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Pbm Manager Jobs in Georgia (NOW HIRING)

Elevance Health

PBM Billing Specialist Senior

Atlanta, GA · On-site

$19.22 - $34.90/hr

PBM Billing Specialist Senior PBM Billing Specialist Senior Virtual: This role enables associates ... Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: AFA ...

Elevance Health

PBM Billing Specialist Senior

Atlanta, GA · On-site

$19.22 - $34.90/hr

PBM Billing Specialist Senior Virtual: This role enables associates to work virtually full-time, ... Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the ...

ProCare Rx

Call Center Supervisor PBM

Gainesville, GA

$20/hr

Previous experience within a Pharmacy or Pharmacy Benefit Manager (PBM) - preferred but not required. COMMUNICATION * Strong mentoring and relationship building skills with ability to effectively ...

ProCare Rx

Call Center Supervisor PBM

Gainesville, GA · On-site

$20/hr

Previous experience within a Pharmacy or Pharmacy Benefit Manager (PBM) - preferred but not required. COMMUNICATION * Strong mentoring and relationship building skills with ability to effectively ...

Elevance Health

Pharmacist Clinical (contract)

Atlanta, GA · On-site +1

$114K - $136K/yr

Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.

Pharmacy Careers

Formulary Management Pharmacist

Atlanta, GA · On-site

$56 - $67.25/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 ...

UCB

Commercial Operations Analyst

Atlanta, GA · On-site

Manage payer and PBM contracts, including pricing, membership, renewals, amendments, cancellations, and other contract lifecycle activities. * Process, validate, and reconcile Commercial, Managed ...

UCB

Commercial Operations Analyst

Atlanta, GA · Hybrid

Manage payer and PBM contracts, including pricing, membership, renewals, amendments, cancellations, and other contract lifecycle activities. * Process, validate, and reconcile Commercial, Managed ...

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All JobsPbm JobsPbm Manager JobsPbm Manager Jobs in Georgia

Pbm Manager information

See Georgia salary details

$19.1K

$61.2K

$117.5K

How much do pbm manager jobs pay per year?

As of Sep 1, 2026, the average yearly pay for pbm manager in Georgia is $61,217.00, according to ZipRecruiter salary data. Most workers in this role earn between $35,790.00 and $82,085.00 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 Georgia?

The most popular types of Pbm jobs in Georgia are:

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

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

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

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

Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in Georgia as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $61,217 per year, or $29.4 per hour.

Vice President, Clinical Pharmacy (PBM)

ProCare Rx

Gainesville, GA

Full-time

Posted 27 days ago

Job description

The Vice President of Clinical Pharmacy provides hands-on and client facing clinical leadership and expertise in the design and execution of pharmacy benefit management programs, including utilization management, cost containment strategies, and client clinical consulting. Collaborates with and supports internal teams, clients, and the Pharmacy & Therapeutics (P&T) Committee to ensure evidence-based, cost-effective medication use in alignment with FDA guidelines and URAC PBM Standards. Supports client satisfaction, retention, and performance improvement through strategic oversight and hands-on clinical insight.

PRINCIPLE RESPONSIBILITIES include but are not limited to:
• Oversee all aspects of PBM clinical areas, including design and coordination with new and existing rebate and clinical programs , including step therapy, prior authorization, cost containment strategies, and participation in the Pharmacy & Therapeutics Committee as well as management of clinical staff .
• Provide clinical oversight of analysis of therapeutic trends, utilization patterns, and opportunities to improve patient outcomes and manage costs.
• Ensure all programs align with evidence-based medicine, FDA guidelines, URAC PBM Standards, and internal performance improvement requirements .
• Partner with clients to establish clinical goals, deliver recommendations, and present performance reviews that support cost containment and trend management.
• Act as a subject matter expert for clinical discussions, client strategy sessions, and RFP/finalist activities.
• Collaborate with client services, sales, and implementation teams to ensure seamless delivery of clinical programs, client support and sales prospect clinical presentations.
• Support and mentor clinical staff, contributing to knowledge sharing, professional development, and high-quality client deliverables.
• Work across departments to integrate clinical strategies into organizational objectives.
• Monitor emerging therapies, regulatory changes, and PBM trends to inform clinical program design to inform innovation, guide program design, and identify opportunities for potential emulation.
• Contribute to the development of new or enhanced clinical programs and services that strengthen client value.
• Support specialty pharmacy and utilization management initiatives tailored to evolving client needs.
•Lead and contribute to industry thought leadership efforts, including developing clinical insights for publication, participating in media engagements, representing the organization at conferences, and promoting the organization’s clinical value proposition across professional and public channels.

QUALIFICATIONS AND REQUIREMENTS:
Bachelor’s degree in Pharmacy from an accredited college of pharmacy.
Doctor of Pharmacy (PharmD) preferred; MBA or other advanced degree a plus.
Minimum eight years of pharmacy practice experience (PBM, managed care, retail, or hospital) required, focused managed care experience preferred
Experience collaborating with clients and internal teams on clinical program design and delivery.
Strong clinical acumen with the ability to interpret and communicate healthcare trends.
Excellent staff management, communication, presentation, and client relationship skills.
Proven time management and organizational skills to manage multiple priorities effectively.
Adaptable, collaborative, and solution-oriented, with willingness to travel as needed.

PHYSICAL DEMANDS
Requires sitting, standing and occasional light lifting.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.  All interviews are conducted in-person OR through video conference invitations from official company emails.  For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer.

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