ZipRecruiter

Log In

1

Pbm Manager Jobs in Colorado (NOW HIRING)

Capital Rx

Supervisor, Appeals Pharmacist

Denver, CO · On-site

$128K - $160K/yr

An active unrestrictive pharmacist license. * 2 years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting. * 1+ year of experience working with Commercial and/or ...

Capital Rx

Supervisor, Appeals Pharmacist

Denver, CO · On-site

$128K - $160K/yr

An active unrestrictive pharmacist license. * 2 years of experience as a clinical pharmacist in a Pharmacy Benefit Management (PBM) setting. * 1+ year of experience working with Commercial and/or ...

BrightSpring

Margin Specialist / Remote

Englewood, CO · Remote

$60K/yr

... management desired * Superior analytical skills, self-motivation, detail oriented, quantitative skills, logic, and problem-solving skills, PBM billing experience. * Medical billing experience desired

Amerita

Margin Specialist / Remote

Englewood, CO · Remote

$55K/yr

... management desired * Superior analytical skills, self-motivation, detail oriented, quantitative skills, logic, and problem-solving skills, PBM billing experience. * Medical billing experience desired

Amerita

Margin Specialist / Remote

Englewood, CO · On-site +1

$55K - $60K/yr

... management desired * Superior analytical skills, self-motivation, detail oriented, quantitative skills, logic, and problem-solving skills, PBM billing experience. * Medical billing experience desired

Capital Rx

Senior Backend Software Developer

Denver, CO · On-site

$139K - $200K/yr

PreviousPharmacy Benefits Manager (PBM) experience is a plus. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and ...

Capital Rx

Account Executive

Denver, CO · On-site

Lead client renewal process, including contract management * Lead ownership of performance ... Understanding of healthcare regulatory considerations impacting health systems and PBM oversight.

Capital Rx

Formulary Operations Pharmacist

Denver, CO · On-site

$60 - $72/hr

Minimum 1-2 years of pharmacy experience working for a health plan or PBM * Understanding of formulary management, claims data analysis, and drug utilization strategies. * Experience supporting ...

Capital Rx

Underwriting Analyst

Denver, CO · On-site

$76K - $95K/yr

Pharmacy, PBM, or Health Plan experience preferred * Knowledge of risk management, statistics, financial modeling * Experience manipulating large data sets, including the ability to analyze and ...

previous page

Showing results 41-60

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 3, 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.

Senior Analyst, Risk Management, Audit

Judi Health

Denver, CO • Hybrid

Full-time

Posted 20 days ago

Job description

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Summary:

The Senior Analyst, Risk Management (Audit) exists to support the Risk Management function by executing risk-based initiatives from intake through completion. This is a hybrid role spanning risk management, project execution, and data analytics: the Analyst plans and coordinates cross-functional workstreams, analyzes data to surface risks and trends, and improves the processes and reporting that keep regulatory and client audits, corrective actions, performance guarantees, finance accruals, and client-experience initiatives controlled and defensible. Partnering across Client Audit Performance, Compliance, Analytics, and other stakeholders, the Analyst strengthens audit and risk readiness, maintains accurate reporting, and reduces operational risk.

Position Responsibilities:

  • Plan and execute cross-functional risk and audit initiatives end to end, from intake through closure, following a consistent identify, assign, track, and close workflow.
  • Coordinate deliverables, timelines, dependencies, and stakeholders across multiple teams to keep initiatives on schedule.
  • Design, build, and maintain dashboards, KPI reporting, and trend analysis that track status, deliverables, risks, corrective actions, and closure activities.
  • Analyze audit, corrective action, and reverse & reprocess (R&R) data to surface risks, trends, and operational improvement opportunities.
  • Maintain audit artifacts, documentation, repositories, and version control to support submission readiness and consistent, defensible audit responses.
  • Track corrective action tasks, audit findings, and follow-ups through to closure.
  • Review impact data and audit and reverse & reprocess (R&R) outputs for accuracy and completeness, identifying data gaps or incomplete pulls.
  • Support governance of audit-response and R&R workflows through process documentation, job aids, RACI clarity, and escalation paths.
  • Support automation of manual reporting and tracking processes to improve consistency, speed, and accuracy.
  • Partner with Client Audit Performance, Compliance, Analytics, and other stakeholders on responses, reporting, issue tracking, and process improvement.

Required Qualifications:

  • Bachelor's degree or equivalent experience.
  • 3 - 5 years of experience in audit, compliance, risk, operations, project coordination, or analytics.
  • Strong organizational skills, attention to detail, and ability to maintain accurate, audit-ready documentation.
  • Ability to coordinate and execute cross-functional projects and workstreams across multiple teams, stakeholders, and timelines.
  • Ability to analyze data and build or maintain reporting, trackers, KPIs, and dashboards (e.g., in Excel) to support decision-making.

Preferred Qualifications:

  • Formal project management methodology or certification (e.g., Agile/Scrum, PMP).
  • SQL and/or Python.
  • Power BI or Tableau.
  • Excel Power Query.
  • Business process mapping and workflow automation tools.
  • Jira or comparable project/work-tracking tools.
  • Project coordination or process improvement experience.
  • Working knowledge of PBM or healthcare operations sufficient to validate data outputs and audit results.

Apply