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Pbm Medical Director Jobs (NOW HIRING)

Nhpri

Medical Director (43921)# Medical Director (43921)Smithfield, RI - Smithfield, RI 02917 ... Work closely with the Pharmacy team to participate in the oversight of the plan's PBM.* Participate ...

Nhpri

Medical Director (43921)

Smithfield, RI · On-site

Medical Director (43921)# Medical Director (43921)Smithfield, RI - Smithfield, RI 02917 ... Work closely with the Pharmacy team to participate in the oversight of the plan's PBM.* Participate ...

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Patient Blood Management (PBM) Specialist

Bedford, MA · On-site

$100K - $130K/yr

PBM Business Unit Director * Operations * Client Services * North America Marketing * Training * Medical Science Liaisons * North America Commercial Leadership Minimum Knowledge & Experience required ...

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How much do pbm medical director jobs pay per year?

As of Sep 11, 2026, the average yearly pay for pbm medical director in the United States is $101,008.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,000.00 and $118,500.00 per year, depending on experience, location, and employer.

What is a PBM Medical Director?

PBM Medical Directors are licensed physicians who work for Pharmacy Benefit Management (PBM) companies. They oversee clinical programs, review medication policies, and ensure that prescription drug benefits are managed effectively for health plans and patients. Their responsibilities include evaluating drug formularies, making coverage determinations, and collaborating with pharmacists, healthcare providers, and insurers to improve patient outcomes while managing costs. PBM Medical Directors play a key role in balancing clinical efficacy with affordability in prescription drug management.

How does a PBM Medical Director collaborate with pharmacists and other clinical teams to optimize patient outcomes?

A PBM Medical Director regularly works alongside clinical pharmacists and interdisciplinary teams to review medication utilization, develop formulary strategies, and assess clinical protocols. This collaboration often involves participating in Pharmacy & Therapeutics (P&T) committee meetings, providing clinical guidance on drug coverage decisions, and analyzing real-world data to ensure cost-effective, evidence-based care. Effective communication and teamwork are essential, as the Medical Director must balance clinical best practices with organizational goals while addressing the needs of both patients and plan sponsors.

What are the key skills and qualifications needed to thrive as a PBM Medical Director, and why are they important?

To thrive as a PBM Medical Director, you need a medical degree (MD or DO), board certification, and deep expertise in clinical guidelines and pharmaceutical management. Familiarity with pharmacy benefit management systems, formulary management tools, and utilization review processes is critical. Strong leadership, strategic thinking, and effective communication skills set top candidates apart in this role. These skills are essential for ensuring cost-effective, evidence-based medication use and for guiding teams in optimizing patient outcomes within managed care environments.

What are popular job titles related to Pbm Medical Director jobs?

For Pbm Medical Director jobs, the most frequently searched job titles are:

Infographic showing various Pbm Medical Director job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $101,008 per year, or $48.6 per hour.

Senior Medical Science Liaison, Health Systems & Payer Strategy - Remote

Remote

Cosette Pharmaceuticals Inc.
Pharmaceutical and Medicine Manufacturing • 51 - 200 employees
Learn more about Cosette Pharmaceuticals Inc.external

Full-time

Re-posted 19 days ago

Job description

Description
Key Responsibilities
Health Systems, Payer, and Executive Stakeholder Engagement
  • Serve as the Medical Affairs scientific expert for payer, health-system, IDN, PBM, specialty pharmacy, medical director, pharmacy leadership, formulary, and population health stakeholders.
  • Develop and execute strategic payer and health-system engagement plans aligned to Medical Affairs objectives and compliant scientific exchange.
  • Conduct balanced medical-to-medical exchange on disease state, clinical evidence, real-world evidence, health economics, outcomes, treatment pathways, guidelines, unmet needs, and access-related considerations.
  • Respond to unsolicited medical/scientific inquiries from payer and health-system stakeholders in accordance with Cosette Medical Affairs policies.

Insights, Evidence, and Value Communication
  • Capture and communicate actionable insights on payer evidence needs, formulary considerations, utilization management, treatment pathways, access barriers, patient journey challenges, and policy or market trends.
  • Support payer-focused medical resources, value-based scientific materials, advisory boards, population health discussions, congress activities, and evidence-generation initiatives as appropriate.

Internal Partnership and Compliance
  • Maintain current expertise in assigned disease areas, Cosette products, competitor products, clinical data, real-world evidence, health economics, guidelines, payer dynamics, health-system structures, and relevant compliance requirements.
  • Maintain timely and complete documentation of stakeholder engagements, insights, follow-up activities, training, expenses, and other required records.

Qualifications
Education
  • Terminal scientific or clinical degree required (PharmD, PhD, MD, or DO).

Required Experience
  • Minimum of 5 years of pharmaceutical, biotechnology, Medical Affairs, field medical, HEOR, payer strategy, market access, or health-system engagement experience required.
  • Experience engaging payer, health-system, IDN, PBM, medical director, pharmacy leadership, formulary, specialty pharmacy, or population health stakeholders required.
  • Strong understanding of U.S. payer dynamics, formulary decision-making, utilization management, medical and pharmacy benefit management, specialty pharmacy, patient access, population health, value-based care, evidence interpretation, and compliant scientific communication.
  • Demonstrated ability to communicate complex scientific, clinical, health economics, and outcomes information clearly, accurately, credibly, and compliantly to senior healthcare decision-makers.

Preferred Experience
  • Experience supporting payer evidence planning, value dossier development, launch readiness, field medical planning, advisory boards, scientific communications, real-world evidence discussions, or medical insight generation preferred.
  • Familiarity with oncology or specialty pharmaceutical access channels, including buy-and-bill, specialty pharmacy, IDNs, regional oncology networks, Medicare, Medicaid, commercial payers, PBMs, and value-based arrangements preferred.

Required Capabilities
  • Strong scientific, clinical, health economics, and strategic acumen with the ability to interpret and communicate complex evidence to senior healthcare decision-makers.
  • Executive presence, strong presentation skills, excellent written and verbal communication, strategic account planning, relationship-building, and virtual/in-person engagement capabilities.
  • Self-motivated, organized, analytical, accountable, and able to manage complex external stakeholder relationships with scientific judgment, business awareness, and integrity.

Travel Requirements
  • Field-based, home-office role supporting assigned national or regional payer and health-system stakeholders; candidate should reside near a major airport.
  • Ability to travel approximately 40-60%, including overnight travel for payer and health-system engagements, internal meetings, congresses, advisory boards, and other business needs.
  • Valid driver's license with a clean driving record and ability to meet healthcare-industry-representative credentialing requirements for facility access.

Cosette Pharmaceuticals, Inc. is a US-based, fully integrated pharmaceutical company with capabilities in product development, manufacturing, and commercial operations. Cosette has a fast-growing portfolio of branded pharmaceuticals consisting of products in the cardiology, women's health, and migraine markets. Cosette has a long history in quality manufacturing of complex dosage forms including topical creams, ointments, oral liquids/solutions and suppositories, which has led to consistent supply to customers and commercialization success. Cosette has corporate and manufacturing facilities in New Jersey and North Carolina and is supported by more than 300 dedicated employees across all functional areas.
Innovating every day.â„¢
Equal Opportunity Employment
Providing "equal employment opportunity" is one of the most important people policies of Cosette Pharmaceuticals, Inc. Our goal is to do all that we realistically can to provide genuine equal employment opportunity to applicants and employees in all phases of our operation. It is the policy of this Company that there shall be no discrimination with respect to employment, or any of the terms and conditions of employment, because of an individual's race, creed, religion, color, national origin, citizenship, ancestry, age, gender identity or expression, affectional or sexual orientation, marital status, domestic partnership, familial status, atypical hereditary cellular or blood trait, disability (including AIDS and HIV infection), genetic information, liability for service in the United States armed forces or any other legally protected status. The Company is dedicated to ensuring that all employment decisions are in accordance with these principles of equal employment opportunity.

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