Pharmacy Director
$146K - $193K/yr
Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures Participate in onsite visits to hospital systems and selected physician group practices and ...
$146K - $193K/yr
Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures Participate in onsite visits to hospital systems and selected physician group practices and ...
$146K - $193K/yr
Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures Participate in onsite visits to hospital systems and selected physician group practices and ...
Silver Spring, MD · On-site
$60.25 - $72.25/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 ...
Silver Spring, MD · On-site
$60.25 - $72.25/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 ...
Washington, DC · On-site
$170 - $210/hr
Doctorate degree and 4 years of Medical Science Liaison and/or Payer/PBM experience or Master's degree and 7 years of Medical Science Liaison and/or Payer/PBM experience or Bachelor's degree and 9 ...
Washington, DC · On-site
$170 - $210/hr
Doctorate degree and 4 years of Medical Science Liaison and/or Payer/PBM experience or Master's degree and 7 years of Medical Science Liaison and/or Payer/PBM experience or Bachelor's degree and 9 ...
Linthicum, MD · On-site
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Linthicum, MD · On-site
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Linthicum, MD · On-site +1
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Linthicum, MD · On-site +1
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Washington, DC · On-site
$180 - $240/hr
Doctorate degree and 4 years of Medical Science Liaison and/or Payer/PBM experience or Master's degree and 7 years of Medical Science Liaison and/or Payer/PBM experience or Bachelor's degree and 9 ...
Washington, DC · On-site
$180 - $240/hr
Doctorate degree and 4 years of Medical Science Liaison and/or Payer/PBM experience or Master's degree and 7 years of Medical Science Liaison and/or Payer/PBM experience or Bachelor's degree and 9 ...
Linthicum, MD · On-site
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Linthicum, MD · On-site
$67K - $72K/yr
The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization ...
Arlington, VA · Remote
$9.0K - $105K/yr
Knowledge and experience in a PBM work environment * Experience with executive protection, event security, or facility security * Strong operational and process development skills What We Offer
Arlington, VA · Remote
$9.0K - $105K/yr
Knowledge and experience in a PBM work environment * Experience with executive protection, event security, or facility security * Strong operational and process development skills What We Offer
Arlington, VA · On-site
$147K - $194K/yr
You will collaborate with the Pharmacy Consulting Practice within Health and Benefits and guide teams through complex projects involving design, financing and ongoing management of PBM programs. You ...
New
Arlington, VA · On-site
$147K - $194K/yr
You will collaborate with the Pharmacy Consulting Practice within Health and Benefits and guide teams through complex projects involving design, financing and ongoing management of PBM programs. You ...
New
Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong, long-term relationships. * Serve as the primary point of contact for assigned clients, coordinating ...
Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong, long-term relationships. * Serve as the primary point of contact for assigned clients, coordinating ...
Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong, long-term relationships. * Serve as the primary point of contact for assigned clients, coordinating ...
Oversee a portfolio of assigned Health Plan and PBM clients, building and maintaining strong, long-term relationships. * Serve as the primary point of contact for assigned clients, coordinating ...
Chantilly, VA · On-site
$162K - $243K/yr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Chantilly, VA · On-site
$162K - $243K/yr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Gaithersburg, MD · Remote
$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 ...
Gaithersburg, MD · Remote
$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 ...
Arlington, VA · On-site
$100K - $120K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$100K - $120K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$100K - $120K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$100K - $120K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$75K - $110K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$75K - $110K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Washington, DC · On-site
$162 - $243/hr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Washington, DC · On-site
$162 - $243/hr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Arlington, VA · On-site
$100K - $125K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$100K - $125K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Fairfax, VA · On-site
$162K - $243K/yr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Fairfax, VA · On-site
$162K - $243K/yr
In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of ...
Arlington, VA · On-site
$95K - $135K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
Arlington, VA · On-site
$95K - $135K/yr
Our Principles-Based Management (PBM) compensation philosophy is grounded in an individualized approach that rewards the long-term value each person creates for the organization. Compensation ...
$23.8K - $31.2K
2% of jobs
$31.2K - $38.7K
6% of jobs
$38.7K - $46.2K
16% of jobs
$46.6K is the 25th percentile. Wages below this are outliers.
$46.2K - $53.6K
17% of jobs
The median wage is $56.7K / yr.
$53.6K - $61.1K
23% of jobs
$66.6K is the 75th percentile. Wages above this are outliers.
$61.1K - $68.6K
16% of jobs
$68.6K - $76K
8% of jobs
$76K - $83.5K
6% of jobs
$83.5K - $91K
3% of jobs
$91K - $98.4K
1% of jobs
$98.4K - $105.9K
2% of jobs
$23.8K
$60.5K
$105.9K
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.
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.
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.
The most popular types of Pbm jobs in Washington are:
For Pbm jobs in Washington, the most frequently searched job titles are:
The top searched job categories for Pbm jobs in Washington are:
Cities in Washington with the most Pbm job openings:

$146K - $193K/yr
Contractor
Re-posted 29 days ago
Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.
 Works in the community to build and maintain strong relationships with key figures with an effort provide best in class heath care to the members
- DTM - focus areas, tracking results, program enhancements
- Pharmacy queue improvement
- Care Gaps
- Review PBM policies and procedures for compliance with applicable state requirements.
Reviews clinical/financial recommendations and strategies provided by the clinical pharmacists in order to determine feasibility and appropriateness for client and ensure flawless implementation of these initiatives. Monitors each of the initiatives to measure results.
Monitor CLIENT pharmacy trends; make recommendation for process, product and program improvement; plan, implement, and monitor changes.
Support CLIENT medical management goals by being a point person for the implementation of all pharmacy related clinical program initiatives.
Provide support and attend all pharmacy related meetings and committees sponsored by the health plans and represent CLIENT and participate on the plan's P&T Committee.
Keep abreast of industry trends and regulatory changes in the pharmacy industry and evaluate their effect on pharmacy contracts and services.
Provide on-site education and training for CLIENT providers on applicable processes procedures.
Develop strategies along with our PBM partners to improve HEDIS ratings and other quality measures
Participate in onsite visits to hospital systems and selected physician group practices and pharmacies.
Act as the main point of contact for physicians and plan staff who are experiencing problems with the pharmacy program (decisions, process, timeliness, etc.)
Supports Fraud and Abuse program system oversight. Communicates any suspected fraud discovered by the contact center staff. Recommends course of action for providers where patterns appear outside of guidelines and generally accepted pharmacy standards
Provide on-site consultation and education to nurses, case managers, and/or physicians.
Coordinates with CLIENT Compliance team on key operational and medication management issues identified through plan oversight and monitoring of PBM
Develop/Build relationships with the local behavioral health providers, Perform Care staff, and client with the goal of improving the delivery of health care programs.
Create and support an environment which fosters teamwork, cooperation, respect and diversity.
Either PharmD or RPh appropriate Must be licensed in DC and locally based Required
3 to 5 years Clinical pharmacy experience in managed care setting
We do have referral bonus of $500 per candidate, if you refer any of your friends or colleague who are looking out for the same job.
KavitaÂ
(732) 844 8726
Sourced by ZipRecruiter
Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.
Recruiting and staffing services
51 - 200 Employees
Edison, NJ, US
1996