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Pbm Manager Jobs in Minnesota (NOW HIRING)

Fairview Health Services

PBM Project Manager

Shoreview, MN

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Overview The PBM Project Manager is responsible for managing both benefit plan implementations and broader project management initiatives across the organization. This role leads projects end-to ...

Fairview Health Services

PBM Project Manager

Shoreview, MN · On-site

$85K - $121K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Overview The PBM Project Manager is responsible for managing both benefit plan implementations and broader project management initiatives across the organization. This role leads projects end-to ...

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Pbm Manager information

See Minnesota salary details

$23.8K

$76.4K

$146.7K

How much do pbm manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for pbm manager in Minnesota is $76,447.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,694.00 and $102,505.00 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 the most commonly searched types of Pbm jobs in Minnesota?

The most popular types of Pbm jobs in Minnesota are:

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

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

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

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

Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in Minnesota as of August 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $76,447 per year, or $36.8 per hour.

Principal PBM Operations Analyst

Blue Cross and Blue Shield of Minnesota

Eagan, MN • On-site

$102K - $138K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

285th of 308 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.
The Impact You Will Have
The Principal PBM Operations Analyst will focus on establishing and refining operational processes related to CMS and State requirements for Medicare products. This position will develop an oversight structure of the Pharmacy Benefit Manager(s) (PBM), departmental and key stakeholder activities. This oversight structure will include the establishment of KPI's and program dashboards to measure performance.
Your Responsibilities
  • Core responsibilities will involve project management, operational management and oversight of the Pharmacy Benefit Manager(s) (PBM).
  • Build and manage dashboards for PBM oversight reporting including volume trending/analysis and quality review outcomes of key performance indicators including claims, coverage decisions and appeals, formulary, and networks. Present dashboards/reporting to Compliance Officer and Leadership, as applicable.
  • Continuously assess risk and evaluate oversight program for improvement opportunities. Define and document oversight processes, policies, and procedures for delegated pharmacy functions including those intended to identify risk and internal controls.
  • Develop enhancement strategies to existing process and technology capabilities. Manage enhancement-related projects with cross-functional teams including IT, Pharmacy, Operations, Compliance, etc.
  • Develop and manage project plans for PBM, internal stakeholder, or external vendor initiatives to ensure an accurate, timely and highly coordinated implementation.
  • Oversee PBM and Pharmacy Analyst work of Medicare PBM operational components.
  • Manage, and oversee Medicare Part D requirements and corresponding operational processes. Including, but not limited to: payment integrity - PDE/Encounter Data, FIR's, NX Transactions, and Coordination of Benefits, regulatory - implementation of guidance, audit management, regulatory reporting, CMS and DHS interactions, coverage decisions and appeals, claims. benefits, formulary/PDL, networks and materials
  • Establish PBM KPIs and Program dashboards to manage and measure outcomes related to performance guarantees.
  • Draft and maintain administrative pharmacy policies related to core job responsibilities.
  • Collaboratively work with internal and external partners, clients, and vendors.
  • Oversee intake, management, and resolution of inquiries, issues, or requests for information received from members, groups, Clients, CMS/DHS and/or any other channel.
  • This position does not have direct supervisory responsibilities but will oversee Analyst work product.

Required Skills and Experience
  • 10+ years of professional experience in pharmacy at a health plan or PBM.
  • 7+ years of project management/relationship management experience required, preferably in the pharmacy or healthcare industry preferred.
  • 5+ years of experience in triaging and resolving inquiries associated to claims and benefits.
  • 7+ years of experience working Medicare Part D
  • 5+ years of management experience (employees and/or vendor services)
  • High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience
  • Previous experience in pharmacy technician role, with or without certification
  • PBM experience preferred
  • Bachelor's degree or equivalent experience

Role Designation
Hybrid
Anchored in Connection
Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.
Compensation and Benefits
$102,400.00 - $138,300.00 - $174,200.00 Annual
Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.
We offer a comprehensive benefits package which may include:
  • Medical, dental, and vision insurance
  • Life insurance
  • 401k
  • Paid Time Off (PTO)
  • Volunteer Paid Time Off (VPTO)
  • And more

To discover more about what we have to offer, please review our benefits page.
Equal Employment Opportunity Statement
At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.
Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

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