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Pbm Pharmacy Manager Jobs (NOW HIRING)

Health Care

Clinical Pharmacy Manager

Nashville, TN · On-site

$102K - $184K/yr

... PBM), and for the overall effectiveness of the government pharmacy operations and programs. Additionally, this position requires collaboration with management and professional staff within HCSC and ...

New

VIS IT Solutions Inc

SQL Analyst

Dulles, VA · Remote

Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...

Humana Inc

Compliance Lead (Pharmacy)

Louisville, KY · On-site

$150K/yr

You will support the entire Pharmacy Compliance team in areas including our PBM (Pharmacy Benefit Manager) operations, specialty and mail-order dispensing, and key delegated partners.The Compliance ...

Humana

Compliance Lead (Pharmacy)

$160K/yr

You will support the entire Pharmacy Compliance team in areas including our PBM (Pharmacy Benefit Manager) operations, specialty and mail-order dispensing, and key delegated partners. The Compliance ...

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How much do pbm pharmacy manager jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for pbm pharmacy manager in the United States is $67.58, according to ZipRecruiter salary data. Most workers in this role earn between $62.50 and $73.56 per hour, depending on experience, location, and employer.

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Clinical Pharmacy Manager

Nashville, TN • On-site

Health Care
See more jobs at Health Careexternal

$102K - $184K/yr

Other

Medical, Life, Retirement, PTO

Posted 3 days ago

New

Job description

Job Summary

This position is responsible for directing the development, maintenance, and ongoing oversight for clinical and operational programs and processes for enterprise pharmacy government programs of Medicare and Medicaid. This includes but is not limited to CMS Stars and Medicaid Quality Withhold programs, Medicare and Medicaid operational and reporting activity, programs for prescribers and network of pharmacies, pharmacy cost and utilization trends monitoring, clinical programs with emphasis on disease management and clinical outcomes, developing and maintaining reimbursement methodologies for pharmaceuticals, oversight of contracted pharmaceutical benefit managers (PBM), and for the overall effectiveness of the government pharmacy operations and programs. Additionally, this position requires collaboration with management and professional staff within HCSC and with external health care providers to improve quality of healthcare, optimize health outcomes, and improve the cost of care.

Job Requirements:

  • Registered pharmacist in the state.
  • Corporate pharmacist experience including experience with pharmacy practice guidelines or practice parameters; review of formulary programs, pharmacoeconomics; or pharmacy quality improvement processes/techniques.
  • Knowledge of medication use evaluation principles.
  • Drug information skills.
  • Analytical skills.
  • Experience using window based word processing, spreadsheet, and relational database software.
  • Verbal and written communications skills.
  • Ability to remain at a work station and perform computer entry for long periods of time, as required.
  • Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management.

Preferred Job Requirements:

  • MTM program experience or completion of MTM/Pharmaceutical Care Training.
  • Experience developing and implementing system tools.
  • Experience with Microsoft Excel and PowerPoint.
  • Experience with Medicare Star measures.

This is a Flex (Hybrid) role: requires 3 days in office; 2 days remote.

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location.

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