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Pbm Manager Jobs in Missouri (NOW HIRING)

Partner with PBM teams to resolve problematic benefits issues. * Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations. * Assist ...

Partner with PBM teams to resolve problematic benefits issues. * Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations. * Provide ...

Partner with PBM teams to resolve problematic benefits issues. * Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations. * Provide ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

Deep expertise in pharmacy benefit management, including clinical programs, plan design, and claims processing * Demonstrated experience supporting employer clients, consultants, and brokers in a PBM ...

... management. Your responsibilities include offering strategic and consultative support throughout the sales process, reviewing PBM contracts for compliance, and building strong relationships with the ...

Showing results 21-40

Pbm Manager information

See Missouri salary details

$21.3K

$68.5K

$131.5K

How much do pbm manager jobs pay per year?

As of Sep 6, 2026, the average yearly pay for pbm manager in Missouri is $68,520.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,060.00 and $91,877.00 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 Missouri?

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

Account Specialist, Rx Solutions

NFP Corp

Chesterfield, MO โ€ข On-site

$53K - $70K/yr

Full-time

Medical, Retirement, PTO

Posted 19 days ago


Job description

Posting Description
Who We Are
NFP, an Aon company, is a multiple Best Places to Work award winner in Business Insurance. We are an organization of consultative advisors and problem solvers. We help companies and individuals around the globe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. To learn more, please visit: https://www.NFP.com.
Position Overview
NFP Rx Solutions - the pharmacy benefit consulting arm of NFP - is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded employers, health plans, and coalition clients, combining contract negotiation, clinical expertise, and advanced analytics to meaningfully reduce pharmacy spend and improve member outcomes. We are prioritizing local candidates who are excited to collaborate with colleagues through a hybrid in-office schedule.
Responsibilities
  1. Develop and maintain effective working relationships as liaison between clients, internal teams, and external partners, such PBMs, brokers, and other third party staff.
  2. Understand each assigned client's business model, organizational structure, business goals, pharmacy benefit intent, and forecasted changes.
  3. Knowledgeable in the PBM marketplace.
  4. Advise leadership of all important activities on client accounts.
  5. Coordinate market reprice analyses, contract terms, and rate dependencies for internal teams.
  6. Research and respond to pharmacy benefit related questions within deadline requirements.
  7. Assist in the communication of employee benefits in client enrollment meetings and webinars with the appropriate PBM representation.
  8. Assist the client in resolving billing, claim, eligibility, and other customer service problems.
  9. Partner with PBM teams to resolve problematic benefits issues.
  10. Management and execution of client benefit requests, benefit changes, program implementations, new groups, and terminations.
  11. Assist director with preparing annual detailed pharmacy benefit performance reports for clients showing client metrics in comparison to industry benchmarks along with recommendations for plan improvement.
  12. Review pharmacy benefit utilization trends and outliers with client as needed.
  13. Keep all information on book of business accurate and up to date in the CRM software.
  14. Supervise client billing and payments, and ensure that proper billing procedures are followed.
  15. Contribute to the development and maintenance of department resources, job aids, training materials, etc.
Required Education, Experience, and Certifications/Licenses:
  • Prefer Bachelor's degree. Associate's degree or equivalent from two-year college, minimum requirement.
  • Prefer three years of PBM related industry experience.
Qualifications & Skills:
  • Knowledge of the Employee Benefits industry, and PBM specifically
  • Excellent research skills
  • Ability to read and interpret industry policies and contract documents, as well as proposals and other documentation and correspondence
  • Ability to respond efficiently and accurately to common inquiries or complaints from customers or carrier
  • Ability to effectively present information to insured clients and their respective carriers
  • Excellent oral and written communication skills and command of the English language
  • Ability to apply basic mathematical concepts such as percentages, adding, subtracting, multiplying and division to required tasks
  • Strong critical thinking, organizational, and decision-making abilities
  • Ability to define problems, collect and analyze data, establish facts, and draw valid conclusions
  • High degree of diligence and attention to detail
  • Ability to function independently with minimal direction
  • Ability to prioritize multiple projects and meet objectives and deadlines established by supervisor and clients, often with short turnaround times
  • Ability to maintain positive and beneficial relationships with department staff, numerous internal departments, external customers, agents, and subscribers
  • Proficient in MS Excel, Word, Outlook, and PowerPoint
  • Professional telephone skills and e-mail etiquette
  • Ability to follow company confidentiality requirements as well as with HIPAA and other applicable government regulations
Travel
  • Ability to travel up to 5% of the time, with occasional overnight trips.
What We Offer
We're proud to offer a competitive salary, PTO & paid holidays, 401(k) with match, exclusive discount programs, health & wellness programs, and more. Our PeopleFirst culture focuses on building and nurturing lifelong relationships with our employees because, at the end of the day, we exist to be there for others. The base salary range for this position is $53,500 - $70,000. The base salary offered will be determined by factors including, but not limited to, experience, credentials, education, certifications, skill level required for the position, the scope of the position, and geographic location. Actual base salary offered will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
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