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Pbm Pharmacist Jobs (NOW HIRING)

Pharmacist (100% Remote) Long-term Opportunity | Open to (nearly) ALL States | PBM Description Candidates will be reviewing members' Utilization Management (UM) requests (i.e., formulary exceptions ...

Pharmacist

Plano, TX · On-site

$58 - $63/hr

Pharmacist who works closely with other pharmacy staff to receive prescription orders and oversee ... We're fixing what's broken in the PBM industry by putting people first and challenging outdated ...

Formulary Management Pharmacist

Memphis, TN · On-site

$52 - $62.50/hr

Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work ... are encouraged to apply. * Skills: Strong analytical ability, interpretation of clinical research ...

Formulary Management Pharmacist

Missoula, MT · On-site

$57.75 - $69.25/hr

Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work ... are encouraged to apply. * Skills: Strong analytical ability, interpretation of clinical research ...

Formulary Management Pharmacist

Worcester, MA · On-site

$58 - $69.75/hr

Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work ... are encouraged to apply. * Skills: Strong analytical ability, interpretation of clinical research ...

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Pbm Pharmacist information

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How much do pbm pharmacist jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for pbm pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What is a PBM pharmacist?

A PBM (Pharmacy Benefit Manager) pharmacist is a licensed pharmacist who works for a pharmacy benefit management company. Their primary responsibilities include reviewing prescription drug claims, ensuring medication safety and cost-effectiveness, managing formularies, and providing clinical support to clients and members. PBM pharmacists play a crucial role in optimizing medication therapy for large groups of patients, collaborating with healthcare providers, and helping to control prescription drug costs for employers and health plans.

What does a PBM pharmacist do?

As a PBM pharmacist, you fill prescriptions on behalf of a pharmacy benefit manager, which is a person or company that helps manage a program to provide a group of people—typically employees at one company—with prescription drugs. In this role, you may help negotiate prices with pharmaceutical manufacturers, evaluate contracts, and ship medicine through the mail or dedicated couriers. In some cases, you may even work in the same building as your clients—this is rare, but particularly large companies occasionally have on-site pharmacies run by a PBM. This job title refers to working as a pharmacist under a PBM and should not be confused with being the pharmacy benefit manager.

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

To thrive as a PBM Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, state licensure, and a strong understanding of managed care and formulary management. Familiarity with pharmacy benefit management systems, claims adjudication software, and data analysis tools is typically required. Critical thinking, attention to detail, and effective communication are crucial soft skills for collaborating with healthcare providers and ensuring optimal patient outcomes. These skills are essential for managing drug utilization, controlling costs, and maintaining compliance within the complex PBM environment.

How does a PBM pharmacist typically collaborate with other healthcare professionals to optimize patient outcomes?

PBM Pharmacists regularly work with physicians, nurses, and pharmacy technicians to ensure that patients receive the most effective and affordable medications. They assess formulary options, provide clinical recommendations, and help resolve prior authorization or medication access issues. This collaborative approach not only improves patient care but also helps manage costs, making strong communication and teamwork skills essential for success in this role. PBM Pharmacists may also participate in clinical review committees and consult on drug utilization management.

What is the difference between Pbm Pharmacist vs Pharmacy Technician?

AspectPbm PharmacistPharmacy Technician
CredentialsDoctor of Pharmacy (PharmD) or equivalent, licensureHigh school diploma or equivalent, certification often preferred
Work EnvironmentHealthcare settings, insurance companies, PBM officesRetail pharmacies, hospitals, clinics
Job ResponsibilitiesFormulary management, medication therapy review, benefit designDispensing medications, customer service, inventory management

In summary, Pbm Pharmacists focus on medication benefit management, formulary decisions, and insurance-related tasks, requiring advanced pharmacy credentials. Pharmacy Technicians assist with dispensing and administrative tasks in pharmacy settings. Both roles are essential but differ significantly in responsibilities and qualifications.

What cities are hiring for Pbm Pharmacist jobs?

Cities with the most Pbm Pharmacist job openings:

What are the most commonly searched types of Pbm Pharmacist jobs?

The most popular types of Pbm Pharmacist jobs are:

What states have the most Pbm Pharmacist jobs?

States with the most job openings for Pbm Pharmacist jobs include:

Infographic showing various Pbm Pharmacist job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 2% As Needed, 64% Full Time, 31% Part Time, and 2% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

PBM Utilization Management Pharmacist (REMOTE)

Unitas Corporation

River Falls, WI • On-site

Other

Posted 2 days ago

New


Job description

UNITAS provides clinical staffing and consulting solutions, including contract staff augmentation, permanent talent recruiting, consulting, and clinical coaching. Our extensive experience includes Pharmacy Benefit Management, Long-Term Care, Retail Pharmacy, Hospital, and Leadership, enabling us to connect the best clinical talent with outstanding companies. We know clinicians because we are clinicians!
Position Summary:
The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment.
Position Responsibilities:

  • Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria.
  • Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans.
  • Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards.
  • Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach.
  • Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities.
  • Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security.
  • Identify and report potential fraud, waste, and abuse.
  • Support training and development of new and existing team members as needed.
  • Assist leadership with special projects, process improvements, and operational initiatives
Minimum Qualifications:
  • Active, unrestricted, pharmacist license
  • Bachelor's or Doctor of Pharmacy degree
  • Minimum of 2 years of pharmacy practice experience
  • Strong communication, writing, and organizational skills
  • Ability to manage multiple priorities in a high-volume, metric-driven environment
  • Availability to work after hours, weekends, and holidays on a rotating schedule
Preferred Qualifications:
  • Call center experience
  • Minimum of 6 months prior authorization or utilization management experience
  • Experience in managed care or pharmacy benefit management (PBM)

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.
The pay range for this role is:
125,000 - 130,000 USD per year (Remote)