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Pbm Manager Jobs (NOW HIRING)

AVTC Group

PBM Specialist

Princeton, NJ · On-site +1

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert - Remote work with some travel - 10% US Citizens or Permanent Residents JOB OVERVIEW The PBA/PBM (SME) is responsible for ...

US Tech Solutions

PBM Pharmacist

Providence, RI · On-site

$58.75 - $70.75/hr

Pharmacy Benefits Management Reviewer This position is responsible for reviewing and completing ... Previous pharmacy experience in PBM (Pharmacy Benefits Management) required. * Since the job duties ...

Vativo RX, LLC.

PBM Sales Executives

FL · Remote

PBM Sales Executive Job Summary The PBM Sales Executive (PBM) will be responsible for the sales ... Pharmacy Benefit Management That Fits You don't have to be a Fortune 500 company to enjoy the ...

Judi Health

Account Manager, PBM

New York, NY · Hybrid

The Account Manager, PBM is responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, and new implementations.

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Pbm Manager information

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$24.5K

$78.7K

$151K

How much do pbm manager jobs pay per year?

As of Aug 16, 2026, the average yearly pay for pbm manager in the United States is $78,680.00, according to ZipRecruiter salary data. Most workers in this role earn between $46,000.00 and $105,500.00 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.
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Pbm Manager jobs near you
Infographic showing various Pbm Manager job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $78,680 per year, or $37.8 per hour.

PBM Specialist

AVTC Group

Princeton, NJ • On-site, Remote

Full-time

Re-posted 24 days ago

Job description

Pharmacy Benefit Administration/Management(PBA/PBM) Subject Matter Expert -
Remote work with some travel - 10%
US Citizens or Permanent Residents
JOB OVERVIEW
The PBA/PBM (SME) is responsible for supporting numerous aspects of the design, development and implementation (DDI) followed by maintenance and operations (M&O) of a new PBAmodule as part of Medicaid Enterprise System (MES) Modernization Program. This role provides support for all aspects of the PBA effort with the emphasis on ensuring all business requirements are met, all business processes are established and the new PBAmodule is successfully integrated with all components of State.
The PBA/PBM SME will work with various team members, stakeholders, vendors and the provider community to ensure successful delivery aligned with CMS and State requirements, funding rules, and State priorities.The role works closely with the current operations staff, the PBA Vendor, State Associate Director, Pharmacy Manager, State Contract Lead and other team members supporting thesuccessful implementation of the new PBA Module. The PBA/PBM SME will operate under the direction of the State Associate Director during DDI and the Medicaid Manager during M&O.
Key RESPONSIBILITIES
Experience with PBA, PBR, FWA, and PCM.
•Utilize strong Medicaid PBA processing knowledgeto support the Project Manager inguiding/driving the DDI.
•Utilize vast historical PBA/PBM knowledge to lead discussions.
•Provide PBA/PBM expertise on all aspects of the DDI and M&O efforts.
•Review all PBA deliverables and ensure requirements are met in conjunction with the Project Manager.
•Provide subject matter expertise in Pharmacy Benefit Administration orManagement(PBA/PBM), including cost avoidance strategies and pharmacy transparency dashboards, and collaborate with the DDI vendor to design and implement these capabilities.
•Support cross-module planning to address data integration, shared services, and enterprise alignment.
•Assist in facilitating cross team partnership to ensure interoperability and architectural consistency.
•Support the testing efforts to ensure compliance.
•Provide management recommendations throughout the project.
•Identify issues and escalate as appropriate.
•Ensure certification outcomes are clearly identifiedand addressed through all stages of the DDI.
•Support CMS certification processes and reviews.
•Support all OCM activities
•Support all internal stakeholder activities.
REQUIRED SKILLS AND EXPERIENCE
Qualifications
Required:
•Bachelor's degree in Business, Public Administration, a related field or comparable work experience.
•Strong understanding of Medicaid programs and CMS oversight.
•Minimum of six years of extensive PBA or PBMexperience.
•Experience with engaging large stakeholder groups.
•Excellent organization, analytic and communication skills.
Preferred:
•Experience with State Medicaid modernization initiatives.
•Experience with engaging with the Medicaid Provider Community.
•Familiarity with CMS MITA framework and APD/CPR processes.
•Familiarity with Gainwell's MMIS system

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