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Pbm Pharmacy Tech Jobs (NOW HIRING)

Network Health WI

Pharmacy Benefits Specialist I

Menasha, WI · On-site

$21 - $27/hr

Manage the PBM Satisfaction Survey process * Research and resolution of benefit issues * Benefit ... One year of experience in a Pharmacy Tech position or one year of experience working with pharmacy ...

Vital Care of Oklahoma and Texas

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Infusion Intake Specialist

Fort Worth, TX · On-site

$23 - $30/hr

Process and submit authorizations through PBM (Pharmacy Benefit Manager) benefits. * Communicate ... need it. Job Type: Full-time Benefits: * 401(k) * 401(k) matching * Dental insurance * Health ...

Vital Care of Oklahoma and Texas

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Infusion Intake Specialist

Oklahoma City, OK · On-site

$23 - $30/hr

Process and submit authorizations through PBM (Pharmacy Benefit Manager) benefits. * Communicate ... need it. Job Type: Full-time Benefits: * 401(k) * 401(k) matching * Dental insurance * Health ...

Free Market Health

Program Manager

Pittsburgh, PA · On-site

Partner cross-functionally with Pharmacy Strategy, Product, Technology, Client Services, and ... Specialty pharmacy, payer, PBM, pharmacy operations, external partners, or vendor management ...

NAVA Software Solutions

Sr. Business Analyst

Chicago, IL · On-site

$95K - $123K/yr

Demonstrated experience in performing current state analysis of large enterprise IT systems. * Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth running ...

Chartwell

Pharmacy Tech, Overnights (Full Time)

Erie, PA · On-site

$17 - $20.50/hr

The Pharmacy Technician provides pharmaceutical care to patients within the UPMC Health System by ... General: comply with Federal and State laws such as HIPAA, regulations such as OSHA, and PBM ...

C4 Technical Services

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Pharmacy Billing Specialist

Orlando, FL · On-site

$17 - $18/hr

Certified Pharmacy Tech Preferred * Must have pharmacy billing background * * Hours are 10:30 AM to ... pbm, patients and other parties as needed to get maximum payment on accounts. * Research and ...

Vativo RX, LLC.

PBM Sales Executives

FL · Remote

Qualifications | Basic Requirements · Bachelor degree or equivalent experience in Business · 5 years of Health System and Healthcare IT experience · 5 + Pharmacy Benefit Manager (PBM) relationship ...

Lucyrx

Director, Provider Relations

Bethesda, MD · Remote

$118K - $139K/yr

Lead cross-functional coordination with pharmacy contracting, pricing, compliance, operations, IT, ... Qualifications and Education Requirements * 5-6+ years of experience in PBM, pharmacy network ...

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Pbm Pharmacy Tech information

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How much do pbm pharmacy tech jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for pbm pharmacy tech in the United States is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.43 per hour, depending on experience, location, and employer.

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For Pbm Pharmacy Tech jobs, the most frequently searched job titles are:

Infographic showing various Pbm Pharmacy Tech job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 14% Part Time, 13% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Pharmacy Claims Audit Supervisor - Remote US

MO • Remote

Gainwell Technologies LLC
Health Care and Social Assistance • 10K+ employees
Learn more about Gainwell Technologies LLCexternal

$47K - $67K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Gainwell Technologies rating

7.9

Company rating: 7.9 out of 10

Based on 84 frontline employees who took The Breakroom Quiz

Job description

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

Supervises claims audit operations within Pharmacy Benefit Management (PBM) services. Ensures accurate adjudication of pharmacy claims while maintaining compliance with Medicaid requirements and operational performance standards.  The Claims Audit Supervisor will have oversight of all FWA Audit Services including Concurrent Claims Review, Desk Audit and Field Audit.

Your role in our mission
  • Lead and develop a team responsible for drug claims auditing and adjudication activities
  • Oversee claim audit workflows to ensure accuracy, timeliness, and compliance with PBM and Medicaid guidelines
  • Monitor performance metrics (productivity, quality, turnaround times) and implement process improvements to identify discrepancies.
  • Manage escalations and resolve complex claims issues involving members, providers, and pharmacies
  • Partner with internal teams to support system updates, audits, and ongoing claims operations
  • Work with state to present audit findings, develop new capabilities and manage appeal processes
What we're looking for
  • Must hold an active Pharmacy Technician certificatioin (CPhT), such as PTCB.
  • 5+ years of PBM, pharmacy operations, drug claims processing and audit operations experience
  • 2+ years of leadership or supervisory experience
  • Strong knowledge of identifying drug claim anomalies and pharmacy audit operations
  • Strong knowledge of pharmacy claims adjudication and Medicaid programs
  • Experience with client communications and leading discussions with clients
  • Experience with operational reporting, KPIs, and process improvement
What you should expect in this role
  • This is a remote work from home position.
  • Leadership within a high-volume audit processing environment
  • Collaboration with pharmacy, clinical, clients and IT teams
  • Focus on accuracy, compliance, and operational efficiency
  • Access to Gainwell’s competitive benefits package for eligible employees, including medical, dental, vision, and 401(k) options in accordance with applicable eligibility guidelines.

#LI-REMOTE

#LI-JT1

#LI-CM1

The pay range for this position is $47,300.00 - $67,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

What Gainwell Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Gainwell Technologies

Sourced by ZipRecruiter

With Health and Cost outcomes that pierce Inequities and Impact Economies, the success of our Nation’s Federal Medicaid program is inextricably tied to the Prosperity of Communities, States and the Nation as a whole. We think that deserves Respect and a Commitment from Innovators who can help those who operate within and around health and human services evolve to meet their goals. At Gainwell, that’s our Sole focus. Built across more than Five Decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet Agencies, Health plans and MCOs where they are on their modernization journeys and propel them into the future of Healthcare. Equally important to our Expanding Technologies and Results. We bring ideas that bring policies to life.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Irving, TX, US

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