Senior CSM, PBM
Miami, FL · Remote
This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts. WHAT YOU'LL DO: * Responsible for the overall relationship with ...
Miami, FL · Remote
This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts. WHAT YOU'LL DO: * Responsible for the overall relationship with ...
Miami, FL · Remote
This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts. WHAT YOU'LL DO: * Responsible for the overall relationship with ...
Miami, FL · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...
New
Miami, FL · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...
New
Tampa, FL · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...
New
Tampa, FL · Hybrid
Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...
New
Tampa, FL · Hybrid
Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
New
Tampa, FL · Hybrid
Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
New
Miami, FL · Hybrid
Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
New
Miami, FL · Hybrid
Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...
New
West Palm Beach, FL · On-site
$17.50 - $21.25/hr
Enter and update PA data in the PBM system. * Verify member eligibility and benefit coverage. Assist Clinical Team: * Gather necessary documentation from prescribers and members. * Prepare cases for ...
West Palm Beach, FL · On-site
$17.50 - $21.25/hr
Enter and update PA data in the PBM system. * Verify member eligibility and benefit coverage. Assist Clinical Team: * Gather necessary documentation from prescribers and members. * Prepare cases for ...
Specific job functions include: · Review and understand PBM contracts for all relevant pricing terms · Review and understand plan design documents provided by PBM or client · Utilize company ...
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Specific job functions include: · Review and understand PBM contracts for all relevant pricing terms · Review and understand plan design documents provided by PBM or client · Utilize company ...
Specific job functions include: · Review and understand PBM contracts for all relevant pricing terms · Review and understand plan design documents provided by PBM or client · Utilize company ...
Quick apply
Specific job functions include: · Review and understand PBM contracts for all relevant pricing terms · Review and understand plan design documents provided by PBM or client · Utilize company ...
$13 - $14.50/hr
Enter and document coverage determination request decision into the PBM system and notify providers and/or members * Respond to client inquiries regarding authorization approvals and PBM on-line ...
$13 - $14.50/hr
Enter and document coverage determination request decision into the PBM system and notify providers and/or members * Respond to client inquiries regarding authorization approvals and PBM on-line ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
$13 - $14.50/hr
... PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Hours for this Position: Monday-Friday; 8AM-9PM- (can talk ...
$13 - $14.50/hr
... PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Hours for this Position: Monday-Friday; 8AM-9PM- (can talk ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
Lakeland, FL · Hybrid
$60K - $62K/yr
M-F 8-5 * Manage weekly, semi-monthly, and monthly billing processes for pharmacy revenue cycle services, including outsourced service arrangements, PBM billing, and invoice generation while ensuring ...
Posted today
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Lakeland, FL · Hybrid
$60K - $62K/yr
M-F 8-5 * Manage weekly, semi-monthly, and monthly billing processes for pharmacy revenue cycle services, including outsourced service arrangements, PBM billing, and invoice generation while ensuring ...
Posted today
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
PBM, healthcare, pharmaceutical experience preferred. Knowledge, Skills, and Abilities * High proficiency in Microsoft SQL, R, or other data analysis tools. * Python experience preferred. * Microsoft ...
Tampa, FL · On-site
$71K - $97K/yr
Minimum of 10 years PBM, pharmacy or related account management experience, including direct experience with PBM contracts. * Bachelor's Degree or equivalent work experience required. * Current Life ...
Tampa, FL · On-site
$71K - $97K/yr
Minimum of 10 years PBM, pharmacy or related account management experience, including direct experience with PBM contracts. * Bachelor's Degree or equivalent work experience required. * Current Life ...
Support development and execution of cross-functional initiatives in pharmacy operations, supply chain, PBM operations, and quality teams. * Participate in strategic planning cycles by gathering data ...
Support development and execution of cross-functional initiatives in pharmacy operations, supply chain, PBM operations, and quality teams. * Participate in strategic planning cycles by gathering data ...
Lead end-to-end software engineering for product platforms, including web, mobile, APIs, and integrations that support PBM and Pharmacy operations. * Direct daily operations of the product ...
Lead end-to-end software engineering for product platforms, including web, mobile, APIs, and integrations that support PBM and Pharmacy operations. * Direct daily operations of the product ...
Orlando, FL · On-site
$16/hr
... PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Refer coverage determination requests for specialty drugs to ...
Orlando, FL · On-site
$16/hr
... PBM system and notify providers and/or members Respond to client inquiries regarding authorization approvals and PBM on-line applications Refer coverage determination requests for specialty drugs to ...
Lead end-to-end software engineering for product platforms, including web, mobile, APIs, and integrations that support PBM and Pharmacy operations. * Direct daily operations of the product ...
Lead end-to-end software engineering for product platforms, including web, mobile, APIs, and integrations that support PBM and Pharmacy operations. * Direct daily operations of the product ...
$15.7K - $20.6K
2% of jobs
$20.6K - $25.5K
6% of jobs
$25.5K - $30.5K
16% of jobs
$30.8K is the 25th percentile. Wages below this are outliers.
$30.5K - $35.4K
17% of jobs
The median wage is $37.4K / yr.
$35.4K - $40.3K
23% of jobs
$43.9K is the 75th percentile. Wages above this are outliers.
$40.3K - $45.2K
16% of jobs
$45.2K - $50.2K
8% of jobs
$50.2K - $55.1K
6% of jobs
$55.1K - $60K
3% of jobs
$60K - $64.9K
1% of jobs
$64.9K - $69.9K
2% of jobs
$15.7K
$39.9K
$69.9K
Pharmacy Benefit Managers often encounter challenges such as staying compliant with frequently changing healthcare regulations, managing relationships between pharmacies, insurers, and clients, and controlling rising prescription drug costs. To address these challenges, PBMs work closely with cross-functional teams, leverage up-to-date technology platforms, and engage in ongoing education about regulatory requirements. Strong analytical skills help them assess and negotiate pricing strategies, while effective communication ensures all stakeholders are informed and aligned. By proactively managing these factors, PBMs play a key role in keeping healthcare affordable and accessible.
To thrive as a Pharmacy Benefit Manager (PBM), you need a solid understanding of pharmacy benefits, healthcare administration, insurance processes, and data analysis, often supported by a degree in pharmacy, healthcare management, or a related field. Familiarity with pharmacy claims processing systems, formulary management software, and compliance regulations is essential, and some roles may require pharmacy technician or pharmacist certification. Strong communication, negotiation, and organizational skills help PBMs collaborate with pharmacies, insurers, and clients while managing complex benefit structures. These capabilities are crucial for ensuring cost-effective, compliant, and efficient pharmacy benefit solutions for clients and patients.
A PBM (Pharmacy Benefit Manager) job involves managing prescription drug benefits on behalf of health insurers, employers, and other payers. Responsibilities often include negotiating drug prices with manufacturers, creating formularies, processing pharmacy claims, and ensuring medication cost savings. PBM professionals work in roles such as clinical pharmacists, account managers, and analysts to optimize drug coverage and improve patient outcomes.

ABOUT THE ROLE:
We are seeking a dynamic and experienced Senior Client Success Manager to join our Pharmacy Benefit Management (PBM) team. The successful candidate will be responsible for managing key client relationships, taking a consultative approach to account management, ensuring the delivery of high-quality pharmacy benefits, and driving client satisfaction. This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts.
WHAT YOU’LL DO:
WHO YOU ARE:
SALARY (BEFORE BONUS POTENTIAL): $125,000 - $145,000
Offer amounts for both remote and in office roles are influenced by geographic location.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.