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Pbm Manager Jobs in Wisconsin (NOW HIRING)

WI ยท On-site

$67.90 - $182.55/hr

Manages processes and ensures consistent delivery of insights to support business outcomes. What ... Provide strategic advisory on Trade implications of PBM client pricing strategies and client ...

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General but functional understanding of pharmacy benefits management (PBM), self-funding and employee benefits. * Experience managing book of business in benefit industry - with a secondary emphasis ...

Formulary Management Pharmacist

Madison, WI ยท On-site

$58.75 - $70.50/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 ...

New

Formulary Management Pharmacist

Milwaukee, WI ยท On-site

$57.50 - $69/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 ...

New

WI ยท On-site

$90 - $130/hr

Timelines Management Soft Skills * Verbal Communication * Written Communication Industry Keywords * Pharmaceutical Manufacturer * PBM Industry * Cross-Functional Collaboration Tools & Technologies

Implement and sustain operating systems (MOS / SQDC / PBM principles) and leverage digital tools to ... Manage Production operating budget and cost control initiatives appropriate to site scale; escalate ...

Pharmacy Services Senior Director

Superior, WI ยท On-site

$123K - $163K/yr

You will thrive here if you have deep expertise in the business of pharmacy - payer and pharmacy benefit manager (PBM) dynamics, wholesaler and manufacturer relationships, pharmacy contracting, and ...

Working knowledge of pharmacy benefit management (PBM) or retail/mail-order pharmacy operations, including prescription verification, transfer, and dispensing workflows. * Demonstrated experience ...

WI ยท On-site

$75.40 - $182.55/hr

Position Summary Would you like to join CVS Health, a Fortune 6 company, on our multifaceted Pharmacy Benefits Management (PBM) Strategic Initiatives team? This high impact, high visibility ...

Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...

Pharmacist / PRN

Hudson, WI ยท On-site

$60.25 - $72.25/hr

OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per day. Through its Concierge PBM, Next Day ...

Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...

The Clinical Account Executive (CAE) is responsible for managing and optimizing relationships with Serve You Rx pharmacy benefit management (PBM) clients and partners. This is accomplished by ...

Pharmacist / PRN

Hudson, WI

$60.25 - $72.25/hr

OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for thousands of patients per day. Through its Concierge PBM, Next Day ...

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Showing results 1-20

Pbm Manager information

See Wisconsin salary details

$22.4K

$71.8K

$137.9K

How much do pbm manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for pbm manager in Wisconsin is $71,845.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,004.00 and $96,335.00 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 Wisconsin?

The most popular types of Pbm jobs in Wisconsin are:

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

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

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

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

Infographic showing various Pbm Manager job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 15% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $71,845 per year, or $34.5 per hour.

Senior Manager, Trade Contract Advisory (REMOTE)

Hispanic Alliance for Career Enhancement

WI โ€ข On-site

$67.90 - $182.55/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 11 days ago


Job description

Role Summary

Supports the development and execution of strategic advisory on Trade-related topics (pharmaceutical purchasing and contracting) for the PBM Client Underwriting organization. Contributes to strategies by analyzing market intelligence and data insights, partnering with cross-functional stakeholders, and delivering actionable recommendations. Manages processes and ensures consistent delivery of insights to support business outcomes.

What You Will Do
  • Provide strategic advisory on Trade implications of PBM client pricing strategies and client requests, partnering with cross-functional stakeholders to address business needs
  • Contribute formulary, rebate, and other Trade insights to inform Underwriting RFP strategy and enhance rebate value for prospects and renewing clients
  • Ensure Trade-related contractual requirements are appropriately addressed within RFP responses
  • Provide input on key Underwriting assumptions that may impact future rebate value
  • Analyze and apply market intelligence to support strategies for formulary initiatives
  • Partner with Trade, Underwriting, and Finance teams to support Connected PBM Ecosystem initiatives and ensure alignment across functions
  • Maintain and improve processes related to RFP support, advisory workflows, and Trade-related deliverables
Minimum Requirements
  • 8+ years of relevant work experience
  • Strong execution and delivery skills (planning, organizing, and supporting workstreams)
  • 5+ years experience with pharmacy benefit management, prescription drug rebates, prescription drug spend, pharmacy rebate knowledge, and/or formulary strategies
  • Strong analytical and business intelligence capabilities
  • Demonstrated ability to collaborate effectively across teams
  • Strong problem-solving and decision-making skills with sound judgment
  • Growth mindset with willingness to learn
  • Strong communication skills with ability to clearly convey insights and recommendations
Education
  • Bachelor's degree required; or equivalent experience
Preferred Qualifications
  • Experience reviewing and redlining contract language, in partnership with Legal, to manage risk and align with business objectives
  • Exposure and/or knowledge of the evolving pharmaceutical regulatory environment
Pay Range

The typical pay range for this role is:
$67,900.00 - $182,549.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fullโ€‘time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellโ€‘being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/07/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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