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Pbm Jobs in Madison, WI (NOW HIRING)

Pharmacy Careers

Formulary Management Pharmacist

Madison, WI · 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 ...

Unavailable

Pharmacy Specialist

Madison, WI · 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 ...

Quartz

Pharmacy Specialist

Madison, WI · 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 ...

Quartz Health Solutions

Pharmacy Specialist

Madison, WI · 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 ...

Imedica

Pharmacy Analyst III

Madison, WI

$78K - $134K/yr

The ideal candidate will possess strong analytical skills, and an understanding of the healthcare and PBM landscape. Key Accountabilities * Data Mining and Report Development * Leverage analytical ...

Navitus Health Solutions, LLC

Paralegal

Madison, WI · Hybrid

$28.95 - $34.88/hr

Navitus Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply ...

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Pbm information

See Madison, WI salary details

$21.2K

$53.8K

$94.2K

How much do pbm jobs pay per year?

As of Aug 28, 2026, the average yearly pay for pbm in Madison, WI is $53,817.00, according to ZipRecruiter salary data. Most workers in this role earn between $42,300.00 and $60,500.00 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 popular job titles related to Pbm jobs in Madison, WI?

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

What job categories do people searching Pbm jobs in Madison, WI look for?

The top searched job categories for Pbm jobs in Madison, WI are:

Pbm jobs near you
Infographic showing various Pbm job openings in Madison, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $53,817 per year, or $25.9 per hour.

Strategic Account Executive

Madison, WI • On-site

National CooperativeRx
Health Care and Social Assistance • 11 - 50 employees
Learn more about National CooperativeRxexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Job description

National CooperativeRx seeks a Strategic Account Executive (SAE) to join our cooperative team. The SAE plays a critical role in building and maintaining relationships with new and existing members with an assigned book of business. This is a mid-level position that reports to the Vice President of Coalition Development, and it requires up to 40% travel.

The ideal candidate will have:

  • 5+ years of sales experience and/or account management experience or 2+ years of PBM sales and/or account management experience.
  • Willing to travel 30-40% depending on the needs of the territory and selling cycle.
  • Proven account management or other relevant experience.
  • 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 on new business development.
  • Proven ability to manage multiple projects at a time while paying strict attention to detail.
  • Strong listening, verbal, and written communication skills.
  • The ability to plan and think strategically.

SAE duties include (but are not limited to):

  • Meet with members and potential members - primarily made up of employers, unions, health plans, insurance carriers and third-party administrators, including broker/agent stakeholders.
  • Identify opportunities to help clients manage their pharmacy benefit plans.
  • Maintain benefit design documentation - document plan change requests and confirm changes are complete and accurate.
  • Prepare client status briefs and make cost-saving recommendations.
  • Deliver and interpret financial and clinical reports including quarterly performance reports.
  • Operate as the lead point of contact for all matters specific to your customers.
  • Build and maintain strong, long-lasting customer relationships.
  • Develop a trusted advisor relationship with key customer stakeholders and executive sponsors.
  • Ensure the timely and successful delivery of our solutions according to customer needs and objectives.
  • Review and answer questions regarding contracts, explanation of coverage, contribution schedules, and member enrollment issues.
  • Manage member expectations, communicating effectively during the planning, marketing, decision-making, and benefits implementation process.
  • Assist in ensuring a favorable PBM experience by helping to identify, resolve, and prevent issues encountered by member-groups with the coalition’s PBM provider.
  • Clearly communicate the progress of monthly/quarterly initiatives to internal and external stakeholders.

Interested candidates should apply here or send a cover letter, resume, and compensation requirements to careers@nationalcooperativerx.com.

Company Description

Headquartered in Madison, Wisconsin, National CooperativeRx is a growing, not-for-profit, member-owned cooperative of employers and other organizations. Together, our member-owners leverage their collective purchasing power to access the best discounts and innovative clinical programs from a pharmacy benefit manager (PBM) chosen via a competitive bid process. National CooperativeRx offers a strong compensation and benefits package, as well as a flexible and rewarding environment where employees have the opportunity to make a significant contribution.