WI ยท On-site
$46.99 - $122.40/hr
Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin ...
WI ยท On-site
$46.99 - $122.40/hr
Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin ...
WI ยท On-site
$46.99 - $122.40/hr
Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin ...
Madison, WI ยท On-site
General but functional understanding of pharmacy benefits management (PBM), self-funding and employee benefits. * Experience managing book of business in benefit industry - with a secondary emphasis ...
Quick apply
Madison, WI ยท On-site
General but functional understanding of pharmacy benefits management (PBM), self-funding and employee benefits. * Experience managing book of business in benefit industry - with a secondary emphasis ...
WI ยท On-site
$90 - $130/hr
PBM Industry * Cross-Functional Collaboration Tools & Technologies * Word * Excel * PowerPoint #J-18808-Ljbffr
Madison, WI ยท On-site
$58.75 - $70.50/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 ...
Madison, WI ยท On-site
$58.75 - $70.50/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 ...
Milwaukee, WI ยท On-site
$57.50 - $69/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 ...
Milwaukee, WI ยท On-site
$57.50 - $69/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 ...
$123K - $163K/yr
Own pharmacy payer and PBM strategy. Serve as Essentia's primary partner with commercial payers, government payers, and pharmacy benefit managers, and build our negotiation approach to ensure we are ...
$123K - $163K/yr
Own pharmacy payer and PBM strategy. Serve as Essentia's primary partner with commercial payers, government payers, and pharmacy benefit managers, and build our negotiation approach to ensure we are ...
Superior, WI ยท On-site
$123K - $163K/yr
You will thrive here if you have deep expertise in the business of pharmacy - payer and pharmacy benefit manager (PBM) dynamics, wholesaler and manufacturer relationships, pharmacy contracting, and ...
Superior, WI ยท On-site
$123K - $163K/yr
You will thrive here if you have deep expertise in the business of pharmacy - payer and pharmacy benefit manager (PBM) dynamics, wholesaler and manufacturer relationships, pharmacy contracting, and ...
Milwaukee, WI ยท On-site +1
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
Milwaukee, WI ยท On-site +1
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
Hudson, WI ยท On-site
$110 - $130/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. #J-18808-Ljbffr
Hudson, WI ยท On-site
$110 - $130/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. #J-18808-Ljbffr
Hudson, WI ยท On-site
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
Hudson, WI ยท On-site
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
Quick apply
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
Milwaukee, WI ยท On-site
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
Milwaukee, WI ยท On-site
Prior pharmacy benefit management (PBM) or health insurance experience preferred. Competencies: * Proficient in Microsoft Office Professional. * Basic knowledge of regulatory and compliance ...
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please visit ...
Hudson, WI ยท On-site
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please ...
Hudson, WI ยท On-site
$60.25 - $72.25/hr
Through its Concierge PBM, Next Day Valet mail order, and Direct Express local services, OnePoint serves hundreds of hospice programs and is available in 50 states. For more information, please ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Madison, WI ยท On-site
$20.72 - $25.91/hr
... testing by PBM and other vendors. * Review pharmacy claims for accuracy, ensuring compliance with benefits policy guidelines and formulary requirements and internal teams * Resolve claim ...
Menasha, WI ยท Hybrid
$21 - $27/hr
Manage the PBM Satisfaction Survey process * Research and resolution of benefit issues * Benefit testing * Other duties and responsibilities as assigned Job Requirements: * High School Diploma or ...
Menasha, WI ยท Hybrid
$21 - $27/hr
Manage the PBM Satisfaction Survey process * Research and resolution of benefit issues * Benefit testing * Other duties and responsibilities as assigned Job Requirements: * High School Diploma or ...
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build ...
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build ...
$21.2K - $27.8K
2% of jobs
$27.8K - $34.5K
6% of jobs
$34.5K - $41.2K
16% of jobs
$41.6K is the 25th percentile. Wages below this are outliers.
$41.2K - $47.8K
17% of jobs
The median wage is $50.5K / yr.
$47.8K - $54.5K
23% of jobs
$59.3K is the 75th percentile. Wages above this are outliers.
$54.5K - $61.1K
16% of jobs
$61.1K - $67.8K
8% of jobs
$67.8K - $74.4K
6% of jobs
$74.4K - $81.1K
3% of jobs
$81.1K - $87.7K
1% of jobs
$87.7K - $94.4K
2% of jobs
$21.2K
$53.9K
$94.4K
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 Wisconsin are:
For Pbm jobs in Wisconsin, the most frequently searched job titles are:
The top searched job categories for Pbm jobs in Wisconsin are:
Cities in Wisconsin with the most Pbm job openings:

WI โข On-site
$46.99 - $122.40/hr
Other
Medical, Dental, Vision, Retirement, PTO
Posted 9 days ago
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Healthยฎ, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
Position SummaryWould you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts.
Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts. You will need to execute and implement constantly evolving pricing strategies in response to market dynamics to provide competitive, profitable, and attractive pricing offers. You will have a measurable impact in this role, by helping CVS Health, and our clients win, in a competitive marketplace.
Required QualificationsBachelor's Degree preferably in Finance, Mathematics, Economics, or related field; or equivalent work experience may be considered
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$46,988.00 - $122,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This fullโtime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellโbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/21/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.