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Pbm Manager Jobs in Florida (NOW HIRING)

A-Line Staffing Solutions

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Prior Authorization Pharmacist (PBM) - Remote

Miami, FL · On-site

$53/hr

Manage a daily workload (approx. 40 PA cases/day ) * Document determinations and communication ... PBM / Managed Care / Health Plan experience (strongly preferred) * Specialty pharmacy exposure ...

A-Line Staffing Solutions

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Prior Authorization Pharmacist (PBM) - Remote

Miami, FL · On-site

$53/hr

Manage a daily workload (approx. 40 PA cases/day ) * Document determinations and communication ... PBM / Managed Care / Health Plan experience (strongly preferred) * Specialty pharmacy exposure ...

Elevance Health

Sr Test Analyst PBM

Tampa, FL · Hybrid

Anticipated End Date: 2026-09-25 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid ... Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.

Elevance Health

Sr Test Analyst PBM

Miami, FL · Hybrid

Anticipated End Date: 2026-09-25 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid ... Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.

Elevance Health

Sr Test Analyst PBM

Miami, FL · Hybrid

Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week ... Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.

Elevance Health

Sr Test Analyst PBM

Tampa, FL · Hybrid

Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week ... Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.

Benecard Services Inc.

$60 - $80/hr

Benecard is seeking a detail-oriented Lead Compliance Coordinator to support regulatory and compliance activities across our pharmacy benefit management (PBM), pharmacy, vision, and healthcare ...

Pharmacy Careers

Formulary Management Pharmacist

Miami, FL · On-site

$55.75 - $67/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 ...

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Pbm Manager information

See Florida salary details

$19.5K

$62.7K

$120.3K

How much do pbm manager jobs pay per year?

As of Sep 8, 2026, the average yearly pay for pbm manager in Florida is $62,676.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,643.00 and $84,040.00 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 the most commonly searched types of Pbm jobs in Florida?

The most popular types of Pbm jobs in Florida are:

What are popular job titles related to Pbm Manager jobs in Florida?

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

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

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

What cities in Florida are hiring for Pbm Manager jobs?

Cities in Florida with the most Pbm Manager job openings:

Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in Florida as of August 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $62,676 per year, or $30.1 per hour.

Prior Authorization Pharmacist (PBM) - Remote

A-Line Staffing Solutions

Miami, FL • On-site

$53/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago

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Job description

Prior Authorization Pharmacist (PBM) - Remote

Pay: $53.00 an hr
Duration: Contract to hire

Start date: 10/12/26
Work Setup: Fully remote (continental U.S.) — cannot be in New Mexico or Colorado
Hours: 40 hrs/week

Schedule (CST hours required)

Candidates will work one weekend day each week on one of these schedules:

  • Sun–Thu or Tue–Sat
  • 10:30am–7:00pm CST
  • 11:00am–7:30pm CST
  • 11:30am–8:00pm CST

Training (Mandatory)

10/12/2026 – 11/25/2026 (first 7 weeks)
Mon–Fri, 8:00am–4:30pm CST

Position Summary

Seeking an experienced Pharmacist to complete criteria-based clinical reviews and render prior authorization coverage determinations based on plan design, clinical guidelines, and regulatory requirements. This role supports specialty and non-specialty pharmacy programs and includes high-volume provider interaction.

Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and medical necessity
  • Interpret clinical criteria and plan guidelines; gather/assess clinical documentation
  • Communicate approvals/denials/incomplete requests to providers and patients
  • Handle high-volume inbound/outbound calls (approx. 50 calls/day)
  • Manage a daily workload (approx. 40 PA cases/day)
  • Document determinations and communication thoroughly and accurately
  • Support technicians and PA team to meet service level requirements

Required Qualifications

  • Active Pharmacist license (required)
  • 2+ years of prior authorization review experience (required)
  • PBM / Managed Care / Health Plan experience (strongly preferred)
  • Specialty pharmacy exposure (plus)
  • Strong communication + documentation skills; comfortable in a high-production environment
  • Able to work CST hours and one weekend day weekly
  • High school diploma/GED (verifiable) required
  • Bachelor’s in Pharmacy required (PharmD preferred)

Remote/Equipment Requirements (Must Meet)

  • Provide your own high-speed internet: minimum 25 Mbps download / 3 Mbps upload
  • Smartphone required (VPN token will be installed on phone)
  • Private, secure workspace (conversations/screens/documents not accessible to others)
  • Must be able to comply with teleworker privacy/security requirements
  • Assignment may be changed to in-office in the future (must acknowledge)
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About A-Line Staffing Solutions

Sourced by ZipRecruiter

A-Line Staffing Solutions is an established full-service recruiting and staffing provider that operates in the industry of human resources and recruitment. Based in Utica, Michigan, A-Line Staffing Solutions has been committed to its mission of providing innovative and effective workforce solutions since its foundation. The company specializes in providing high-quality staffing solutions for a range of disciplines, including Information Technology, Professional, Administrative, Healthcare, and more. A-Line prides itself on its ability to offer comprehensive and tailored staffing solutions in line with the varying needs of different businesses, which has played a crucial role in the company's growth and success.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Utica, MI, US

Year founded

2004

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