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Pbm Medical Director Jobs (NOW HIRING)

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI · On-site

$17.25 - $21/hr

... and Medical Director review. * Assist in prepping Medicare grievance cases for Pharmacist manager review. * Effectuate Medicare appeal overturns in PBM's claim system. * Review and process daily ...

Corvel

Director Specialty Networks, Product

$98K - $152K/yr

The Director, Specialty Networks Product is a strategic leadership role within CorVel's Network ... Strong knowledge of workers' compensation ancillary services, PBM operations, medical cost ...

Prescryptive

Director, Underwriting

OR · On-site +1

$175K - $225K/yr

Deep understanding of PBM economics, including pharmacy network pricing, specialty utilization ... Flexible time off, including 12 paid holidays. * 401k match plus 100% employer-provided medical ...

Prescryptive

Director, Underwriting

$175K - $225K/yr

Deep understanding of PBM economics, including pharmacy network pricing, specialty utilization ... Flexible time off, including 12 paid holidays. * 401k match plus 100% employer-provided medical ...

Prescryptive Health

Director, Underwriting

$175K - $225K/yr

Deep understanding of PBM economics, including pharmacy network pricing, specialty utilization ... Flexible time off, including 12 paid holidays. * 401k match plus 100% employer-provided medical ...

Prescryptive Health, Inc.

$175K - $225K/yr

Deep understanding of PBM economics, including pharmacy network pricing, specialty utilization ... Flexible time off, including 12 paid holidays. * 401k match plus 100% employer‑provided medical ...

Integrated Resources

Pharmacy Director

Washington, DC · On-site

$146K - $193K/yr

... PBM policies and procedures for compliance with applicable state requirements. Reviews clinical ... Support CLIENT medical management goals by being a point person for the implementation of all ...

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI · On-site

$17.25 - $21/hr

Oversight of PBM operations in regard to Medicare Part D and Part B delegated operations through ... Medical Director review. * Assist in prepping Medicare grievance cases for Pharmacist manager ...

Valid8 Financial, Inc.

PBM Clinical Pharmacist

Las Vegas, NV · On-site

$113K - $136K/yr

Pharmaceutical and medical knowledge necessary to effectively discuss drug therapy issues with ... A well-organized and self-directed individual who is able to work with minimal amount of ...

AlohaCare

Pharmacy Technician - Oahu or Maui

Honolulu, HI · On-site

$17.25 - $21/hr

Oversight of PBM operations in regard to Medicare Part D and Part B delegated operations through ... Medical Director review. * Assist in prepping Medicare grievance cases for Pharmacist manager ...

SlateRx

PBM Clinical Pharmacist

Las Vegas, NV · Remote

$113K - $135K/yr

Pharmaceutical and medical knowledge necessary to effectively discuss drug therapy issues with ... A well-organized and self-directed individual who is able to work with minimal amount of ...

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Pbm Medical Director information

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$56K

$101K

$147.5K

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.

Associate Director, Client Services - Account Management

Denver, CO • On-site

Capital Rx
Health Care and Social Assistance • 201 - 500 employees
Learn more about Capital Rxexternal

$129K - $150K/yr

Other

Medical

Re-posted 10 days ago

Key responsibilities

  • Supervise and support a team of account managers and/or account coordinators to ensure client satisfaction, retention, and performance.

  • Support clients in a leadership capacity, focusing on escalation management and relationship development.

  • Handle escalations and provide strategic guidance to resolve client issues efficiently.

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Hybrid 3 days (offices in NYC, Denver, CO and Charlotte, NC area)

Position Overview:

The Associate Director, Account Management is responsible for managing the planning, execution, issue resolution and day to day account management functions of an assigned high profile and limited client portfolio and team to ensure ongoing client satisfaction in the Pharmacy BenefitManagement(PBM) market segment including Health Systems, Employer Groups,PublicEntities, Labor/Union and Small Market.

Additionally, this position will lead and collaborate with internal Judi Health teams/departments on the development of standard operating procedures and best practices in support of Account Management and PBM Services Account Management needs to operate efficiently and at scale in accordance with the policies and practices of Judi Health.

This position manages Account Managers, AccountCoordinatorsandmay include other designatedmembersof the PBM Account Management Team (i.e.Subject Matter Specialist, PBM Services). This position reports to Directoror Senior Director-levelsupervisors in the PBM vertical.

Position Responsibilities:

  • Supervise and support a team of account managers and/or account coordinators to ensure client satisfaction, retention, and performance.
  • Support clients in a leadershipcapacity, focusing on escalation management and relationship development.
  • Manage high profile but limited client book.
  • Conduct regular team meetings to align goals, share updates, and address challenges.
  • Mentor and develop team members to enhance their skills and knowledge in PBM services.
  • Handle escalations andprovidestrategic guidance to resolve client issues efficiently.
  • Serve as the point of contact for key clients, fostering strong, long-term relationships.
  • Lead team in the form of account managers and/or account coordinators to ensure proactive and effective communication with clients.
  • Support implementation teams with client onboarding, ensuring a smooth transition and clear understanding of PBM services.
  • Proactively address client concerns, ensuring quick and effective resolution of issues.
  • Act as a liaison between clients and internal teams to manage escalations and resolve conflicts.
  • Stay updated on industry trends and regulations, sharing knowledge with the team
  • Implement process enhancements tooptimizeservice delivery and efficiency.
  • Help build and develop job aids, policies and procedures, and standard operating procedures for the client account management team.
  • Responsible for adherence to the Judi Health Code of Conduct, including reporting of noncompliance.

Required Qualifications:

  • Undergraduate bachelor's degree, with record of strong academic performance
  • 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare industry
  • Track recordof building trusting internal and external relationships
  • Track recordof leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
  • Experience working with structured and unstructured data
  • Proficient in Microsoft Office, particularly Excel, SQL a bonus
  • Ability to balance multiple complex projects simultaneously
  • Exceptional written and verbal communication skills
  • Extremely flexible, highly organized, and able to shift priorities easily
  • Attention to detail & commitment to delivering high quality work product
  • Ability to travel, not to exceed 25%

Preferred Qualifications:

  • 3+ years of people management experience
New York, NY Salary Range
$129,000—$150,000 USD
Denver, CO Salary Range
$129,000—$150,000 USD
Charlotte, NC Salary Range
$129,000—$150,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.

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