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Pbm Jobs in Michigan (NOW HIRING)

Pharmacy Careers

Formulary Management Pharmacist

Detroit, MI · On-site

$53.25 - $64/hr

Maintain and update formulary lists in compliance with health-plan, PBM, and regulatory standards. * Provide clinical support for utilization management, prior-authorization criteria, and step ...

Bcbsa

Director, Trade Client Relations

Three Rivers, MI · On-site +1

$155K - $175K/yr

Has working knowledge of PBM operations and understanding of drug and UM strategy and policy implementation * Has experience in reading and interpreting pharmaceutical manufacturer drug contracts and ...

ProCare Rx

Customer Service Rep II

Southfield, MI

$14.75 - $20/hr

PBM, pharmacy or health care industry experience preferred * Health insurance background and knowledge of pharmacy terminology desired * Proficient PC skills in Windows-based applications.

HUB

Pharmacy Benefits Account Manager

Grand Rapids, MI · On-site +1

$80K - $110K/yr

Experience evaluating and explaining various PBM models, pricingtypesand products. * Strong understanding ofPBMcontracting life cycle. * Experience managing and updating CRM tools (i.e.,Salesforce ...

New

Optimed Pharmacy Inc

Senior Clinical Pharmacist

Kalamazoo, MI · On-site

$106K - $127K/yr

Experience in PBM, managed care, specialty pharmacy, health plan pharmacy, infusion pharmacy, or clinical program development * Experience developing prior authorization criteria and utilization ...

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Pbm information

See Michigan salary details

$18.3K

$46.6K

$81.5K

How much do pbm jobs pay per year?

As of Aug 27, 2026, the average yearly pay for pbm in Michigan is $46,552.00, according to ZipRecruiter salary data. Most workers in this role earn between $36,600.00 and $52,300.00 per year, depending on experience, location, and employer.

What is a PBM?

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.

What are the key skills and qualifications needed to thrive in the PBM position, and why are they important?

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.

What are some common challenges faced by Pharmacy Benefit Managers and how are they addressed?

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.

What are the most commonly searched types of Pbm jobs in Michigan?

The most popular types of Pbm jobs in Michigan are:

What are popular job titles related to Pbm jobs in Michigan?

For Pbm jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Pbm jobs in Michigan look for?

The top searched job categories for Pbm jobs in Michigan are:

What cities in Michigan are hiring for Pbm jobs?

Cities in Michigan with the most Pbm job openings:

Pbm jobs near you
Infographic showing various Pbm job openings in Michigan as of August 2026, with employment types broken down into 97% Full Time, and 3% Contract. Highlights an 88% In-person, 6% Hybrid, and 6% Remote job distribution, with an average salary of $46,552 per year, or $22.4 per hour.

PBM Partnerships & Payer Relations Manager

Flint, MI • On-site

Insight

8.2

Company rating: 8.2 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

56th of 225 rated it services

People enjoy working here

Good employer

Paid breaks

Learn more about Insightexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 17 days ago

Job description

Insight Health System is a physician-led organization focused on advancing excellence in healthcare and community well-being. Our expertise is in transforming distressed hospitals into stable, patient-centric care that is second to none. With a track record for innovation in healthcare, research and development, Insight Health System provides the communities we serve with world-class healthcare services at the forefront of medical technology. Our network currently includes a portfolio of entities encompassing six acute care hospitals (three of which are nonprofit), six surgery centers, 28 clinics, 580 physicians, 10 unions, and 4,200 employees. Collectively, Insight Health System hospitals provide nearly 100,000 patient days annually.
Position Overview
We are seeking a proactive, relationship-driven PBM Partnerships & Payer Relations Manager to serve as the primary point of contact for Pharmacy Benefit Managers (PBMs), third-party administrators (TPAs), brokers, and self-funded employer groups. This role is responsible for building new partnerships, strengthening existing relationships, supporting contract execution, ensuring operational accuracy, and driving network growth across all payer and PBM channels. The ideal candidate excels at communication, problem-solving, and business development within the pharmacy or healthcare benefits ecosystem.
Benefits:
  • Comprehensive health, dental, and vision insurance
  • Paid time off: vacation, holidays, and sick leave
  • 401(k) with employer match (immediate vesting; eligibility begins after 3 months)
  • Employer - paid short - and long - term disability, basic life insurance
  • Voluntary coverages: accident, critical illness, hospital indemnity, AD&D, etc.

Key Responsibilities:
PBM Partnership Management
  • Serve as the main liaison for all PBM partners, contractors, TPAs, and associated vendors.
  • Manage onboarding, implementations, and ongoing communication to ensure alignment and strong operational performance.
  • Oversee contract execution, version control, and escalation resolution with external partners.
  • Proactively step in to assist with prior authorizations or operational duties as needed to ensure exceptional service continuity.
  • Maintain a clear understanding of PBM reimbursement strategies, plan designs, MAC pricing, and specialty pharmacy dynamics.
  • Step in to assist with PAs or operations during high-volume periods or staffing gaps.

Self-Funded Employer Network Development
  • Build new relationships with self-funded employers, brokers, benefits consultants, and employer coalitions.
  • Identify opportunities for employers to utilize the pharmacy as a preferred or direct-to-employer solution (specialty savings, infusion savings, carve-outs).
  • Present pharmacy value propositions, cost-savings models, and service offerings to employer groups.
  • Support the execution of direct-to-employer agreements and develop customized employer workflows.

Payer & Network Growth
  • Drive expansion into new PBM networks, payer groups, and employer health plans.
  • Research and pursue opportunities to improve reimbursement rates or negotiate favorable contract terms.
  • Track market trends, competitive pricing, and plan changes influencing pharmacy performance.
  • Strengthen ties with existing PBM and payer partners to secure long-term relationships.

Operational & Contract Coordination
  • Troubleshoot operational issues, adjudication errors, reimbursement discrepancies, and network constraints.
  • Collaborate with internal teams (legal, finance, operations, pharmacy) to ensure contractual accuracy and workflow alignment.
  • Maintain oversight of contract renewals, amendments, compliance obligations, and key dates.
  • Support renegotiation efforts by preparing comparisons, contract reviews, and partner summaries.

Performance Monitoring & Reporting
  • Track reimbursement patterns, adjudication behaviors, specialty margins, and PBM performance metrics.
  • Generate internal reporting to evaluate partnership effectiveness and financial outcomes.
  • Identify opportunities to optimize pricing strategies, improve patient access, and enhance profitability.

Relationship Building & Strategic Development
  • Cultivate strong, trust-based relationships with PBM executives, employer decision-makers, consultants, and industry partners.
  • Represent the organization at meetings, conferences, and strategic discussions.
  • Identify emerging opportunities for collaboration, market expansion, or product/service enhancement.

Required Qualifications
  • Bachelor's degree in Business, Healthcare Administration, Pharmacy, or a related field.
  • Experience working with PBMs, payers, networks, benefits administrators, or pharmacy operations.
  • Strong communication, negotiation, and relationship-management skills.
  • Ability to manage contracts, escalations, timelines, and multi-stakeholder relationships.
  • Strong analytical thinking, problem-solving skills, and organizational abilities.

Preferred Qualifications
  • Prior experience working directly with PBMs, TPAs, or self-funded employer groups.
  • Experience in specialty pharmacy, infusion services, or pharmacy network contracting.
  • Working knowledge of claim adjudication, reimbursement structures, MAC lists, spread pricing, and DIR fee models.
  • Experience building direct-to-employer pharmacy programs or benefit carve-out models.
  • Familiarity with value-based pharmacy programs, outcomes reporting, and data-driven performance metrics.
  • Strong understanding of healthcare contracting, payer policies, and benefits administration.
  • Ability to interpret contract terms, fee schedules, and reimbursement methodologies.
  • Experience presenting pharmacy solutions or savings programs to employers, payers, or consultants.
  • Existing relationships with PBMs, benefit brokers, employer groups, or industry partners is a major plus.

Insight is an equal opportunity employer and values workplace diversity!

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