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Pbm Manager Jobs in Colorado (NOW HIRING)

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

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

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 ...

Elevance Health

Director Pharmacy Account

Denver, CO

$156K - $268K/yr

... management teams within the PBM or managed care industry preferred. * Proven success leading strategic client relationships with accountability for client retention, profitability, client ...

Sedgwick

Vice President, Clinical Pharmacy

Denver, CO · On-site

$132K - $175K/yr

QUALIFICATIONS Education & Licensing PharmD degree from an accredited university or school of pharmacy preferred or Bachelor's degree with commensurate experience in PBM management and health care ...

Elevance Health

Director Pharmacy Account

Denver, CO

$156K - $268K/yr

... management teams within the PBM or managed care industry preferred. * Proven success leading strategic client relationships with accountability for client retention, profitability, client ...

OnePoint Patient Care

Pharmacy Technician

Englewood, CO · On-site

$23 - $25/hr

OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per day. Through its Concierge PBM, Next Day ...

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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 Aug 11, 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 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 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 1% As Needed, 85% Full Time, 13% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $74,064 per year, or $35.6 per hour.

Clinical Account Consultant, PBM

Capital Rx

Denver, CO • On-site

$140K - $160K/yr

Other

This job post has expired today. Applications are no longer accepted.

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.

Position Summary:


The Clinical Account Consultant (CAC) is a clinical subject matter expert behind a portfolio of pharmacy benefit
management clients. Responsibilities include turning complex claims data, clinical guidelines, and market shifts into
clear, data-driven recommendations. This role partners closely with Account Executives and internal teams to
improve member outcomes and pharmacy benefit performance across the client lifecycle.


Position Responsibilities:

Shape Clinical Strategy

  • Analyze pharmacy claims, utilization, and drug trend data to surface insights and build evidence-based
    recommendations across formulary, utilization management, specialty, and clinical programs.
  • Translate treatment guidelines, pipeline developments, and market trends into client strategy and assess
    its clinical impact.

Drive Clinical Program Execution & Client Delivery

  • Operationalize approved recommendations with internal teams so clinical intent is accurately reflected in
    formulary changes, utilization management initiatives, and other pharmacy benefit enhancements.
  • Review disruption analyses, clinical readiness materials, and post-go-live outputs to support accurate
    execution and a strong client/member experience.
  • Build client-ready clinical content for quarterly business reviews, strategic reviews, renewals, finalist
    presentations, and other client needs - then present findings and field clinical questions directly.


Build to Scale

  • Partner with Account Executives, analytics, operations, product, and other internal teams to align clinical
    strategy with operational execution and platform capabilities.
  • Contribute to the development of standardized clinical tools, templates, and best practices that raise
    quality, efficiency, and consistency across the team.

Additional Responsibilities

  • Support general business and team needs, as required.
  • Certain times of year may require meeting participation, testing, claims review, or other support outside of
    standard business hours, including weekends.


Required Qualifications:

  • Doctor of Pharmacy (PharmD) degree from an accredited institution.
  • Active pharmacist license, or ability to obtain/maintain licensure as required.
  • 3-5 years of experience in PBM, managed care, or health plan environments.
  • Strong clinical knowledge of formulary management, utilization management, clinical programs, and
    pharmacy trend analysis.
  • Experience analyzing pharmacy claims data and translating findings into actionable clinical
    recommendations.
  • Ability to explain complex clinical concepts clearly to both clinical and non-clinical audiences.
  • Strong written and verbal communication skills.
  • Highly organized and able to manage multiple priorities in a fast-paced, cross-functional environment.
  • Proficiency in Microsoft Office Suite, including Excel, and experience working with large data sets.
  • Ability to travel and present to small and large groups; travel is estimated not to exceed 25%.


Preferred Qualifications

  • Experience supporting formulary strategies, utilization management programs, or specialty pharmacy
    initiatives.
  • Experience contributing to client-facing clinical presentations and strategic recommendations.
  • Familiarity with implementation support related to formulary strategy, disruption review, or clinically
    driven benefit setup.
  • Experience working in a highly collaborative, matrixed environment.
New York, NY Salary Range
$140,000—$160,000 USD
Denver, CO Salary Range
$140,000—$160,000 USD
Charlotte, NC Salary Range
$140,000—$160,000 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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