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Pbm Jobs in Madison, WI (NOW HIRING)

Sr. Paralegal

Madison, WI · Hybrid

$38.40 - $47.11/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 ...

Sr. Paralegal

Madison, WI · Hybrid

$38.40 - $47.11/hr

CompanyNavitusAbout UsNavitus - 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 ...

Vice President, Clinical Pharmacy

Madison, WI · On-site

$130K - $171K/yr

QUALIFICATIONS Education & Licensing PharmD degree from an accredited university or school of pharmacy preferred or Bachelor's degree with commensurate experience in PBM management and health care ...

EH&S Manager

Janesville, WI · On-site

$81K - $110K/yr

Embrace influential leadership to support the organization while advancing our Principle-Based Management (PBM) culture * Partners with site leadership to influence all team members to embrace and ...

Sr. Paralegal

Madison, WI · On-site

$38.40 - $47.11/hr

Company Navitus About Us 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 ...

Showing results 21-33

Pbm information

See Madison, WI salary details

$21.2K

$53.8K

$94.2K

How much do pbm jobs pay per year?

As of Sep 3, 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:

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.

$96.48 - $118.38/hr

Other

Medical, Dental, Vision, Retirement

Posted 15 days ago


Job description

CompanyNavitusAbout UsNavitus - 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 chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. ____________________________________________________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.Pay RangeUSD $96,482.00 - USD $118,382.00 /Yr.STAR Bonus % (At Risk Maximum)5.00 - Salaried Non-Management except pharmacistsWork Schedule Description (e.g. M-F 8am to 5pm)M-F; 8:00 am - 5:00 pmOverview

Due to growth, we are addinga Lead, AI Governance & Enablementto our team!

The Lead, AI Governance & Enablement owns the enterprise AI governance and enablement program, setting its strategic direction and ensuring AI adoption across the organization occurs within established risk and compliance frameworks. The Lead acts as the organization’s primary authority on AI governance operations, coordinating across Legal, Compliance, Privacy, Security, IT, and business teams. Core functions include designing and evolving governance processes, shaping AI risk strategy, chairing AI committee meetings, driving enterprise AI adoption, mentoring team members, and directing proof-of-concept AI initiatives.

As Navitus expands its use of artificial intelligence, the Lead, AI Governance & Enablement ensures the organization moves forward responsibly and strategically. This role carries accountability for program outcomes, stakeholder alignment, and the maturity progression of the governance framework.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

  • Design, evolve, and own the enterprise AI governance framework, including use case intake workflows, risk classification standards, approval criteria, policy management, and responses to client RFP inquiries related to AI governance. Set the strategic direction for how governance scales with the organization’s growing AI footprint.
  • Serve as the primary governance liaison to the Architecture Review Board, establishing review criteria for AI deployments and ensuring governance checkpoints are embedded in the release management lifecycle.
  • Partner with Compliance to design and maintain the AI compliance monitoring approach, defining what gets monitored, how exceptions are surfaced, and how remediation is tracked. Proactively identify emerging risk patterns and recommend policy adjustments.
  • Lead the organization’s response to evolving AI legislation and healthcare specific regulatory requirements by partnering with Legal, translating legal and regulatory developments into operational policies, stakeholder communications, and process updates that keep the organization ahead of compliance obligations.
  • Own the enterprise AI use case inventory, including its structure, taxonomy, and lifecycle stages. Ensures every use case is accurately classified, tracked through approval, and documented with risk disposition and ownership.
  • Define and continuously improve the AI risk assessment methodology, including scoring criteria, workflow design, and integration with the organization’s GRC platform (LogicGate).
  • Collaborate with Vendor Management to establish the vendor AI evaluation framework, assessing model documentation for fairness, bias, transparency, and performance claims.
  • Design and deliver the quarterly AI governance reporting package, including use case dashboards, risk trend analysis, and executive summaries. Present findings and recommendations to leadership, drive accountability for follow through on identified priorities, and use reporting insights to inform program strategy.
  • Facilitate AI governance committee meetings and cross functional workgroups, setting agendas, framing decisions, facilitating productive discussion, and documenting outcomes. Manage escalation paths across governance tiers and represents the AI governance program in leadership forums and senior stakeholder meetings.
  • Collaborate with Learning Services on the enterprise AI adoption and enablement strategy, including training roadmaps, engagement campaigns, usage analytics, and feedback loops. Drive measurable adoption outcomes and continuously refine the approach based on user behavior and organizational readiness.
  • Collaborate and partner with engineering on proof of concept AI initiatives, including conversational agents and workflow automations, from problem framing through pilot evaluation.
  • Other duties as assigned.
Qualifications

Whatourteamexpectsfrom you?

  • Bachelor’s degree in Computer Science, Information Technology, Business, Data Science, Analytics, or equivalent work experience required.
  • 6-8 years of combined experience in governance, risk management, compliance, analytics, or relevant experience required.
  • Experience leading or mentoring others in a team or cross-functional setting required.
  • Experience working with GRC platforms (e.g., LogicGate is a plus) to manage risk workflows, assessments, or compliance processes preferred.
  • Demonstrated ability to lead cross-functional initiatives, influence without authority, and communicate complex topics to non-technical audiences.
  • Hands-on experience understanding and developing AI models and automation preferred.
  • Experience supporting organizational change, training, or adoption efforts preferred.
  • Participate in, adhere to, and support compliance program objectives.
  • The ability to consistently interact cooperatively and respectfully with other employees.

What can you expect from Navitus?

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 dayspaid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membershipassistance
  • Referral Bonus Program – up to $750!

#LI-Hybrid

Location : Address361 Integrity DriveLocation : CityMadisonLocation : State/ProvinceWILocation : Postal Code53717Location : CountryUS
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