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Pbm Manager Jobs in Colorado (NOW HIRING)

Capital Rx

Account Manager, PBM

Denver, CO · On-site

$100K - $125K/yr

The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.

Capital Rx

Account Coordinator, PBM

Denver, CO · On-site

$69K - $86K/yr

Support implementation and client management teams with all day-to-day client requirements ... PBM / health plan, benefits consulting, healthcarepreferred * Track recordof building trusting ...

Capital Rx

Clinical Account Consultant, PBM

Denver, CO · On-site

$140K - $160K/yr

... in PBM, managed care, or health plan environments. * Strong clinical knowledge of formulary ... Highly organized and able to manage multiple priorities in a fast-paced, cross-functional ...

Capital Rx

Quality Assurance Manager

Denver, CO · On-site

Strong background in the healthcare, pharmacy benefit management (PBM), or health insurance industries * Proven success in building and scaling test automation strategies across large or complex ...

Capital Rx

QA Manager

Denver, CO · On-site

Strong background in the healthcare, pharmacy benefit management (PBM), or health insurance industries * Proven success in building and scaling test automation strategies across large or complex ...

Pharmacy Careers

Formulary Management Pharmacist

Aurora, CO · On-site

$59.25 - $71.25/hr

Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards. * Provide clinical support for utilization management, prior-authorization criteria, and step ...

Judi Health

QA Manager

Denver, CO · On-site

Strong background in the healthcare, pharmacy benefit management (PBM), or health insurance industries * Proven success in building and scaling test automation strategies across large or complex ...

Capital Rx

Manager, Financial Operations

Denver, CO · On-site

$120K - $130K/yr

The individual must have a strong financial background in PBM and be comfortable working with Excel ... Manage billing across various lines of business including commercial, public, private, and ...

Capital Rx

Account Executive, PBM

Denver, CO · On-site

Contract support during the sales process, with transitional ownership and management through the lifecycle of the client * Support member and client satisfaction execution and net promoter score ...

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All JobsPbm JobsPbm Manager JobsPbm Manager Jobs in Colorado

Pbm Manager information

See Colorado salary details

$23.1K

$74.1K

$142.1K

How much do pbm manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for pbm manager in Colorado is $74,064.00, according to ZipRecruiter salary data. Most workers in this role earn between $43,301.00 and $99,311.00 per year, depending on experience, location, and employer.

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 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 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 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 popular job titles related to Pbm Manager jobs in Colorado?

For Pbm Manager jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Pbm Manager jobs in Colorado look for?

The top searched job categories for Pbm Manager jobs in Colorado are:

Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in Colorado as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, 1% Temporary, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $74,064 per year, or $35.6 per hour.

Account Manager, PBM

Capital Rx

Denver, CO • On-site

$100K - $125K/yr

Other

Medical

Posted 17 days ago

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: 3-days Hybrid (Local to NYC,Denver, or Charlotte)

Position Summary:

The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations. Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent.

Position Responsibilities:

  • Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business

  • Support implementation as a critical member of the client management teams with all day-to-day client requirements

  • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations

  • Analyze incoming client requests and work with internal and external teams to complete required plan documentation

  • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent

  • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy

  • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address

  • Travel requirements not to exceed 25%

  • Handle and resolve sponsor and member issues, escalating as needed

  • Research and respond to claims processing and system configuration inquiries

  • Coordinate integration of other data inputs into client management processes

  • Collaborate cross functionally to support general client operations, as required

  • Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support

  • Responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance.

Qualifications:

  • 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 internal and external relationships

  • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables

  • Experience working with structured and unstructured data

  • Proficient in Microsoft Office, SQL a bonus

  • Ability to balance multiple complex projects simultaneously

  • Exceptional written and verbal communication skills

  • Extremely flexible, highly organized, and able to shift priorities easily

  • Attention to detail & commitment to delivering high quality work product

Visa Sponsorship: Judi Health does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment.

This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

New York, NY Salary Range
$100,400—$125,500 USD
Denver, CO Salary Range
$92,000—$115,000 USD
Charlotte, NC Salary Range
$83,600—$104,500 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.

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