs in California

Pbm Manager information

See California salary details

$24K

$77K

$147.9K

How much do pbm manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for pbm manager in California is $77,045.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,044.00 and $103,308.00 per year, depending on experience, location, and employer.

What is the difference between Pbm Manager vs Pbm Analyst?

AspectPbm ManagerPbm Analyst
CredentialsBachelor's degree, certifications like CPhT or PMP often preferredBachelor's degree, certifications like CPhT or relevant industry certifications
Work EnvironmentOversees teams, manages projects, strategic planningAnalyzes data, supports decision-making, reports generation
Employer & Industry UsagePharmacy benefit management companies, healthcare providersPharmacy benefit management companies, healthcare organizations

The Pbm Manager typically handles team leadership, strategic planning, and project management within pharmacy benefit management. In contrast, the Pbm Analyst focuses on data analysis, reporting, and supporting decision-making processes. Both roles require relevant certifications and work within similar healthcare environments, but the Manager has a broader leadership scope while the Analyst specializes in data-driven tasks.

What are the key skills and qualifications needed to thrive as a PBM manager, and why are they important?

To thrive as a PBM (Pharmacy Benefit Manager) Manager, you need a strong background in pharmacy operations, healthcare management, and a bachelor's degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy benefit management systems, claims processing software, and regulatory compliance tools is crucial. Strong analytical skills, leadership, and effective communication are vital soft skills for collaborating with clients, vendors, and internal teams. These competencies are essential to optimize drug benefit programs, ensure regulatory compliance, and deliver value-driven healthcare solutions.

What is a PBM manager?

A PBM Manager, or Pharmacy Benefit Manager Manager, is a professional responsible for overseeing the relationship between healthcare providers, insurance companies, and pharmacy benefit management companies. They work to ensure that prescription drug benefits are managed efficiently, negotiate contracts, and monitor compliance with regulations. PBM Managers analyze drug utilization data, manage formularies, and help control drug costs while ensuring patients have access to necessary medications. Their role is crucial in optimizing pharmacy benefit programs for employers, health plans, and other organizations.

What are some common challenges PBM managers face when coordinating between pharmacies, insurers, and healthcare providers?

PBM Managers often encounter challenges related to balancing the interests of various stakeholders, such as negotiating contracts and ensuring formulary compliance while maintaining cost-effectiveness and patient satisfaction. They must navigate complex regulatory requirements and address discrepancies in drug pricing or reimbursement. Effective communication and problem-solving skills are essential, as the role frequently involves resolving issues that arise from claim disputes, prior authorization processes, and network management. Collaboration with cross-functional teams is key to streamlining operations and optimizing outcomes for all parties involved.
What are the most commonly searched types of Pbm jobs in California? The most popular types of Pbm jobs in California are:
What are popular job titles related to Pbm Manager jobs in California? For Pbm Manager jobs in California, the most frequently searched job titles are:
What job categories do people searching Pbm Manager jobs in California look for? The top searched job categories for Pbm Manager jobs in California are:
What cities in California are hiring for Pbm Manager jobs? Cities in California with the most Pbm Manager job openings:
Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in California as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Temporary. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $77,045 per year, or $37 per hour.

Patient Services Representative

Lucyrx

Fresno, CA • Remote

$17.50 - $22/hr

Full-time

Posted 9 days ago

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

A Patient Services Representative I will act as a liaison, answer questions, and resolve any emerging problems that our pharmacies/patients might face with accuracy and efficiency. The successful candidate will be able to accept ownership for effectively solving patient issues, complaints, and inquiries; keeping customer satisfaction at the core of every decision and behavior.

Role and Responsibilities

  • Receives calls from pharmacies, clients, and patients and provides the requested information or support while following LucyRx's policies and procedures for the release of information

  • Troubleshoots pharmacy claims submission and documents calls in the ticketing system

  • Provides clinical call support for prior authorization-related calls and documents in the ticketing system

  • Understanding of pharmacy benefit plans and how to access the plan information, as well as how to communicate this information to patients accurately

  • Escalates incoming customer service calls when needed to the appropriate party for resolution

  • Assist with keeping the pharmacy outreach queues up to date

  • Demonstrate OMNI channel experience by effectively managing customer interactions across multiple communication platforms, including phone, email, chat, and other digital channels, ensuring a seamless and consistent service experience.

  • Cross-department support with projects as needed

  • Will be required to provide after-hours support on a rotational basis with other team members

  • Other duties as assigned

Qualifications and Education Requirements

  • High School Diploma or GED required

  • A current Pharmacy technician license or certification required, in good standing, from at least one state.

  • A Minimum of 2 years' experience providing excellent customer service, preferably in a call center, pharmacy or healthcare setting

  • Proficient in MS Office Suites - Outlook, Excel, Word, and Teams

  • Excellent communication skills

  • Excellent customer service skills to maintain LucyRx's high standard of patient service

  • Adaptable and work well in a fast-paced environment, multitasking while keeping focus on the customer

  • Flexibility to work different shifts (including evenings, weekends, or holidays)

Preferred

  • Bachelor's Degree in a related field

  • Pharmacy, PBM or Healthcare experience

  • High volume call center experience, servicing patients or members with healthcare needs

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. Regularly operates a computer, mouse, keyboard, and occasionally other standard office equipment, such as a printer, copier, and phone.

What We Do

LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works.We'refixingwhat'sbroken in the PBM industry by putting people first and challenging outdated norms. For too long, traditional PBMs have prioritized profit over patients, and we believethat'sjust plainwrong. LucyRx offers bold, innovative solutions powered byLucyIQ, our proprietary AI platform, to deliver actionable insights that lower costs, improve care, and simplify prescription management. Whilewe'renew to the PBM space, LucyRx is built on decades of leadership experience and a commitment to meaningful change.We'rea nimble, remote-first team with a bold mission to redefine pharmacy benefits-andwe'rejust getting started.

WhatIt'sLike to Work at LucyRx

At LucyRx,we'rea fast-moving team dedicated to making healthcare simpler, fairer, and more effective. Joining us means being part of a dynamic, mission-driven group that works collaboratively to challenge outdated industry practices and redefinewhat'spossible in pharmacy benefits. We value accountability, innovation, and a relentless focus on making an impact. Here,you'llfind a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. Ifyou'reready to roll up your sleeves and make a real difference,we'dlove to have you on our team.

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